Woodland Manor
Inspection Findings
F-Tag F0557
F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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
Event ID:
Facility ID:
If continuation sheet
WOODLAND MANOR in SPRINGFIELD, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SPRINGFIELD, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WOODLAND MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.