All citations for Elderwood at Waverly

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Elderwood at Waverly

Last standard health inspection on record

March 28, 2025

Showing 1 to 25 of 28 citations

  1. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2023).

  2. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2023).

  3. No harm, with potential for more than minimal harm

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of October 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2020).

  4. No harm, with potential for more than minimal harm

    Ensure medical gas and vacuum systems have documented maintenance programs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0907, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2020).

  5. No harm, with potential for more than minimal harm

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2020).

  6. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  7. No harm, with potential for more than minimal harm

    Construct fire resistant interior walls.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  9. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2025).

  11. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    A waiver was granted (June 23, 2023).

  12. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 9, 2023).

  13. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of October 16, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2020).

  14. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  15. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  17. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  18. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

  19. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  21. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2023).

  22. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

  23. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2023).

  24. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2023).

  25. No harm, with potential for more than minimal harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.