Woodland Care & Rehab Center

In the surveyor’s words

From the most serious findings on record at Woodland Care & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 14, 2026

  Based on interview and record review, the facility failed to protect one resident (Resident #1) from abuse when facility Certified Nurse Aide (CNA) B spoke and assisted the resident in an aggressive fashion when the resident refused care/assistance. The CNA yelled at the resident and then cursed in front of the resident. The CNA insisted the resident had to get up from bed after refusing, resulting in the resident being visibly upset, saying the CNA was rough with him/her and the CNA had punched him/her in the face. The resident did not have a history of aggressive behaviors or resisting care. The resident wanted to press charges and said he/she would kill the CNA if he/she saw him/her again. The CNA admitted to trying to make the resident get up for breakfast. […]

• No harm, potential for more than minimal, widespreadF838Aug 14, 2026

  Based on interview and record review, the facility failed to update the comprehensive facility assessment annually, in accordance with all applicable Federal requirements. Failure to develop and update the comprehensive facility assessment annually could delay the services needed to care for the residents in day-to-day operations and in emergencies. This failure could affect all facility occupants. The facility census was 86. Review of the facility policy/template titled, Requirements of Participation: Facility assessment, revised July 2024, showed the facility must review and update this assessment annually or whenever there is/the facility plans for any change that would require a modification to any part of this assessment. […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2025

  Based on observation, record review, and interview, the facility staff failed to ensure all food was protected from possible contamination when the facility was maintained in a sanitary and comfortable fashion when staff failed to keep the inside of the ice machine clean. The facility census was 85. Review of the facility's policy titled Cleaning instructions, Ice Machine, and Equipment, dated 2021, showed the following: -Ice machine will be cleaned and sanitized on a regular basis; -Wash the interior thoroughly using a detergent solution. Rinse and drain the interior with clean hot tap water. Pay close attention to the crevices. Review of the 2013 Missouri Food Code showed food-contact surfaces of equipment and utensils shall be clean to sight and touch 1. […]

• No harm, potential for more than minimal, widespreadF921Jun 13, 2025

  Based on observation, record review, and interview, the facility staff failed to ensure the facility was maintained in a sanitary and comfortable fashion when staff failed to keep the outside of the ice machine clean and when the fans located in the walk-in refrigerator has lint and a black substance. The facility census was 85. Review of the facility's policy titled Cleaning Instructions, Ice Machine,and Equipment, dated 2021, said the following: -Clean the exterior of the machine with detergent solution daily; -Rinse and allow to air dry. […]

• No harm, potential for more than minimal, patternF842Jan 15, 2026

  Based on observation, interview, and record review, the facility failed to maintain medical records on each resident that were complete and accurate when staff failed to document medication administrations during a multi-day internet/phone outage for four residents (Resident #1, #2, #3, and #4). The census was 87.Review of the facility's policy titled, Administering Medication, revised 04/19, showed the following:-Medications are administered in a safe and timely manner, and as prescribed;-The Director of Nursing (DON) supervises and directs all personnel who administer medications and/or have related functions;-Medications are administered in accordance with prescriber orders, including any required time frame;-Medication administration times are determined by resident need and benefit,… […]