01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-19 | 17 | 2025-12-19 | 8 |
| Cycle 2 | 2024-08-01 | 7 | 2024-08-01 | 3 |
| Cycle 3 | 2023-05-18 | 6 | 2023-05-18 | 1 |
CMS CCN 4558762026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Woodlands Nursing And Rehabilitation Center
4650 S Panther Creek Dr · The Woodlands, TX 77381 · Montgomery County
Certified beds214CMS provider file
Recent citation rows42current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
42 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-04 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-06-05 · complaint2026-04-25 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2026-04-29 · complaint2026-04-13 · HEALTHF0550Severity G · isolated actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-04-29 · complaint2026-04-13 · HEALTHF0580Severity G · isolated actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-04-29 · complaint2026-04-13 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-04-29 · complaint2026-04-13 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2026-04-29 · complaint2025-12-19 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-19 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-19 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-19 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-19 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-19 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: No revisit needed2025-12-19 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-19 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-19 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-09-04 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-09-06 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-13 | Fine | $14,380 | 0 |
| 2025-06-05 | Fine | $9,597 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAIRD, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/13/2021
- CLAPP, BARBARAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2021
- CORTESE, DARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/10/2021
- GIBSON, PATRICIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2021
- MURRELL, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/22/2016
- ROLLO, JEFFERYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2012
- STRAMECKI, ANTHONYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2016
- VRATIS, KACEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- WAY, GEORGEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2018
- BILBOA, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/10/2022
- GUERRERO, TERESAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- 4650 S PANTHER CREEK DRIVE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
- CSV RHEA MANAGEMENT HOLDCO, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
- DWD TX HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
- REG BRIDGE OPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
- REG HG OPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
- REG OPERATOR HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.45per resident day
RN hours0.37per resident day
Weekend nurse hours3.20per resident day
Staff turnover49.6%CMS reported field