Woodland Manor
WOODLAND MANOR 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
Facility ID: