PARK MANOR OF THE WOODLANDS
LOCATED: 1014 WINDSOR LAKE BOULEVARD, THE WOODLANDS, TX 77384

PARK MANOR OF THE WOODLANDS was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW BED (PRESSURE) SORES OR HEAL EXISTING BED SORES.

LEVEL OF HARM –IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, interview, and record review the facility failed to provide the necessary care and services to prevent the development or worsening of pressure ulcers and to promote the healing of pressure ulcers for 4 of 11 residents (Resident #57, 34, 37, 3 ) who were reviewed for pressure ulcer care and management as evidenced by: – Resident # 57 who was assessed by the facility to be at high risk for developing pressure ulcers and entered the facility with sacral redness, developed multiple pressure ulcers including unstageable suspected deep tissue injuries to the sacrum and right heel, open areas bilaterally behind ears, and redness to abdomen.

-Resident # 34 weekly skin assessement 4/11/15 documented a large unstageable pressure sore to the left heel on and a deep tissue injury to his left great toe. He did not have preventative pressure sore measures in his room including a heel lift and bilateral heel protectors until 04/30/2015.
-Resident # 37 had a new wound to his right leg below the knee identified as an abrasion.
-Resident # 3’s wounds had not been measured and staged properly every week for the Sacral wound, left lateral knee, left calf, left heel, left ankle and left buttock.

This failure further resulted in an identification of an Immediate Jeopardy (IJ) 4/29/15 . While the IJ was removed on 05/01/2015, the facility remained out of compliance at the severity of actual harm that is not immediate jeopardy with a scope identified as pattern due to the facility’s need to evaluate the effectiveness of the corrective systems. These failures affected 4 residents and placed 9 additional residents that were identified at risk for pressure ulcers at risk for a decline in health and need for additional treatment.
Personal Note from NHAA Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.

You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.

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