Woodland Manor: Accident Hazard Violations - MO
The resident, who used a motorized wheelchair, had been going into the room regularly to heat up small pizzas and other personal food. A certified nurse aide told inspectors on December 30 that she watched the incident happen: the resident's wheelchair struck the exit door on the way out, and the hot bowl of soup spilled across them. The resident had been telling others they hit a laundry cart. That wasn't what happened.
The aide knew the wheelchair routinely got stuck in the room. When the resident turned around to leave, the chair's back caught on a small refrigerator, pushing it about six inches from the wall each time. Staff had been told to tell the resident to stay out. Nobody locked the door.
The Social Services Director said she didn't know how staff monitored who entered the microwave rooms, wasn't aware of any microwave use policy, and didn't know whether any resident had ever been assessed for the risk of handling hot food or liquids. Every unit in the building had one of these rooms. The doors were shut, not locked, with a sign reading "employees only." She acknowledged that residents with dementia or confusion could walk in just as easily as anyone else.
The administrator confirmed there was no care plan for microwave use, no policy governing it, and no assessment process. He said he had told staff that residents weren't allowed in the rooms. He was not aware the wheelchair had been catching on the refrigerator. He was not aware of any confused residents accessing the microwaves, though he acknowledged nothing was stopping them.
The resident left the facility's account of the incident contradicted by the aide who saw it. The soup had already burned them by then.
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 violations during a health inspection on December 30, 2025.
The resident, who used a motorized wheelchair, had been going into the room regularly to heat up small pizzas and other personal food.
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.