Skip to main content

Inspection visit

Inspection

Woodland Manor Nursing and RehabilitationCMS #6752291 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation, interview, and record review, the facility failed to ensure that the daily staffing was posted and readily accessible for review for 1 of 1 facility reviewed for required postings.- The facility failed to update the facility Daily Staff Posting on 02/10/26. This failure could affect residents, facility visitors, vendors, and emergency personnel by placing them at risk of not having access to information regarding daily nursing staffing in a timely manner.Findings Include:An observation on 02/10/26 at 10:39 AM revealed the facility did not have a posting with the nurse staffing posting information. The placard on the wall facing the lobby, across from the nursing station, was empty.In an interview on 02/12/26 at 08:01 AM, the DON said she was responsible for updating the staffing posting. She said the posting served to provide anyone in the building with the staffing to resident ratio. The DON said the posting was typically updated at the beginning of the shift, and her shift started at 08:00 AM and direct care staff had 2 shifts, 6AM- 6PM and 6 PM to 6 AM. She said the posting was not updated timely on 02/10/26 because she was in a morning meeting. The DON said failure to update the posting could place visitors at risk of not knowing what the current census or staffing was.In an interview on 02/12/26 at 08:09 AM, the Administrator said he just started working in the facility on 02/09/26. He said the nursing posting served to notify everyone who walked into the building what the census, staff hours and staff type were in the building. He said the DON and ADON were responsible for the posting and it should be posted as early as when the first shift started at 6:00 AM, and he didn't know it was not posted timely on 02/10/26. The Administrator said failure to update the facility posting would leave visitors unaware of the census and staffing information.An observation on 02/12/26 at 08:21 AM revealed, the facility Daily Staff Posting posted on the wall facing the lobby reflected 02/12/26. The posting indicated that the facility had 2 shifts (6AM- 6 PM & 6 PM to 6AM) for RNs, LVNs, CNAs and MAs. The posting indicated the facility census, number of staff types (RN, LVN, CNA, and MA) and total hours worked for all shifts.In an interview on 02/12/26 at 09:09 AM, the ADON said she and the DON were responsible for the nursing posting located at the front of the building. She said the posting provided the facility name, date, census, staff types and the number and hours of staff that worked on each shift and it served to let people know the type and number of staff as well as number of residents in the building. The ADON said the posting should be updated every day at the start of her shift, which was usually from 08:00 AM to 05:00 PM and direct care staff worked 12 hour shifts from 6AM- 6PM and 6PM- 6 AM. The ADON said on 02/10/26, she arrived for her shift at 09:00 AM, and was busy with patient related situations which resulted in a delay in updating the facility posting. The ADON said failure to update the daily posting could leave visitors unaware of the facility census as well as the staff type and hours available on a certain day.Record review of the facility policy titled Nurse Staffing Posting Information implemented 03/2025 revealed, Policy Explanation and Compliance Guidelines: I. The Nurse Staffing Sheet will be posted on a daily basis and will contain the following information: a. Facility name b. The current date c. Facility's current resident census. d. The Residents Affected - Many (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 675229 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675229 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/12/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Woodland Manor Nursing and Rehabilitation 99 Rigby Owen Rd Conroe, TX 77304 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0732 Level of Harm - Potential for minimal harm total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: i. Registered Nurses. ii. Licensed Practical Nurses/Licensed Vocational Nurses. iii. Certified Nurse Aides. 2. The facility will post the Nurse Staffing Sheet at the beginning of each shift. 3. The inforn1ation posted will be: a. Presented in a clear and readable format. b. In a prominent place readily accessible to residents, staff, and visitors. Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675229 If continuation sheet Page 2 of 2

Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.

Back to top

Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0732GeneralS&S Cno actual harm

    F732 - Nurse Staffing Information

    Post nurse staffing information every day.

FAQ · About this visit

Common questions about this visit

What happened during the February 12, 2026 survey of Woodland Manor Nursing and Rehabilitation?

This was a inspection survey of Woodland Manor Nursing and Rehabilitation on February 12, 2026. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Woodland Manor Nursing and Rehabilitation on February 12, 2026?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Post nurse staffing information every day."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

Share this reportEmail

Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.