Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
WAVERLY REHABILITATION AND HEALTHCARE CENTER
WAVERLY, VA · 120 certified beds · Last Life Safety survey May 11, 2023
CMS Certification Number 495185 · first certified November 1988
Ownership
Operated by YAD HEALTHCARE · For profit - Partnership
- Ownership changed March 1, 2022 (change of ownership)to WAVERLY REHABILITATION AND HEALHCARE CENTER from WAVERLY VA OPCO LLC
Position within VA
15 citations — more than 69% of the 289 certified nursing homes in VA. Compared within VA 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
The latest survey found 2 citations; the earlier surveys on file averaged 6.5. 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: January 2026 to February 2027. This facility’s last Life Safety survey was May 2023. Facilities in VA are typically surveyed 32–45 months after the last one (median 38), measured over 123 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
8 of the 15 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 15 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 VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 15 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 7, 2018 | 13 |
| March 11, 2021 | 0 |
| May 11, 2023 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 1 | 2023-05-11 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2018-06-07 |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2018-06-07 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2018-06-07 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2018-06-07 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2018-06-07 |
| E-0033 | Establish methods for sharing information. | 1 | 2018-06-07 |
| K-0919 | Meet requirements for the use of electrical equipment. | 1 | 2023-05-11 |
What the citations cover
- Emergency Preparedness Deficiencies 8
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Services Deficiencies 2
- Smoke Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 8 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Services Deficiencies | 2 |
| Smoke Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 11, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (June 30, 2023) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (June 30, 2023) |
June 7, 2018 — 13 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (June 28, 2018) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (June 28, 2018) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 2, 2018) |
| K-0500 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (August 2, 2018) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (August 2, 2018) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (August 2, 2018) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (August 2, 2018) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.