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The Woodlands Nursing and Rehabilitation CenterCMS ratings, inspections and fines

Address
4650 S Panther Creek Dr, The Woodlands, TX 77381
CCN
455876
Ownership type
Government, hospital district
Certified beds
214
Residents per day
159
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives The Woodlands Nursing and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 19 Dec 2025. The latest survey cycle has 17 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $23,977 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of The Woodlands Nursing and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeMontgomery County medianTexas medianUS average (CMS)
Overall rating33.03.03.0
Health inspection rating22.03.02.8
Staffing rating22.02.02.9
Quality measure rating54.04.03.6

A median is the middle value of the homes in the group: 12 homes in the county, 1,177 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of The Woodlands Nursing and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)19 Dec 2025178
Cycle 21 Aug 202478
Cycle 3No date68

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 30 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 17 citations

Standard survey of this cycle: .

Health citations of The Woodlands Nursing and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Jun 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation5 Jun 2026
25 Apr 2026F0584Honor 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.EComplaint investigation29 Apr 2026
13 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint investigation29 Apr 2026
13 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation29 Apr 2026
13 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation29 Apr 2026
13 Apr 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation29 Apr 2026
19 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey26 Dec 2025
19 Dec 2025F0641Ensure each resident receives an accurate assessment.DStandard survey26 Dec 2025
19 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Dec 2025
19 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey26 Dec 2025
19 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey26 Dec 2025
19 Dec 2025F0761Ensure 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.EStandard survey26 Dec 2025
19 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey26 Dec 2025
19 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey26 Dec 2025
19 Dec 2025F0880Provide and implement an infection prevention and control program.EStandard survey26 Dec 2025
4 Sep 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Sep 2025
19 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Aug 2025

Survey cycle 2: 7 citations

Standard survey of this cycle: .

Health citations of The Woodlands Nursing and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint investigation18 Jun 2025
5 Jun 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation9 Jun 2025
3 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation7 Apr 2025
1 Aug 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation5 Aug 2024
1 Aug 2024F0761Ensure 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.DStandard survey5 Aug 2024
1 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Aug 2024
1 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey5 Aug 2024

Survey cycle 3: 6 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of The Woodlands Nursing and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
18 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 May 2023
18 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey27 May 2023
18 May 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey27 May 2023
18 May 2023F0760Ensure that residents are free from significant medication errors.DStandard survey27 May 2023
18 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 May 2023
18 May 2023F0814Dispose of garbage and refuse properly.FStandard survey27 May 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of The Woodlands Nursing and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
13 Apr 2026Fine$14,380
5 Jun 2025Fine$9,597

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at The Woodlands Nursing and Rehabilitation Center
StaffThis homeTexas medianTexas average (CMS)
All nurse staff3.453.303.39
Registered nurses (RN)0.370.400.43
Licensed practical nurses (LPN)0.730.95
Nurse aides2.342.00
All nurse staff, weekends3.202.902.98
Nurse staff turnover in a year
49.6%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
62.5%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of The Woodlands Nursing and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.9%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.1%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.3%8.3%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Government, hospital district
Legal business name
Winnie-Stowell Hospital District
Chain
Wellsential Health (67 homes in the CMS chain file)
Organisations in the CMS ownership record of The Woodlands Nursing and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
4650 S Panther Creek Drive LLCAdp of the snf1 Oct 2018
CSV Rhea Management Holdco, LLCAdp of the snf1 Oct 2018
DWD TX Holdings LLCAdp of the snf1 Oct 2018
Jack and Nancy Dwyer Workforce Development Center IncAdp of the snf1 Oct 2018
Reg Bridge Opco LLCAdp of the snf1 Oct 2018
Reg HG Opco LLCAdp of the snf1 Oct 2018
Reg Operator Holdco LLCAdp of the snf1 Oct 2018
Regency IHS Clinical Consulting, LLCAdp of the snf1 Oct 2018
Regency IHS of Spring LLCAdp of the snf1 Oct 2018
Regency IHS Rehab LLCAdp of the snf1 Oct 2018
Regency Integrated Health Services LLCAdp of the snf1 Oct 2018
Regency Texas Holdings LLCAdp of the snf1 Oct 2018
Winnie-Stowell Hospital DistrictAdp of the snf4 Mar 2026

The site shows organisations only. It does not show the names of persons.

Other homes in Montgomery County

The 11 nearest other nursing homes in Montgomery County, Texas
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Ridgewood at the WoodlandsThe Woodlands1 of 512$14,02020 Jun 2025
The Broadmoor at Creekside ParkThe Woodlands3 of 59$46,83313 Mar 2026
Park Manor of the WoodlandsThe Woodlands4 of 57$021 Nov 2025
The BrightpointeConroe3 of 50$21,0379 Jul 2025
Park Manor of ConroeConroe5 of 54$13,62729 May 2025
Woodland Manor Nursing and RehabilitationConroe1 of 514$58,58021 Mar 2025
The Heights of MagnoliaMagnoliaNot rated2$020 Aug 2025
Conroe Health Care CenterConroe2 of 513$12,86011 Apr 2025
The Heights on Valley RanchPorter4 of 56$015 May 2025
Kingwood Rehabilitation and Healthcare CenterKingwood1 of 56$72,57329 Jun 2025
Willis Nursing and RehabilitationWillis4 of 53$7,44321 Aug 2025

All 12 nursing homes in Montgomery County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of The Woodlands Nursing and Rehabilitation Center (CCN 455876). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-woodlands-nursing-and-rehabilitation-center-the-woodlands-tx-455876/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was The Woodlands Nursing and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 4 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 1 Aug 2024.
Who operates The Woodlands Nursing and Rehabilitation Center?
The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Wellsential Health. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is The Woodlands Nursing and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.