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 January 20, 2022
CMS Certification Number 445518 · first certified December 2014
Ownership
Operated by LYON HEALTHCARE · Non profit - Corporation
- Ownership changed June 17, 2024 (change of ownership)from WAYNESBORO HEALTHCARE, LLC
Position within TN
5 citations — more than 27% 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?
Past the typical window (April 2023 to September 2025). Most TN facilities have been surveyed by December 2026. This facility’s last Life Safety survey was January 2022. 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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Emergency preparedness
5 of the 5 citations on file are Emergency Preparedness E-tags — every citation here is about the program, not the building. 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 5 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.
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 | 5 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 27, 2018 | 5 |
| May 15, 2019 | 0 |
| January 20, 2022 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2018-06-27 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2018-06-27 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2018-06-27 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2018-06-27 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2018-06-27 |
What the citations cover
- Emergency Preparedness Deficiencies 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 5 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 27, 2018 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (July 22, 2018) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (July 22, 2018) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (July 22, 2018) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (July 22, 2018) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (July 22, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.