Waveny Care Center

In the surveyor’s words

From the most serious findings on record at Waveny Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Nov 18, 2025

  Based on clinical record reviews, review of facility documentation, and interviews for 3 sampled residents (Resident #74, #78 and #80) reviewed for hospitalization and discharge, the facility failed to provide the required notification of transfer and discharge to the state Ombudsman's office. The findings include:Resident #74 was admitted to the facility on [DATE] with diagnoses that included a right leg fracture, anemia and heart failure.The MDS tracking assessments identified Resident #74 was discharged to the hospital on 8/8/25, returned from the hospital on 8/11/25, discharged to the hospital on 8/28/25, returned on 8/31/25 and discharged home on [DATE].Resident #78 was admitted to the facility on [DATE] with diagnoses that included cardiomyopathy (disease affecting the heart muscle),… […]

• No harm, potential for more than minimal, isolatedF550Nov 18, 2025

  Based on observation, review of clinical records, review of facility policy/procedures and interviews for 3 of 4 sampled residents (Resident #39, #68, and #76) reviewed for dining, the facility failed to ensure the residents dined in a dignified manner. The findings include: 1. Resident #39's diagnoses included unspecified protein calorie malnutrition, dysphagia, and dementia. The quarterly MDS assessment dated [DATE] identified Resident #39 had severe cognitive impairment, required total assistance with eating, was on a mechanically altered therapeutic diet, and utilized a wheelchair for mobility. […]

• No harm, potential for more than minimal, isolatedF578Nov 18, 2025

  Based on review of the clinical record, review of facility documentation, review of facility policy, and interviews for one sampled resident (Resident #66) reviewed for advance directives, the facility failed to ensure there was a physician's order indicating the resident's wishes related to cardiopulmonary code status, hospitalization, and intravenous fluids. Resident #66's diagnoses included asthma with acute exacerbation, dementia, and anemia.The quarterly MDS assessment dated [DATE] identified Resident #66 was cognitively intact and required moderate assistance with toileting hygiene, dressing, and minimal assistance with personal hygiene and bed mobility.The care plan dated [DATE] identified Resident #66's code status was DNR (do not resuscitate, which means in the event the… […]

• No harm, potential for more than minimal, isolatedF602Nov 18, 2025

  Based on review of the clinical record, review of facility policy, and interviews for 1 of 5 sampled residents reviewed for abuse (Resident #85), the facility failed to ensure the resident was free from misappropriation of property when staff members accepted monetary gifts from a resident against facility policy. The findings include: Resident #85 was admitted to the facility on [DATE] with diagnoses that included a history of chronic back pain, depression, heart failure, and breast cancer. The admission MDS assessment dated [DATE] identified Resident #85 had intact cognition, did not exhibit hallucinations, delusions, physical or verbal behavioral symptoms directed toward others. […]

• No harm, potential for more than minimal, isolatedF658Nov 18, 2025

  Based on observation, review of the clinical record, review of facility policy/procedures and interviews for 1 of 3 sampled residents (Resident #2) reviewed for medication administration, the facility failed to ensure medication was prepared in accordance with professional standards. The findings include:Resident #2's diagnoses included dementia, hypertension, and presence of coronary angioplasty implant and graft, and history of cerebral infarction. The quarterly MDS assessment dated [DATE] identified Resident #2 was severely cognitively impaired, required extensive assistance with bed mobility, transfers, eating and toilet use. The assessment further identified Resident #2 utilized antipsychotics, antidepressants, anticoagulants, hypoglycemic, and anticonvulsant medication. […]