Woodland Manor: Abuse Reporting Failures - MO
A certified nurse aide told inspectors on December 30, 2025 that she had watched the resident use the microwave room on the unit hall frequently, heating up small pizzas and other food he kept in his room. His wheelchair routinely got stuck on a small refrigerator in the room when he tried to turn around to leave, pushing it roughly six inches from the wall each time. Staff had been told to tell the resident he wasn't allowed in there. Nobody locked the door.
The room had a sign on it saying it was for employees only. The Social Services Director told inspectors that some residents ignored the sign and snuck in anyway, including residents who were confused or had dementia. He or she did not know how staff monitored who entered. The administrator said he or she had never seen a hot foods or hot liquids safety assessment completed at the facility and was unaware of any policy governing resident microwave use. The Social Services Director said the same thing.
Every unit in the building had one of these rooms, each with a microwave, each with a door that was closed but not locked.
The resident had been telling staff he ran into a laundry cart. The nurse aide said that wasn't what happened. She watched him hit the exit door with his wheelchair and the soup went all over him.
After the burn, inspectors found the facility had no care plans addressing microwave use, no risk assessments for hot food or hot liquids, and no mechanism to keep residents, including those with dementia, out of the microwave rooms beyond a sign that the administrator acknowledged residents routinely ignored.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodland Manor from 2025-12-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
WOODLAND MANOR in SPRINGFIELD, MO was cited for abuse-related violations during a health inspection on December 30, 2025.
Staff had been told to tell the resident he wasn't allowed in there.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.