Nursing Care Index

The Woodlands Nursing And Rehabilitation Center

The Woodlands, Montgomery County, Texas · CCN 455876 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)

CMS rates The Woodlands Nursing And Rehabilitation Center 3 of 5 overall as of August 2026. 214 certified beds, 159 residents a day on average. 30 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $23,977.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.44609 hours per resident per day
Registered nurses0.37019 hours per resident per day
Weekend total3.19686 hours per resident per day
Nursing staff turnover49.6% (registered nurses 62.5%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-04
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-05
2026-04-25
complaint survey
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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-29
2026-04-13
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-04-29
2026-04-13
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-04-29
2026-04-13
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-04-29
2026-04-13
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-29
2025-12-19 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-26
2025-12-19 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-26
2025-12-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-26
2025-12-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-26
2025-12-19 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-26
2025-12-19 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-26
2025-12-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-26
2025-12-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-26
2025-12-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-26
2025-09-04
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-06
2025-08-19
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-20
2025-06-17
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2025-06-18
2025-06-05
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-09
2025-04-03
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-07
2024-08-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-08-05
2024-08-01 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-05
2024-08-01
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-05
2024-08-01 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-05
2023-05-18 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-05-27
2023-05-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-27
2023-05-18 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-27
2023-05-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-27
2023-05-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-27
2023-05-18 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-27

Fines and payment denials

DatePenaltyAmount
2026-04-13Fine$14,380
2025-06-05Fine$9,597

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
4650 S Panther Creek Drive LLC
Organization
adp of the snf2018-10-01
Csv Rhea Management Holdco, LLC
Organization
adp of the snf2018-10-01
Dwd Tx Holdings LLC
Organization
adp of the snf2018-10-01
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
adp of the snf2018-10-01
Reg Bridge Opco LLC
Organization
adp of the snf2018-10-01
Reg Hg Opco LLC
Organization
adp of the snf2018-10-01
Reg Operator Holdco LLC
Organization
adp of the snf2018-10-01
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2018-10-01
Regency Ihs Of Spring LLC
Organization
adp of the snf2018-10-01
Regency Ihs Rehab LLC
Organization
adp of the snf2018-10-01
Regency Integrated Health Services LLC
Organization
adp of the snf2018-10-01
Regency Texas Holdings LLC
Organization
adp of the snf2018-10-01
Winnie-Stowell Hospital District
Organization
adp of the snf2026-03-04
Auippa, Mistee
Individual
adp of the snf2025-01-01
Bilboa, John
Individual
adp of the snf2022-10-10
Cole, Antonia
Individual
adp of the snf2025-01-01
Dekowski, Donovan
Individual
adp of the snf2018-10-01
Guerrero, Teresa
Individual
adp of the snf2025-01-01
Mandelbaum, Elliot
Individual
adp of the snf2025-01-01
Baird, Daniel
Individual
corporate officer2021-04-13
Clapp, Barbara
Individual
corporate officer2021-06-01
Cortese, Daren
Individual
corporate officer2021-08-10
Gibson, Patricia
Individual
corporate officer2021-08-01
Murrell, Edward
Individual
corporate officer2016-11-22
Rollo, Jeffery
Individual
corporate officer2012-12-01
Stramecki, Anthony
Individual
corporate officer2016-11-01
Vratis, Kacey
Individual
corporate officer2020-01-01
Way, George
Individual
corporate officer2018-02-01
Bilboa, John
Individual
operational/managerial control2022-10-10
Guerrero, Teresa
Individual
operational/managerial control2025-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Montgomery County.