Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ELDERWOOD AT WAVERLY

WAVERLY, NY · 200 certified beds · Last Life Safety survey March 28, 2025

CMS Certification Number 335346 · first certified December 1971

Ownership

Operated by ELDERWOOD · For profit - Individual

No change of ownership on CMS record since January 1, 2016, when the records begin.

28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within NY

28 citations — more than 90% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to May 2027. This facility’s last Life Safety survey was March 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility28NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
52020-10112023-04122025-03
Citations at each Life Safety survey
Survey dateCitations
October 16, 20205
April 27, 202311
March 28, 202512

Most-cited tags

Most-cited tags at this facility
K-03212K-02932K-02112K-02812K-05311K-02221K-09181K-09081
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-03-28
K-0293Have properly located and lighted "Exit" signs.22025-03-28
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22023-04-27
K-0281Install proper backup exit lighting.22025-03-28
K-0531Have elevators that firefighters can control in the event of a fire.12023-04-27
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12023-04-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-03-28
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.12020-10-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Services Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies5
Services Deficiencies3
Construction Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 28, 2025 — 12 citations

Citations issued on March 28, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (May 16, 2025)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (May 16, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 16, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 16, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 16, 2025)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (May 16, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 23, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 16, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 16, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 16, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 16, 2025)

April 27, 2023 — 11 citations

Citations issued on April 27, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted (June 23, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (May 3, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (May 24, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 24, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 18, 2023)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (April 27, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 2, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 22, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (May 1, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 9, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 22, 2023)

October 16, 2020 — 5 citations

Citations issued on October 16, 2020
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (November 11, 2020)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 28, 2020)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (October 28, 2020)
K-0907Ensure medical gas and vacuum systems have documented maintenance programs.Deficient, Provider has date of correction (October 21, 2020)
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.Deficient, Provider has date of correction (October 21, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.