Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Waynesboro Post Acute & Rehabilitation during CMS and state inspections, most recent first.
A resident with cognitive impairment and total dependence on staff for transfers suffered a displaced right humerus fracture after being transferred by hospice CNAs without a mechanical lift, contrary to her care plan. The incident was not reported to facility staff, and subsequent pain and bruising were not promptly communicated to the Medical Director. The facility lacked timely documentation, interviews, and assessments, resulting in a delay in diagnosing and treating the fracture.
During a transition between EMR providers and a change in ownership, the facility lost access to all resident medical records created prior to the transition. As a result, staff could not retrieve or provide required medical documentation for multiple residents with various medical conditions, including those who were cognitively impaired or had complex health needs. The facility's inability to access these records was confirmed through policy review, administrator statements, and review of the transition process.
A resident with cognitive impairment and multiple medical conditions developed unexplained bruising and a fractured right humerus after staff-assisted repositioning. The injury was not witnessed, and the cause was not documented at the time. Despite facility policy requiring immediate reporting of injuries of unknown origin, the incident was not reported to authorities. Leadership interviews confirmed the lack of reporting and absence of investigation documentation.
A resident with cognitive and physical impairments developed multiple bruises and a right humerus fracture after reporting pain during care. The facility did not complete a thorough investigation, failed to document immediate actions, and could not provide evidence of staff interviews, physician response, or staff education related to the incidents, resulting in incomplete documentation and failure to meet policy requirements.
Failure to Prevent Neglect and Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to protect a resident from neglect, resulting in actual harm. The resident, who had diagnoses including osteoarthritis, anxiety, dementia, and Alzheimer's disease, was dependent on staff for transfers and required the use of a mechanical lift as per her care plan. On one occasion, two hospice CNAs transferred the resident without using the required mechanical lift, during which they heard a pop in her shoulder. This incident was not reported to facility staff, and the hospice nurse who was informed also failed to notify facility staff. Subsequently, the resident was found with multiple bruises on her right shoulder and upper arm, and later complained of pain in the same area. Despite these findings, the facility did not promptly notify the Medical Director, only sending a fax approximately 12 hours after the bruising was identified. The facility also failed to obtain timely witness statements from hospice staff and did not provide documentation of interviews or assessments related to the incident until after a fracture was confirmed by X-ray ten days later. The investigation revealed that the facility was unable to provide key documentation, including the hospice plan of care, hospice physician orders, and records of staff education or interviews following the incident. The administrator acknowledged that the root cause was the failure to use the mechanical lift during transfer, but could not produce documentation of the investigation or education provided. The lack of timely reporting, documentation, and adherence to the resident's care plan led to a delay in diagnosis and treatment of a displaced right humerus fracture.
Failure to Maintain Access to Resident Medical Records During EMR Transition
Penalty
Summary
The facility failed to maintain access and availability to resident medical records for all sampled residents whose records were created prior to a specific date. This deficiency was identified through policy review, review of an EMR Provider Transition Checklist, administrator emails, medical record review, and interviews. The facility's policy required retention of medical records in accordance with federal and state laws, and guaranteed residents or their legal representatives the right to access their records upon request. However, due to a transition in EMR providers and a change in facility ownership, the facility lost access to the previous EMR system and was unable to retrieve or provide medical records for any of the ten sampled residents for the period before the transition date. The transition process involved the discontinuation of the previous EMR system, with staff instructed to switch to paper documentation for a period until the new EMR system was implemented. Documentation from the transition period indicated that the previous EMR provider would not grant continued access after the change in ownership, and the clinical module of the new EMR would not be available until several weeks later. The administrator confirmed in interviews that the facility had no access to the prior records and had not been successful in retrieving them from the previous owner or EMR provider. The affected residents had a range of medical conditions, including chronic obstructive pulmonary disease, heart failure, schizophrenia, hemiplegia, Parkinson's disease, Alzheimer's disease, diabetes, and others. Some residents were cognitively intact, while others were severely cognitively impaired. For each of these residents, the facility was unable to provide any medical records from before the transition date, as required by policy and regulation.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for one resident who was reviewed for abuse and neglect. According to facility policy, all alleged violations involving abuse, neglect, exploitation, or mistreatment—including injuries of unknown source—must be reported immediately, but not later than 2 hours if abuse or serious bodily injury is involved, or within 24 hours otherwise. The resident in question had multiple diagnoses including osteoarthritis, anxiety, dementia, and Alzheimer's disease, and was dependent on staff for transfers and mobility. The resident was found to have multiple bruises on the right upper arm and shoulder after complaining of pain during repositioning. The incident was documented as non-witnessed, with the cause listed as unknown at the time. Subsequent assessment revealed limited range of motion and pain, leading to a STAT X-ray and transfer to a hospital, where a displaced fracture of the right humerus was diagnosed. Interviews with facility leadership confirmed that the injury was not reported as an injury of unknown origin, despite the lack of a clear cause and the requirements of facility policy. The administrator stated that the injury was not reported because it was not believed to be from willful intent to harm, and could not provide documentation of an investigation or root cause analysis. The medical director confirmed that all injuries of unknown origin should be reported, and the administrator acknowledged that the injury was not reported as required.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to conduct a thorough investigation into an injury of unknown origin for a resident with multiple medical conditions, including osteoarthritis, lack of coordination, congestive heart failure, Alzheimer's, and dementia. The resident was admitted with moderate cognitive impairment and had a history of upper extremity impairment. On one occasion, the resident was found with multiple bruises on the right upper arm and shoulder after complaining of pain during a bed bath. Documentation showed that the nurse supervisor was notified, vital signs were taken, and attempts were made to notify the resident's representative and physician. However, there was no documentation of immediate post-incident actions, determination of the cause of the bruising, or interventions to prevent recurrence. Additionally, there was no evidence of staff interviews, physician response, or staff education related to the incident at that time. Subsequently, the resident continued to experience pain and limited range of motion in the right arm, which led to an X-ray revealing a displaced fracture of the right humerus. The facility was unable to provide a completed investigation or incident/accident form for this event. Witness statements from hospice staff indicated that the resident's shoulder had "popped" during a transfer prior to the discovery of the bruising, but there was no documentation of follow-up or assessment at that time. The facility also could not provide documentation of in-service education or training materials provided to staff following the incident. Interviews with the facility's Medical Director and Administrator confirmed that a thorough investigation should have been completed to determine the cause of the injuries and prevent recurrence. The Administrator acknowledged that education was provided to staff but was unable to produce documentation to support this claim. Overall, the facility's documentation for the resident's injury of unknown origin was incomplete for both incidents, failing to meet policy requirements for investigation, reporting, and follow-up.
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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 Waynesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harbert Hills Academy N H | 18.7 mi | ★★★★★ | 4 | 0 |
| Perry County Nursing Home | 20.8 mi | ★★★★★ | 14 | 0 |
| Countryside Post-acute And Rehabilitation Center | 23.2 mi | ★★★★★ | 9 | 0 |
| Nhc Healthcare, Scott | 23.8 mi | ★★★★★ | 1 | 0 |
| Nhc Healthcare, Lawrenceburg | 24.2 mi | ★★★★★ | 0 | 0 |
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