All citations for Waverly Gardens

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 Waverly Gardens

Last standard health inspection on record

August 19, 2026

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2026).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

  4. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

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

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

  7. 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 August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0200, Egress Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  11. 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 September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  14. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 19, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 2, 2026).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2026).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2026).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

  21. No harm, with potential for minimal harm

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Widespread (many residents). CMS level C.

    Health citation F-0575, Resident Rights Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

  22. No harm, with potential for minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.