Waynesboro Post Acute & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Waynesboro Post Acute & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 22, 2025

  Based on policy review, Hospice contract review, medical record review, facility investigation review, Hospital record review, and interview, the facility failed to ensure residents were free from neglect for 1 of 3 (Resident #1) sampled residents reviewed for injury of unknown origin. On 11/10/2022, Resident #1 was found in bed by staff with multiple bruises to her right shoulder and right upper arm. On 11/18/2022, Resident #1 complained of pain in her right shoulder area. On 11/18/2022, the facility obtained an X-ray of the right arm/shoulder that revealed a displaced acute right transverse humerus shaft fracture (broken upper right arm usually caused by trauma/injury). […]

• No harm, potential for more than minimal, widespreadF842Oct 22, 2025

  Based on the policy review, Electronic Medical Record (EMR) Provider Transition Checklist memo review, Administrator's email, medical record review, and interview, the facility failed to maintain access and availability to resident's medical records for 10 of 10 (Resident #1, #3, #5, #6, #7, #8, #9, #10, #11, and #12) sampled residents reviewed for medical records prior to 6/18/2024. The findings include: 1. Review of the RETENTION OF MEDICAL RECORDS, policy dated 10/1/2021, revealed .Medical records shall be retained by the facility in accordance with current applicable federal and state laws.Medical records of discharged residents will be retained for period required by State law.Six years from the date of discharge when there is no requirement in State law. […]

• No harm, potential for more than minimal, patternF761Jan 20, 2022

  Based on policy review, observation, and interview the facility failed to ensure medications were stored appropriately and securely when external medications and internal medications were stored together, and expired medications were in 4 of 7 medication storage areas (Treatment Cart, North Hall Medication Cart, West Hall Medication Cart, and West Hall Medication Room) reviewed and when 1 of 3 nurses (Licensed Practical Nurse (LPN) #1) gave the South Hall Medication Cart and Medication Room keys to the to an unauthorized staff member (the Housekeeping Supervisor) and left him unattended in the Medication Room. […]

• No harm, potential for more than minimal, isolatedF578Jul 1, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to provide written information on how to formulate an Advance Directive for 13 of 24 (Residents #2, #7, #9, #10, #12, #19, #30, #35, #36, #42, #46, #48, and #55) sampled residents. The findings include: 1. Review of the facility policy titled, Advanced Directives, dated [DATE], revealed .Advance directives will be respected in accordance with state law and facility policy.Advance Directive . […]

• No harm, potential for more than minimal, isolatedF695Jul 1, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to follow physician orders for the use of oxygen administration for 1 of 1 (Resident #36) residents reviewed for respiratory care. The findings include: 1. Review of the facility policy Oxygen Administration, dated 1/5/2025, revealed .The purpose of this procedure is to provide guidelines for safe oxygen administration.Verify that there is a physician's order for this procedure .Review the physician's orders.After completing the oxygen setup or adjustment, the following information should be recorded.The rate of oxygen flow. 2. […]