All citations for Waverly Hills Post Acute

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 Hills Post Acute

Last standard health inspection on record

June 18, 2025

Showing 1 to 25 of 30 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  2. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, Administration Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2025).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

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

    Health citation F-0851, Administration Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2025).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  14. 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 June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Include a process for Emergency Preparedness collaboration.

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

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

  25. 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 August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 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.