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 11 of 11 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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.