Woodland Care & Rehab Center
WOODLAND CARE & REHAB CENTER in SPRINGFIELD, MO — inspection on November 29, 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
During an interview on 11/29/25, at 3:35 P.M., CNA C said the following:-The resident had told him/her that CNA A was disrespectful when the CNA did not allow the resident to wear an incontinent brief to bed; -CNA A told the resident that it was healthier for him/her to sleep without a brief.
The resident was upset because he/she wanted to wear an incontinent brief, but he/she did not want to tell anyone because he/she was afraid of retaliation from CNA A;-CNA C said it appeared as though the night shift staff did not provide incontinent care to the resident all night and he/she told the nurse about the lack of care provided by CNA A.
During an interview on 11/29/25, at 3:55 P.M., CNA D said the following:-There were some issues with night shift staff, specifically CNA A, not wanting or allowing the resident to sleep with an incontinent brief;-CNA A told the resident that it was better for him/her to sleep without anything covering his/her bottom, but the resident wanted to sleep in a brief;-The resident told CNA D that sleeping without a brief made him/her feel like he/she did not matter, like staff did not care, and it made him/her feel bad.
During interviews on 11/29/25, at 3:45 P.M. and 5:25 P.M., the resident said the following:-He/she wanted to wear a brief to bed but CNA A told him/her it was better to not wear anything to bed;-The resident did not want to cause trouble, but he/she hated incontinence and many times the aides at night either did not change him/her often or sometimes they did not come in at all;-The resident sighed and said he/she guessed that CNA A let him/her decide if he/she wore a brief or not but really CNA A would just keep at him/her until the resident relented and because the resident just wanted to get along with everyone, he/she did not argue.-The resident said no other staff really had an issue with cleaning him/her, only CNA A.
During an interview on 11/29/25, at 5:27 P.M., Licensed Practical Nurse (LPN) E said if staff heard another staff member be disrespectful or rude to a resident, they should report it to the charge nurse or Director of Nursing (DON). He/she had not directly heard CNA A be disrespectful to any residents but heard stories from other CNAs like not providing incontinent care as often as he/she should.
The LPN thought it was typical shift to shift rivalry.
Staff should not tell residents that assisting them hurts their backs.
During an interview on 11/29/25, at 5:45 P.M., LPN F said the following:-If he/she heard a staff member be disrespectful to a resident, he/she would stop the interaction, talk to the staff member then let administration know;-He/she had heard CNA A's tone get a little sharp with residents before.
And there was a situation with a newer resident where the new resident did not want CNA A in his/her room.
The resident would not tell the LPN specifics about what happened, but then a short time later he/she allowed the CNA back into his/her room;-Resident #1 had not said anything to the LPN about CNA A;-It would not be appropriate for any CNA to tell a resident that assisting him/her hurt their back nor would it be appropriate for staff to continue to try to change a resident's mind once they made a decision about something.
During an interview on 11/29/25, at 6:00 P.M., CNA A said the following:-Staff should not be disrespectful or treat residents in an undignified manner.-If he/she heard or noted staff treating residents in this manner, he/she would notify the charge nurse or administration.-The CNA said he/she may have said that his/her back hurt, but he/she did not say that the resident caused his/her back pain;-Sometimes the resident did not want to wear incontinent briefs to bed, and sometimes he/she did.
During an interview on 11/29/25, at 7:10 P.M., the Administrator said it was not appropriate to tell a resident that the resident caused the staff member to hurt their back and if a resident wanted to wear a brief to bed, staff should not guilt a resident into doing something they did not want to do.
Staff should tell administration if a resident told them or if they heard staff being disrespectful to residents.
Complaint 2679768
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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.