Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
WAYNESBORO POST ACUTE & REHABILITATION
WAYNESBORO, TN · 109 certified beds · Last Life Safety survey July 1, 2026
CMS Certification Number 445518 · first certified December 2014
Ownership
Operated by LYON HEALTHCARE · For profit - Limited Liability company
- Ownership changed June 17, 2024 (change of ownership)from WAYNESBORO HEALTHCARE, LLC
Position within TN
9 citations — more than 54% 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
When is the next survey likely?
The window opens September 2027 — about 10 months from now. This facility’s last Life Safety survey was July 2026. Facilities in TN are typically surveyed 15–44 months after the last one (median 32), measured over 322 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 about three years in Virginia. How the window is measured
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Emergency preparedness
6 of the 9 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)
1 physical-environment citation 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 9 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 15, 2019 | 0 |
| January 20, 2022 | 0 |
| July 1, 2026 | 9 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2026-07-01 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2026-07-01 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2026-07-01 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2026-07-01 |
| E-0032 | Provide primary/alternate means for communication. | 1 | 2026-07-01 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2026-07-01 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2026-07-01 |
| E-0009 | Include a process for Emergency Preparedness collaboration. | 1 | 2026-07-01 |
What the citations cover
- Emergency Preparedness Deficiencies 6
- Miscellaneous Deficiencies 1
- Smoke Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 6 |
| Miscellaneous Deficiencies | 1 |
| Smoke Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 1, 2026 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (July 30, 2026) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (July 30, 2026) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (July 30, 2026) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (July 30, 2026) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (July 30, 2026) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (July 30, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (July 30, 2026) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (July 30, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (July 30, 2026) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.