Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Waddell Nursing And Rehab Center during CMS and state inspections, most recent first.
A resident with GERD, anemia, dysphagia, weakness, and moderately impaired cognitive skills had a DNR order in the record, but the CCP still listed full code under advanced directives/code status. The face sheet already showed DNR, yet the care plan was not reviewed and revised to match the resident’s current code status.
Failure to Administer Ordered Medication and Notify Provider of Elevated Blood Sugars: A resident with pain, dementia, and other diagnoses missed multiple doses of ordered Gabapentin because staff documented the medication as unavailable while waiting for a script, even though backup supply was available. In a separate issue, staff did not follow an order to notify the MD for blood sugars over 400 for a resident with DM and severe cognitive impairment; MAR documentation showed elevated readings, but no timely provider notification was found in the record.
A resident with COPD and chronic respiratory failure had an order for oxygen at 3 LPM via NC and left the facility for a neurology appointment with portable oxygen. Staff discussed sending an extra O2 cylinder, but the transport driver said he could not take it and did not know how to change it. Staff later reported the resident was taken to the wrong office first, became low on oxygen on the return trip, and EMS was called.
Care Plan Not Updated for DNR Status
Penalty
Summary
The facility failed to review and revise the comprehensive care plan for one resident when the resident elected to change code status from full code to DNR. The resident had diagnoses of gastro-esophageal reflux disease, anemia, dysphagia, and weakness, and the admission MDS showed a BIMS score of 10, indicating moderately impaired cognitive skills for daily decision making. The resident’s clinical record included a full code order dated 08/08/25 that was later discontinued, and a DNR order dated 09/03/25. Despite the DNR order, the resident’s current comprehensive care plan still listed the problem area of advanced directives/code status as the resident having chosen to be a full code. The interventions stated that if the resident or responsible party chose to change code status, a new order, updated documentation/care plan, and face sheet would be completed. The face sheet in the clinical record already included DNR information. The surveyor notified the Social Worker that the care plan reflected full code when a DNR order was in place, and the facility provided a signed Virginia Department of Health Durable Do Not Resuscitate Order. The issue was reviewed with the Administrator, DON, ADON, and Regional Nurse during the end-of-day meeting, and no further information was provided before exit.
Failure to Administer Ordered Medication and Notify Provider of Elevated Blood Sugars
Penalty
Summary
The facility failed to administer Gabapentin as ordered for a resident with low back pain, muscle weakness, migraine, and dementia. The resident’s care plan addressed pain and included medications as ordered, and the clinical record showed an order for Gabapentin 100 mg twice daily. The eMAR documented seven missed doses because the medication was listed as unavailable and staff noted they were waiting for a prescription or script from the MD. A progress note stated the resident was out of prescription Gabapentin, the on-call provider was notified, and a bedtime dose was held because the medication required MD setup due to an alert in the system. The Omnicell backup supply list showed the medication was available for administration. The facility also failed to follow a provider order to notify the medical provider when a resident’s blood sugar was greater than 400. The resident had diagnoses including Type 2 DM, vascular dementia, atrial fibrillation, and atherosclerotic heart disease, and the MDS indicated severe impairment in cognitive skills for daily decision making. Provider orders instructed staff to call the MD if blood sugar was over 400, and the care plan directed staff to assess, document, and report hyperglycemia to the MD. The MAR showed blood sugars of 402 and 532, but no evidence was found in the clinical record that the provider was notified at the time of those readings. A communication book entry later showed the 402 reading was acknowledged by the NP, and the DON stated her expectation was that the nurse would call the provider as ordered when the blood sugar was taken.
Failure to Ensure Continuous Oxygen During Outside Transport
Penalty
Summary
The facility failed to provide necessary respiratory services in accordance with professional standards of practice for a resident with COPD and chronic respiratory failure with hypoxia. The resident had an order for oxygen at 3 LPM via nasal cannula every shift, and the care plan identified the resident as at risk for altered respiratory status related to COPD and chronic respiratory failure with an intervention for oxygen as ordered. The resident was cognitively intact with a BIMS score of 14 out of 15. On the day of the appointment, the resident left the facility with portable oxygen for transport to a neurology appointment. Staff statements indicated the transport driver and facility staff discussed sending an additional oxygen cylinder, but the driver said he could not take an extra tank on the van and did not know how to change it. Staff documented that the resident left with a full tank and was expected to have enough oxygen for the trip and return. The resident was later reported to have been taken to the wrong office first, which delayed arrival at the scheduled appointment. Multiple staff statements and interviews described that the resident ran low on oxygen during the return trip and the driver called EMS. One statement said the resident had to be dropped off at an OB/GYN office temporarily and later required another transport driver to continue the trip back. The surveyor calculated that a full E-cylinder at 3 LPM would last about 3.78 hours, while the round trip to the appointment location was approximately two hours and eighty minutes excluding time at the appointment. The facility’s DON stated her expectation would have been to send a CNA with the resident to the appointment.
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What surveyors actually found near you
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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 Galax
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Galax Health And Rehab | 1.7 mi | ★★★★★ | 0 | 0 |
| Grayson Health And Rehabilitation | 12.7 mi | ★★★★★ | 1 | 0 |
| Hillsville Health & Rehab Center | 13.1 mi | ★★★★★ | 0 | 0 |
| Lotus Village Center For Nursing And Rehabilitatio | 15.2 mi | ★★★★★ | 17 | 1 |
| Surry Community Health Center By Harborview | 19.6 mi | ★★★★★ | 0 | 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.