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

Waverly Hills Post Acute

WAVERLY, TN · 100 certified beds · Last Life Safety survey June 18, 2025

CMS Certification Number 445251 · first certified April 1990

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within TN

7 citations — more than 45% of the 303 certified nursing homes in TN. Compared within TN 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2.5. 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 February 2029. This facility’s last Life Safety survey was June 2025. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 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

Emergency preparedness

3 of the 7 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 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 7 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-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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.

How that compares

Citations on file over three years

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

This facility7TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0842024-0722025-06
Citations at each Life Safety survey
Survey dateCitations
August 17, 20231
July 17, 20244
June 18, 20252

Most-cited tags

Most-cited tags at this facility
E-00392K-03451K-02231E-00091K-09201K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.22025-06-18
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-07-17
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12023-08-17
E-0009Include a process for Emergency Preparedness collaboration.12024-07-17
K-0920Ensure proper usage of power strips and extension cords.12025-06-18
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-07-17

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

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

June 18, 2025 — 2 citations

Citations issued on June 18, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 11, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 11, 2025)

July 17, 2024 — 4 citations

Citations issued on July 17, 2024
TagWhat the surveyor checksStatus
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (August 13, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 13, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 13, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 13, 2024)

August 17, 2023 — 1 citation

Citations issued on August 17, 2023
TagWhat the surveyor checksStatus
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 (August 25, 2023)

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