Woodland Manor: Residents Go Months Without Showers - MO
Inspectors visited the facility on December 31, 2025, responding to a complaint. What they found was documented in shower records stretching back three months.
The resident, identified in the inspection report as Resident 2, was scheduled for showers on Mondays and Thursdays, twice a week. That schedule produced eight shower opportunities in October. The resident received zero. Eight opportunities in November. Zero again. By December 31, eight of nine opportunities had passed with only one shower completed, on December 15.
When an inspector spoke with the resident that afternoon, the resident said showers came every two or three weeks. He or she wanted at least one a week. There were no bed baths in between. Staff wiped the resident during cleanups, but that was the extent of it. The resident could not remember the last time he or she had actually been bathed. The inspector noted a musty urine and body odor in the room.
A second resident, Resident 5, had been living at the facility since March 2023 and carried diagnoses of muscle weakness, Parkinson's disease, and moderate cognitive impairment. That resident also had Monday and Thursday showers scheduled. October's records showed the same result as Resident 2: eight opportunities, no showers. November was better, with six showers completed, though two were missed. December showed similar improvement, with some sessions refused and some completed.
When that resident spoke with an inspector on December 31, the complaint was simpler. He or she was only getting showers once a week and wanted twice.
The Social Services Director told inspectors the facility had received grievances specifically about residents not getting their showers. The Director of Nursing had been informed. The Social Services Director said he or she had personally walked the floor, noticed greasy hair on residents, mentioned it to staff, and watched the resident get added back onto the shower schedule. He or she said he or she hadn't noticed an odor, but the hair was visible.
The Assistant Director of Nursing gave inspectors two separate accounts over the course of the afternoon. At 1:26 p.m., she said there was an issue with residents receiving showers and that she didn't think staff were encouraging residents to take them. She called it a big problem. A few hours later, at 4:37 p.m., she offered a different explanation, saying staff were supposed to fill out refusal forms when residents declined showers, but those forms might not have been scanned into the medical records system yet because medical records was behind. She said she didn't know whether the forms weren't being filled out, weren't being scanned, or whether staff simply weren't doing what they were supposed to do.
By 6:00 p.m., the Administrator, the Assistant Director of Nursing, and a Nurse Manager told inspectors together that staff would be expected to offer residents a shower at least twice a week.
The inspection report classified the violation as causing minimal harm or potential for actual harm, affecting few residents.
Resident 2 is dependent on staff for bathing. He or she cannot get into the shower without help. The twice-weekly schedule existed because someone, at some point, determined that was what the resident needed. For October and November, that schedule was a piece of paper. Nobody had followed it, nobody had documented a refusal, and by the time an inspector sat in that room on New Year's Eve, the smell had already answered the question of how long it had been.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodland Manor Nursing Center from 2025-12-31 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
WOODLAND MANOR NURSING CENTER in ARNOLD, MO was cited for violations during a health inspection on December 31, 2025.
Inspectors visited the facility on December 31, 2025, responding to a complaint.
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.