Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oak View Home, Inc during CMS and state inspections, most recent first.
Food items were found past expiration or improperly labeled in the kitchen storage areas, including opened taco seasoning and opened thickener containers that were unlabeled and undated. Surveyors also observed a rusty vegetable prep sink, buildup on the ventilation above the sink, and food substance remaining on washed, dry cups. Dietary staff stated they were responsible for washing and storing dishware, and the CDM confirmed staff were responsible for checking labels and expiration dates on food items.
A resident with respiratory diagnoses, including chronic bronchitis and chronic respiratory failure with hypoxia, had an order for oxygen via NC at 2 LPM. Surveyors observed the oxygen concentrator repeatedly set at 3.5 LPM instead of the ordered rate. An LPN confirmed the incorrect setting, and the ADON stated nurses were responsible for checking the flow rate daily.
Medication administration errors resulted in a 7.14% error rate, exceeding the 5% threshold. An RN administered insulin aspart without priming the pen and did not hold it in place for the recommended time, while a CMA did not administer a resident’s scheduled albuterol HFA because the inhaler was unavailable and was placed on hold pending pharmacy delivery. The DON stated medications should be given per order and that unavailable medications should only be placed on hold after consulting the provider.
Hand hygiene was not followed during resident clothing delivery and wound care. A Laundry Aide delivered clean clothing to three residents on one hall without cleaning her hands when entering or leaving rooms, and later acknowledged she forgot to do so. During wound care for a resident with a stage 3 pressure ulcer, the DON changed gloves between dirty and clean dressing changes without performing hand hygiene, and the Wound Care Consultant confirmed hand hygiene was required between glove changes.
A resident with chronic kidney disease, type 2 diabetes, and major depressive disorder was denied access to his room by a Nurse Aide Trainee (NAT) and was instructed to go to activities instead. The resident, who was moderately cognitively impaired, was visibly upset and had to wait outside the door. The NAT's statements and tone were deemed inappropriate by other staff members, and the Director of Nursing (DON) confirmed that residents should be allowed to enter their rooms as they please.
A resident with an above-knee amputation sustained an injury when his scrotum was caught between the toilet seat and the toilet during a transfer. Despite reporting the incident, the facility did not immediately inspect or replace the toilet seat, leading to a risk of further injury. The Director of Nursing acknowledged that the toilet seat should have been examined and replaced following the initial incident.
Food Storage and Dishware Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure food items were discarded on or before their discard or expiration dates and failed to maintain sanitary conditions for dishware and utensils. During a kitchen tour, surveyors observed one opened, unlabeled 21-oz. taco seasoning in the dry storage area with an expiration date of 7/27/2025. Surveyors also observed three opened 46-oz. containers of thickener in the reach-in refrigerator that were unlabeled and undated. Additional observations during the kitchen tour showed the vegetable preparation sink was rusty and the ventilation above the sink had a buildup of fuzzy material. Surveyors also observed food substance on cups that had been washed and were dry. In interviews, dietary aides stated they were responsible for washing and storing dishware, and one aide acknowledged she did not inspect the dishware. The Certified Dietary Manager stated that staff were responsible for checking labels and expiration dates on every food item and confirmed the food substances on the cups.
Oxygen Flow Rate Not Set Per Physician Order
Penalty
Summary
The facility failed to ensure that oxygen therapy was administered in accordance with the physician’s order for one resident with oxygen needs. The resident had diagnoses including chest pain, shortness of breath, chronic bronchitis, and chronic respiratory failure with hypoxia. The resident’s care plan addressed respiratory difficulties and included administering oxygen as ordered. The physician’s order dated 1/5/2025 directed oxygen via nasal cannula at 2 liters per minute every 24 hours, every eight hours. Observations on 9/16/2025 at 12:18 pm and 3:05 pm, and on 9/17/2025 at 8:46 am, showed the resident receiving oxygen via nasal cannula from an oxygen concentrator with the flow meter set at 3.5 liters per minute instead of the ordered 2 liters per minute. During an interview on 9/17/2025 at 8:50 am, an LPN confirmed the order for 2 liters per minute and verified the concentrator was set at 3.5 liters per minute, stating it could have been unintentionally altered by someone unaware of the proper settings. The LPN also stated the resident required oxygen therapy for shortness of breath and staff should ensure oxygen was administered as ordered. The ADON later confirmed the order for 2 liters per minute and stated nurses were responsible for checking daily to ensure the flow rate was accurate.
Medication Error Rate Exceeded 5 Percent
Penalty
Summary
The facility failed to keep the medication error rate below 5 percent. Surveyors identified 2 medication errors out of 28 opportunities for 2 of 19 residents observed, resulting in a 7.14 percent error rate. The deficient practice was identified during observation, record review, staff interviews, review of the manufacturer’s package insert, and review of the facility’s policies on medication administration, medication orders, and insulin administration. For one resident, an order for insulin aspart sliding scale before meals and at bedtime was observed being administered by an RN. The resident’s fingerstick blood sugar was 232, requiring 4 units of insulin. The RN prepared and administered the insulin without priming the needle after attaching it to the insulin pen, and the pen was held in place for only about one second or until a click was heard rather than for the recommended duration. The RN stated she believed the pen only needed to be primed on initial use and acknowledged that failure to prime could allow air into the pen and potentially cause an incorrect dose. For another resident, an order for albuterol sulfate HFA two puffs three times per day was not administered because the inhaler was not available on the medication cart or in the emergency medication kit. The CMA stated the medication had been reordered but had not arrived from the pharmacy, so she placed it on hold and submitted another reorder request. She stated that the facility’s process was to place the medication on hold and wait for pharmacy delivery, and that this was the required procedure when the medication was not in stock.
Hand hygiene not performed during clothing delivery and wound care
Penalty
Summary
The facility failed to ensure that staff followed hand hygiene practices during the delivery of clean resident clothing on Hall B and during wound care for a resident with a stage 3 pressure ulcer. The facility policy titled Hand Hygiene stated that hand hygiene should be performed before touching a patient, before aseptic tasks, after touching a patient or the patient's immediate environment, after contact with blood or contaminated surfaces, and immediately after glove removal, and that gloves should not substitute for hand hygiene. On Hall B, a Laundry Aide delivered clean clothing to three residents' rooms without performing hand hygiene upon entering or exiting any room. During interview, the Laundry Aide acknowledged that she did not perform hand hygiene and stated she just forgot, despite signs posted throughout the facility reminding staff to perform hand hygiene. For resident R7, who was admitted with diagnoses including a stage 3 pressure ulcer of another site, the DON performed wound care for the right lower leg per physician's orders for collagen dressing changes. During the observed wound care, the DON removed her gloves and put on a new pair without performing hand hygiene between dirty and clean dressing changes, and later confirmed she did not perform hand hygiene between glove changes. The Wound Care Consultant stated that hand hygiene was required between glove changes.
Failure to Allow Resident Access to Room and Courteous Interaction
Penalty
Summary
The facility failed to ensure staff interacted with a resident in a courteous manner and allowed them access to their room. The incident involved a resident with chronic kidney disease, type 2 diabetes, and major depressive disorder, who was moderately cognitively impaired. The resident knocked on his room's door and asked to go inside, but the Nurse Aide Trainee (NAT) instructed him to go to activities instead and closed the door. The resident was visibly upset and had to wait outside the door until it was opened again. When the door was finally opened, the NAT told the resident to hurry up and get what he needed, which further upset the resident. Interviews with staff revealed that they were trained to inform residents they were providing care and to ask them to wait, but the NAT did not follow this protocol. The Certified Nursing Assistants (CNAs) present during the incident confirmed that the NAT's statements and tone were inappropriate. The Director of Nursing (DON) stated that it was her expectation that staff would allow residents to enter their rooms as they pleased and that a privacy curtain could have been used if needed. The resident confirmed that this was the first time he had been denied access to his room and expressed frustration over the incident.
Failure to Address Hazardous Toilet Seat Leading to Resident Injury
Penalty
Summary
The facility failed to ensure that a resident was free from accident hazards, leading to an injury. Resident R35, who has an above-knee amputation, sustained an injury when his scrotum was caught between the toilet seat and the toilet. The incident occurred while R35 was transferring from his wheelchair to the toilet. Despite the injury, the facility did not address the condition of the toilet to prevent further incidents. The resident reported the injury to the nursing station, and a nurse documented the presence of an abrasion on the scrotum. The Nurse Practitioner was notified, and the area was cleaned and treated. However, the facility did not take immediate action to inspect or replace the toilet seat following the initial incident. During a follow-up interview, R35 stated that the facility had not taken any action to address the issue, even though he had reported it. The Director of Nursing (DON) confirmed that the toilet seat was only replaced after the surveyor brought it to their attention. The DON acknowledged that the toilet seat should have been examined and replaced immediately after the initial incident. This failure to act promptly placed the resident at risk of sustaining another injury.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 71 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Waverly Hall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Towne Center | 14.3 mi | ★★★★★ | 8 | 0 |
| Warm Springs Medical Center Nursing Home | 14.4 mi | ★★★★★ | 4 | 0 |
| Ridgecrest Rehab & Skilled Nursing Center | 15.1 mi | ★★★★★ | 1 | 0 |
| Muscogee Manor & Rehabilitation Ctr | 15.3 mi | ★★★★★ | 12 | 0 |
| Orchard View Rehabilitation & Skilled Nursing Ctr | 15.5 mi | ★★★★★ | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.