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