Cycle 1
Health 2024-12-06 · Fire 2024-12-06
15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Arnold, MO
Woodland Manor Nursing Center
3-star overall rating with 3-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
100 Woodland Court, Arnold, MO
(636) 296-1400
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
178
Certified beds
Average residents
126
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Riley Spence Senior Living
Operator or chain grouping
Approved since
1988-03-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.22
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.22
CMS adjusted RN staffing hours
Adjusted total hours
3.63
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,330
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 25.75% · Performance 26.21% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.07
Baseline 9.79% · Performance 8.08% · Measure score 3.07 · Achievement 0 · Improvement 3.07
Total nurse turnover
2.51
Baseline 61.68% · Performance 53.42% · Measure score 2.51 · Achievement 2.51 · Improvement 1.74
Adjusted total nurse staffing
2.72
Baseline 2.33 hours · Performance 3.44 hours · Measure score 2.72 · Achievement 1.27 · Improvement 2.72
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.38% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 11.02% · Lower 95% interval 7.25% |
| Discharge to community | 36.11% |
50.57%
14.5 pts worse
|
Worse than the National Rate · Eligible stays 137 · Observed rate 27.74% · Lower 95% interval 27.16% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 76.6% |
95.27%
18.7 pts worse
|
Numerator 72 · Denominator 94 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 94 |
| Discharge self-care score | 50.72% |
53.69%
3 pts worse
|
Numerator 35 · Denominator 69 |
| Discharge mobility score | 30.43% |
50.94%
20.5 pts worse
|
Numerator 21 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 3.19% |
2.29%
0.9 pts worse
|
Numerator 3 · Denominator 94 · Adjusted rate 3.15% |
| Healthcare-associated infections requiring hospitalization | 8.08% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 10.53% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 165 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 34.78% |
56.45%
21.7 pts worse
|
Numerator 24 · Denominator 69 |
| Transfer of health information to provider | 58.33% |
95.95%
37.6 pts worse
|
Numerator 14 · Denominator 24 |
| Transfer of health information to patient | 59.38% |
96.28%
36.9 pts worse
|
Numerator 19 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 38.64% |
25.2%
13.4 pts better
|
Numerator 17 · Denominator 44 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.1
1.2 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 4.0 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.4 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
84.8%
9.8 pts better
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.1% · Q3 93.6% · Q4 87.6% · 4Q avg 94.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
90.9%
4.1 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
4.1%
2.8 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.0% · Q3 0.9% · Q4 1.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
14.7%
6.9 pts better
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 11.1% · Q3 6.2% · Q4 2.0% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
5.5%
0.4 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.2% · Q3 7.6% · Q4 4.4% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% |
25.3%
3.8 pts better
|
19.6%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 22.6% · Q3 22.9% · Q4 17.8% · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.0% |
25.0%
6 pts better
|
16.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 20.0% · Q3 21.2% · Q4 19.0% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.3% |
20.3%
6 pts better
|
16.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 15.4% · Q3 18.8% · Q4 12.0% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
19.8%
6.5 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 9.1% · Q3 12.8% · Q4 9.4% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.4%
0.4 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.9% · Q3 1.7% · Q4 3.1% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.4% |
2.6%
1.8 pts worse
|
1.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.1% · Q3 4.7% · Q4 2.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.2% |
18.1%
8.9 pts better
|
19.8%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 3.4% · Q3 8.0% · Q4 9.5% · 4Q avg 9.2% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.0%
2 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.3% · Q3 2.1% · Q4 3.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.1% |
66.4%
0.3 pts worse
|
81.7%
15.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.5% · Q2 70.7% · Q3 63.7% · Q4 61.2% · 4Q avg 66.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
13.4%
2.2 pts better
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 12.2% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.2%
0.6 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.1% · Q3 2.3% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.3% |
63.5%
11.8 pts better
|
79.7%
4.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.3% |
25.3%
7 pts worse
|
23.9%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 35.1% · Expected 25.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-15 · Fire 2023-09-15
13 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-07-16 · Fire 2021-07-16
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-06
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-01-30
F · Potential for more than minimal harm
2024-12-06
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-01-30
F · Potential for more than minimal harm
2023-09-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-23
F · Potential for more than minimal harm
2023-09-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-23
F · Potential for more than minimal harm
2021-07-16
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-08-13
F · Potential for more than minimal harm
2021-07-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-08-13
F · Potential for more than minimal harm
2021-07-16
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-08-13
F · Potential for more than minimal harm
2021-07-16
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-08-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-31
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Not marked corrected
D · Potential for more than minimal harm
2025-06-05
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-25
D · Potential for more than minimal harm
2025-04-15
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-15
D · Potential for more than minimal harm
2024-12-06
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F909 · Environmental Deficiencies
Health
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.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-01-30
E · Potential for more than minimal harm
2023-09-15
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-10-23
E · Potential for more than minimal harm
2023-09-15
F809 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2023-10-23
E · Potential for more than minimal harm
2023-09-15
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-09-15
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-06-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-07
F · Potential for more than minimal harm
2021-07-16
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2021-08-13
E · Potential for more than minimal harm
2021-07-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-13
E · Potential for more than minimal harm
2021-07-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-13
D · Potential for more than minimal harm
2021-07-16
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-08-13
Penalties and ownership
What sits behind the stars
Ownership
Mid America Health Care LP
5% Or Greater Direct Ownership Interest · Organization
Amin, Iqbal
Contracted Managing Employee · Individual
Riley Spence Management Company, LLC
Operational/Managerial Control · Organization
Riley, Charles
Corporate Officer · Individual
Spence, Daniel
W-2 Managing Employee · Individual
Spence, Gregory
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
South County Health Care Center
Arnold, MO
2-star overall rating with 3-star inspections with 20 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Delmar Gardens South
Saint Louis, MO
4-star overall rating with 5-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Maple Grove Wellness & Rehabilitation
Fenton, MO
1-star overall rating with 2-star inspections with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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