Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Woodlands Healthcare Center during CMS and state inspections, most recent first.
A resident with dementia and anxiety was administered lorazepam for agitation without documented evidence that non-pharmacological interventions were attempted first. Additionally, there was no documentation of side effect monitoring or behavior assessment following the administration, contrary to facility policy. The DON confirmed these documentation lapses.
A resident with multiple chronic conditions repeatedly refused ordered blood tests, but staff did not document these refusals or notify the PCP as required by facility policy. Interviews confirmed that the blood draws were not completed and that the necessary notifications and documentation were not made.
A resident with Alzheimer's and dysphagia experienced a significant decline in their ability to perform daily activities and lost 10 pounds over three months. Despite this, the facility failed to complete a Significant Change in Status Assessment (SCSA) MDS. Staff confirmed the resident's increased dependency on assistance for eating, but the MDS Assistant missed the requirement for a SCSA MDS, which was expected by the Director of Nursing and the Administrator.
The facility failed to implement isolation precautions during an outbreak of gastrointestinal illnesses, affecting several residents and staff. Despite symptoms and positive tests for Norovirus and C-diff, necessary isolation measures were not ordered or implemented, contrary to the facility's infection control policy.
Failure to Document Non-Pharmacological Interventions and Monitoring for Psychotropic Medication
Penalty
Summary
The facility failed to prevent the use of unnecessary psychotropic medication for a resident diagnosed with dementia and anxiety. The resident was prescribed lorazepam to be administered as needed for agitation. On two occasions, lorazepam was given to the resident, but there was no documented evidence that non-pharmacological interventions were attempted prior to administering the medication. Additionally, there was no documentation in the electronic medication administration record (EMAR) indicating that side effects of lorazepam were monitored after administration. Furthermore, the facility did not document episodes of adequate behavior monitoring related to the use of lorazepam for this resident. During an interview, the DON confirmed that nursing staff did not document attempts at non-pharmacological interventions, nor did they monitor or document side effects or adequate behavior following administration of the psychotropic medication. The facility's own policy required non-drug interventions and documentation of both behavioral manifestations and side effects, but these steps were not followed in this case.
Failure to Notify PCP and Document Resident Refusal of Blood Tests
Penalty
Summary
The facility failed to notify the primary care physician (PCP) and document when a resident repeatedly refused ordered blood tests. The resident, who had diagnoses including type 2 diabetes, chronic kidney disease, and atrial fibrillation, had multiple blood tests ordered, such as a basic metabolic panel, CBC with differential, iron, and A1C. Laboratory requisitions showed several attempts to obtain blood samples over several days, but there was no documentation in the nursing notes of the resident's refusal, nor were there any results for the ordered tests. Interviews with nursing staff and the director of nursing confirmed that the blood draws were not completed due to the resident's refusals, but the PCP was not informed, and the refusals were not documented as required by facility policy. The policy specified that refusals of care or treatment must be documented with details such as date, time, type of care, resident's response, and notification of the practitioner. These steps were not followed in this case.
Failure to Complete SCSA MDS for Resident with Significant Decline
Penalty
Summary
The facility failed to complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) for a resident who experienced a significant decline in their condition. The resident, who was admitted with a medical history of Alzheimer's disease, dementia, and dysphagia, showed a marked decline in their ability to perform activities of daily living, specifically eating, and experienced significant weight loss. The resident's weight dropped from 125 pounds to 115 pounds over a three-month period, indicating a weight loss of 5% or more in the last month or 10% or more in the last six months. Interviews with facility staff, including a dietician, certified nursing assistants, a restorative nursing assistant, and a registered nurse, confirmed the resident's decline in condition. The staff noted that the resident, who previously could feed themselves, now required full assistance with eating and was dependent on staff for all care. Despite these changes, the MDS Assistant acknowledged missing the requirement for a SCSA MDS, which was necessary to address the resident's significant change in status. The Director of Nursing and the Administrator both expressed expectations that the SCSA MDS should have been completed to allow the interdisciplinary team to implement appropriate interventions.
Failure to Implement Isolation Precautions During GI Illness Outbreak
Penalty
Summary
The facility failed to implement its Policy and Procedure titled Isolation-Categories of Transmission-Based Precautions during an outbreak of infectious gastrointestinal illnesses. This failure was observed in four of six sampled residents who exhibited symptoms such as nausea, vomiting, and diarrhea. The Infection Prevention Nurse (IP) acknowledged that the care staff reported multiple residents with these symptoms, and testing for C-diff and Norovirus was initiated. However, the necessary isolation precautions, including the use of personal protective equipment and the posting of isolation signs, were not implemented for the affected residents. The outbreak documentation indicated that 23 residents and 11 staff members exhibited gastrointestinal symptoms within a specified date range, with several residents testing positive for Norovirus and one for C-diff. Despite the facility's policy requiring transmission-based precautions when a resident shows signs of a transmissible infection, the medical orders for the affected residents did not include isolation precautions. The IP confirmed that these residents should have been placed on isolation during the outbreak, as per the facility's infection prevention and control program.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Los Gatos
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Plum Tree Care Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Stonebrook Health And Rehabilitation | 0.4 mi | ★★★★★ | 2 | 0 |
| Childrens Hc Org No Ca -pediatric Hospital D/p Snf | 0.6 mi | ★★★★★ | 0 | 0 |
| Almaden Health And Rehabilitation Center | 1.2 mi | ★★★★★ | 1 | 0 |
| The Terraces Of Los Gatos | 1.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.