Federal inspection record · CMS data as of October 1, 2026
Woodland Manor Nursing Center
100 Woodland Court, Arnold, MO · (636) 296-1400
- Certified beds
- 178
- Residents per day
- 133
- Ownership
- For-Profit
- Chain
- Riley Spence Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 31, 1988
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Woodland Manor Nursing Center carries 50 inspection points. That is fewer than 68% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights13E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning7D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care6D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services2D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1E
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspection history
2026-03-27
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-12-06
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-09-15
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 27 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 69% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 89.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.5 pts better | 98.3% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.5 pts better | 4.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 7.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts better | 18.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts better | 14.3% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.1 pts better | 9.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts better | 11.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.8 pts worse | 3.7% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 3.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts better | 9.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 66.5% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better | 9.9% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.5% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.4 pts better | 83.8% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better | 23.7% | 25.7% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mid America Health Care LP | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Amin, Iqbal | Contracted Managing Employee · Individual | 0% | 5 facilities |
| Amin, Iqbal | Adp Of The SNF · Individual | 0% | 5 facilities |
| Riley Spence Management Company, LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Riley Spence Management Company, LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Riley, Charles | Corporate Officer · Individual | 0% | 5 facilities |
| Spence, Daniel | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Spence, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Spence, Gregory | Corporate Officer · Individual | 0% | 5 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
Have restrictions on the use of portable space heaters.
- F
Have restrictions on the use of highly flammable decorations.
- F
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
Smoke1F
- F
Provide properly protected cooking facilities.
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