Deficiency Index

Wayne Health Care

Newark, New York · CCN 335403

16 surveys since 2010, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
64
Surveys
16
Harm or worse
2
Immediate jeopardy
1
The record, 2010–2024
’10’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
182
Ownership
Non profit - Corporation
Chain
ROCHESTER REGIONAL HEALTH
County
Wayne
Medicare-certified since
1973

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Sep 13, 2024

787 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.703.67
Registered-nurse hours per resident day0.59—
Annual nurse turnover36.5%37.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ116.7%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD583.3%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 6 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

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

  • F6921×

    Provide enough food/fluids to maintain a resident's health.

  • F7551×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7581×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F8801×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF689May 23, 2022

    Based on observations, interviews and record review conducted during a Recertification Survey and complaint investigation (NY 405), completed 5/23/22, the facility failed to ensure the environment remained as free of accident hazards as possible and that each resident received adequate supervision to prevent accidents for two (Residents #150 and #152) of eight residents reviewed for accidents. Specifically, Resident # 150 was identified as a smoker when admitted [DATE]. Resident has a BIMS (Brief Interview of Mental Status) of 15 (out of 15). […]

  • No harm, potential for more than minimal, isolatedF689Sep 13, 2024

    Based on observations, interviews, and record review conducted during a Recertification Survey from 09/09/2024 to 09/13/2024, for one (Resident #154) of six residents reviewed for behaviors, the facility could not provide evidence that a thorough investigation was completed to ensure the resident's safety following a potential elopement incident. Specifically, Resident #154, who was identified as at risk for elopement and wore a wander guard bracelet (a wander management system which uses bracelets, sensors, and technology to alert staff when a resident tries to leave a safe area), was found outside without their wander guard bracelet on. Additionally, several days prior, Resident #154 was found without their wander guard bracelet on, stating it had fallen off. […]

  • No harm, potential for more than minimal, isolatedF692May 23, 2022

    Based on observations, interviews, and record reviews conducted during a Recertification Survey completed on 5/23/22, it was determined that for one (Resident #121) of three residents reviewed the facility did not ensure that each resident was provided with sufficient fluid intake to maintain proper hydration and health. Specifically, Resident #121 did not receive free water flushes (FWF) via their feeding tube (a tube inserted directly into the stomach in order to receive nutrients and fluids) as ordered by the physician. Additionally, there was no documented evidence that the resident's twenty-four-hour intake of FWF was being consistently monitored or documented to ensure appropriate amounts of fluids were administered. […]

Read 21 findings in full →The most serious and the most recent: 21 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 13, 2024Standard1 finding
  • May 23, 2022Standard and complaint2 findings · 1 harm
  • Aug 6, 2019Standard3 findings
  • Feb 9, 2018Standard7 findings
  • Nov 1, 2017Complaint1 finding
  • May 17, 2017Complaint1 finding
  • Nov 8, 2016Standard and complaint7 findings
  • Oct 30, 2015Standard6 findings
Show the 8 earlier surveys
  • Jun 4, 2015Complaint1 finding
  • Mar 18, 2015Complaint1 finding
  • Nov 6, 2014Standard6 findings
  • Jan 3, 2014—7 findings
  • Dec 7, 2012—5 findings · 1 harm
  • Jan 18, 2012—10 findings
  • Jan 28, 2011—5 findings
  • Nov 23, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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