Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Wayne Center during CMS and state inspections, most recent first.
A resident was given as-needed Clonazepam multiple times without documented indications and without attempts at non-pharmacological interventions, contrary to facility policy. The DON confirmed that these steps were not followed prior to administering the anti-anxiety medication.
Three residents did not receive care in accordance with physician orders, including lack of fluid monitoring for a resident with kidney disease and diabetes, failure to notify a physician of low blood sugar for another resident, and administration of insulin outside of ordered blood sugar parameters for a third resident. The DON confirmed these deficiencies.
The facility did not store food in accordance with professional standards, as uncovered scoops were found on top of ingredient bins, and several food items in the freezer and dry storage were not labeled or dated. Additionally, expired items were present in storage areas, and a staff member confirmed these practices were not compliant with facility policy.
A resident with diabetes was hospitalized due to hypoglycemia after the LTC facility failed to implement proper blood glucose monitoring and treatment protocols. Despite hospital discharge instructions, the facility did not have a formal order for blood glucose monitoring. The resident was administered insulin without adequate assessment of blood sugar levels, leading to a critical hypoglycemic event.
The facility failed to follow wound care recommendations for three residents, leading to deficiencies in pressure ulcer management. A resident's unstageable pressure ulcer was not treated with Medihoney as recommended, while another resident's bilateral heel DTI was not documented or treated promptly. Additionally, a third resident's Stage 3 ulcer treatment was not implemented due to communication lapses.
A resident's PICC line dressing was not changed weekly as required by facility policy, with the last change dated over a week prior to observation. This oversight was confirmed by a nurse and the DON, despite the resident having an order for IV antibiotics for bacteremia.
A facility failed to document appropriate indications for administering PRN Alprazolam to a resident diagnosed with depression and anxiety disorder. The resident received the medication 12 times without proper documentation of the need for its use, as confirmed by an interview with the DON.
Failure to Document Indications and Non-Pharmacological Interventions Before PRN Psychotropic Use
Penalty
Summary
The facility failed to ensure that as-needed anti-anxiety medication was administered with appropriate indications and that non-pharmacological interventions were attempted prior to medication administration for one resident. Review of the facility's undated Medication Management policy indicated that non-pharmacological interventions, such as behavior modification or social services, should be documented and utilized as part of the care planning process, and that the clinical record must reflect an adequate indication for the use of psychotropic medications. For one resident, a physician's order authorized as-needed Clonazepam for anxiety, but the Medication Administration Record showed that from May 9 to May 22, 2025, the medication was given ten times without documented indications and seven times without attempts at non-pharmacological interventions. The DON confirmed that the medication was administered without proper indication and without prior non-pharmacological interventions.
Failure to Follow Physician Orders for Insulin and Fluid Restrictions
Penalty
Summary
The facility failed to follow physician orders regarding insulin administration, blood sugar monitoring, and fluid restrictions for three residents. For one resident with chronic kidney disease, diabetes, heart disease, and dementia, there was a physician order for a daily fluid restriction of 2000 ml, with specific amounts allocated for each meal and shift. However, the Medication Administration Record (MAR) did not show any evidence of fluid monitoring as required by the order, which was confirmed by the Director of Nursing. Another resident had a physician order for Insulin Lispro to be administered according to a sliding scale, with instructions to notify the physician if blood sugar was below 70 or above 400. The MAR showed a blood sugar reading of 64, but there was no documentation that the physician was notified. A third resident had an order for Insulin Glargine to be held if blood sugar was less than 100, but the insulin was administered on multiple occasions when blood sugar was below this threshold. The Director of Nursing confirmed that the physician was not notified and that insulin was administered outside of the ordered parameters.
Failure to Store and Label Food According to Professional Standards
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety in the main kitchen area. During observations, uncovered scoops were found on top of flour and sugar bins, and a bag of frozen green beans and four frozen turkey burgers in the freezer were not labeled or dated. In the walk-in refrigerator, ten containers of yogurt were observed with a use by date, and in the dry storage room, an open box of pancake mix was found with a use by date. An interview with a staff member confirmed that scoops should not be stored uncovered, all items should be labeled and dated, and expired items should have been disposed of, as per facility policy.
Failure to Monitor and Treat Diabetes Leads to Hospitalization
Penalty
Summary
The facility failed to properly assess, monitor, and provide treatment for a resident with diabetes, leading to hospitalization due to hypoglycemia. The resident, who had a known condition of diabetes mellitus and chronic kidney disease, was admitted to the facility with orders for blood sugar monitoring and insulin administration. However, the facility did not have a blood glucose monitoring order in place, despite the hospital discharge summary indicating the need for such monitoring and a hypoglycemia protocol. On September 23, the resident's blood glucose was checked twice by a nurse using nursing judgment, but no formal order for monitoring was documented. Later that day, the resident complained of a headache, but the facility staff did not thoroughly assess the resident's condition, failing to check blood pressure and blood sugar levels. The resident was administered insulin as per the schedule, but meal consumption was low, which could have contributed to the hypoglycemic event. In the evening, the resident was found unresponsive by family members, and emergency services were called. Upon arrival at the hospital, the resident was diagnosed with altered mental status, hypoglycemia, and hypokalemia, with a critically low blood glucose level. The facility's failure to implement proper monitoring and treatment protocols for the resident's diabetes resulted in the resident's hospitalization.
Deficiencies in Pressure Ulcer Care Due to Communication Failures
Penalty
Summary
The facility failed to ensure proper wound treatment and assessment for three residents, leading to deficiencies in pressure ulcer care. Resident 83 was admitted with a Stage 2 Pressure Ulcer on the lower back, which was later identified as an Unstageable Pressure Ulcer by a wound physician. Despite the physician's recommendation to use Medihoney for treatment, the facility continued using Optifoam dressing for 16 days due to a communication lapse between the unit manager and the primary physician. This delay in implementing the recommended treatment contributed to the deficiency in care for Resident 83. Resident 87 developed bilateral heel Deep Tissue Injuries (DTI) that were not thoroughly documented or treated in a timely manner. The initial discovery of the DTI was noted in a progress note, but there was no comprehensive documentation or treatment until several days later. Similarly, Resident 242 had a Stage 3 Pressure Ulcer on the left buttock, for which the wound physician recommended Medihoney treatment. However, this recommendation was not communicated to the primary physician, resulting in the treatment not being implemented. These failures in communication and timely treatment led to deficiencies in the care provided to these residents.
Failure to Maintain PICC Line Dressing
Penalty
Summary
The facility failed to ensure the proper care and maintenance of a peripherally inserted central catheter (PICC) line dressing for a resident, identified as Resident 243. According to the facility's policy, the dressing should be changed weekly or if its integrity is compromised. However, observations revealed that the PICC line dressing, dated June 18, 2024, was not changed weekly as required. This was confirmed during an observation on July 1, 2024, in the presence of a licensed nurse, Employee E3, who acknowledged that the dressing should have been changed weekly. Further interviews with Employee E3 and the Director of Nursing confirmed the oversight, as the dressing had not been changed since June 18, 2024. The resident had a physician's order for Cefazolin Sodium to be administered intravenously every eight hours for bacteremia, necessitating the proper maintenance of the PICC line to prevent complications. The failure to adhere to the dressing change schedule constituted a deficiency in nursing services and resident care policies as per the cited regulations.
Inappropriate Administration of PRN Anti-Anxiety Medication
Penalty
Summary
The facility failed to ensure that PRN anti-anxiety psychotropic medication was administered with appropriate indications for a resident. The clinical records review and staff interview revealed that a resident, diagnosed with depression and anxiety disorder, had a physician's order for Alprazolam 0.5 mg to be taken at bedtime and as needed every six hours for anxiety. However, from June 9, 2024, to June 16, 2024, the resident was administered PRN Alprazolam 12 times without appropriate documentation of the indication for its use. An interview with the Director of Nursing confirmed the lack of documentation for the appropriate indication for administering the PRN medication.
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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.
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Nursing homes near Wayne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rosemont Center | 3.6 mi | ★★★★★ | 13 | 0 |
| Beaumont At Bryn Mawr | 3.8 mi | ★★★★★ | 0 | 0 |
| King Of Prussia Skilled Nursing And Rehabilitation | 4 mi | ★★★★★ | 4 | 0 |
| William Hood Dunwoody Care Ctr | 4.2 mi | ★★★★★ | 5 | 0 |
| Bryn Mawr Extended Care Center | 4.2 mi | ★★★★★ | 30 | 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.