Woodland Manor Nursing Center
WOODLAND MANOR NURSING CENTER in ARNOLD, MO — inspection on December 31, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Observation of the resident's room during the interview showed a musty urine/body odor. 3.
Review of Resident #5's medical record showed:- admission date of 03/16/23;- Diagnoses of muscle weakness, need for assistance with personal care, and Parkinson's disease (a progressive movement disorder of the nervous system).
Review of the resident's quarterly MDS assessment, dated 12/21/25, showed:- Moderate cognitive impairment;- Partial or moderate assistance from staff for upper body dressing;- Substantial/maximal assistance from staff for lower body dressing;- Partial or moderate assistance from staff for personal hygiene;- Substantial/maximal assistance from staff for showering/bathing.
Review of the facility's shower schedule showed the resident's shower days were Monday and Thursday.
Review of the resident's shower sheets, dated October 1 to December 31, 2025, showed:- In October, the resident received no showers, for a total of eight missed showers out of eight opportunities;- In November, the resident received a shower on 11/05, 11/13, 11/17, 11/20, 11/24 offered but refused, and 11/27, for a total of two showers missed out of eight opportunities;- In December, the resident received a shower on 12/04, 12/08, 12/11 offered but refused, 12/15, 12/18, and 12/25 offered but refused, for a total of three showers missed out of nine opportunities.
During an interview on 12/31/25 at 1:06 P.M., the resident said he/she only received showers once a week but would like them twice a week.
During an interview on 12/31/25 at 1:14 P.M., the Social Services Director said he/she had done grievances for residents not getting their showers.
They had been talking about it, and the Director of Nursing (DON) was aware. He/she didn't notice a resident odor, but he/she noticed the hair. He/she would go on the floor and see the greasy hair, he/she mentioned it to staff, and the resident would get put on the shower schedule.
During an interview on 12/31/25 at 1:26 P.M., the Assistant Director of Nursing (ADON) said there was an issue with residents receiving showers.
She didn't think staff encouraged the residents to take showers.
She thought that was a big problem.
During an interview on 12/31/25 at 4:37 P.M., the ADON said staff were to fill out shower refusals, but they may not be scanned in yet because of Medical Records being behind.
She did not know if the forms were not being filled out, scanned in, or if the staff were not doing what they were supposed to be doing.
During an interview on 12/31/25 at 6:00 P.M., the Administrator, ADON, and Nurse Manager B said they would expect staff to offer the residents a shower at least twice a week.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.