Waverly Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Waverly Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF727May 11, 2023

  Based on document review and interview, the facility failed to ensure there was a Registered Nurse (RN) on duty for eight continuous hours per day. This failure had the potential to affect residents who needed the skills of an RN on those days. Findings include: Review of the facility provided Daily Staffing sheets for the weekends in the Centers for Medicare and Medicaid (CMS), quarter one (Q1) (October, November, and December 2022), triggered on the Payroll Based Journal [PBJ] facility reporting for no RN coverage for eight continuous hours on weekends in Q1 showed the following dates without RN coverage: 10/08/22 Saturday -- no RN coverage. 10/15/22 Saturday -- no RN coverage. 10/22/22 Saturday -- no RN coverage. 10/23/22 Sunday -- no RN coverage. […]

• No harm, potential for more than minimal, patternF755Jan 7, 2021

  Based on interview, clinical record review, and facility documentation, the facility staff failed to provide routine medications as ordered by physician for 1 Resident (#2) in a survey sample of 4 Residents. The findings included For Resident #2 the facility staff did not ensure the Resident had adequate supply of her routine medications causing her to miss several doses in the months of 10/2020, 11/2020 and 12/2020. Resident #2, a [AGE] year-old woman, admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Her most recent MDS (minimum data set) dated 10/29/20, coded as a quarterly review assessment, Coded the resident is having a BIMS (brief interview of mental status) score of 15 out of a possible 15. […]

• No harm, potential for more than minimal, isolatedF582May 13, 2026

  Based on staff interview and facility documentation review, the facility staff failed to ensure correct completion and acknowledgment of receipt of an insurance Advance Beneficiary Notice [ABN] of Non-Coverage, for one Resident (#1) in a survey sample of 6 Residents.The findings included.For Resident #1 the facility failed to ensure Resident #1 signed and acknowledged receipt of the notice of loss of insurance coverage and her right to appeal the decision.On 5-12-26 at approximately 2:00 PM the business office manager was given the name of the client record required for ABN notices review. […]

• No harm, potential for more than minimal, isolatedF600May 13, 2026

  Based on staff interview, facility documentation review, and clinical record review, the facility staff failed to protect the resident's right to be free from abuse and neglect for two residents (Residents #3 & #4) in a survey sample of six residents. The findings included. For Resident #3, the facility staff failed to prevent verbal abuse, failed to fully investigate that abuse, failed to report it to the state agency, and failed to train staff timely on abuse after abuse occurred. Resident #3 was originally admitted to the facility on [DATE] with the diagnoses of, but not limited to, Stroke, hypertension, depression, and chronic obstructive respiratory disease. […]

• No harm, potential for more than minimal, isolatedF607May 13, 2026

  Based on staff interview, facility documentation review, and clinical record review, the facility staff failed to investigate, report to the State Agency, and implement the facility abuse policies for two Residents (Residents #3 & #4) in a survey sample of six Residents. The findings included. 1. For Resident #3, the facility staff failed to investigate, report, and implement the facility abuse policies after a staff member witnessed and made an allegation of verbal abuse. Resident #3 was originally admitted to the facility on [DATE] with the diagnoses of, but not limited to, Stroke, hypertension, depression, and chronic obstructive respiratory disease. […]