Above 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 Wayland Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Staff failed to maintain sanitary conditions in the kitchen, including using a dusty fan that blew onto clean dishware, leaving food items uncovered or improperly labeled in the walk-in refrigerator, and not properly air-drying a food processor before use. These practices were acknowledged by staff as not meeting facility procedures and were reported to administration.
Facility staff did not maintain adequate documentation of QAPI meetings, including missing sign-in sheets and undated records, resulting in a lack of evidence that the QAPI program was consistently implemented or monitored as required by policy.
A resident experienced swelling and redness in the left knee following a prior fall, but the LPN did not immediately document the findings or directly notify the physician, instead placing the information in a communication book for non-urgent matters. The physician was not made aware until the next visit, resulting in a delay in assessment and intervention for the resident's change in condition.
Facility staff did not provide a resident with education or the opportunity to refuse psychoactive medications, specifically Risperidone and Sertraline, as required by facility policy. Documentation was lacking to show that the resident or their representative was informed about the risks, benefits, or alternatives to these medications before administration.
A resident's wheelchair cushion was observed to be torn and worn, with exposed foam, and had not been replaced despite the resident's report of its deteriorating condition. Staff confirmed the cushion should have been replaced according to facility policy, but the issue had not been addressed, resulting in a failure to maintain a safe and homelike environment.
Facility staff did not provide required clinical documentation to the receiving hospital during transfers for two residents, including a resident with moderate cognitive impairment and another admitted for multiple acute conditions. Interviews and record reviews confirmed the absence of necessary transfer records, such as medication lists and care plans, despite facility policy requiring these documents to accompany residents during transfers.
Staff did not follow the care plan for a resident requiring oxygen therapy, administering oxygen at a rate inconsistent with the physician's order. Additionally, another resident with contractures did not have a care plan addressing this condition, and no interventions or devices were in place to prevent worsening. Nursing and administrative staff confirmed these deficiencies during interviews.
A resident with moderate cognitive impairment and physical limitations was not provided with routine fingernail care, resulting in overgrown nails. Despite facility policy requiring daily grooming and staff acknowledgment of the need for nail care, the resident reported that staff had not recently offered assistance, and observations confirmed the deficiency.
A resident with bilateral hand and foot contractures did not receive documented interventions or assessments to prevent worsening of contractures. Staff were aware of the contractures but could not provide evidence of implemented or documented treatments, and therapy records were incomplete due to provider changes.
A resident with COPD and respiratory failure received oxygen therapy at a flow rate above the physician-ordered two liters per minute, as observed on multiple occasions. Despite clear orders, care plan instructions, and staff knowledge of proper flow meter reading, the oxygen flow rate was not consistently maintained at the prescribed level.
Facility staff did not monitor for side effects in two residents who were administered psychoactive medications, including Risperidone, Sertraline, and Seroquel, as ordered. Clinical records lacked evidence of side effect monitoring, and interviews with the DON confirmed the absence of such monitoring. The facility's policy did not specify procedures for monitoring side effects.
Staff failed to document care provided for two residents, including catheter care for one resident and the assessment of swelling and redness in another resident's knee. In both cases, care was provided and communicated among staff, but not recorded in the clinical record as required by facility policy.
Staff failed to post daily nurse staffing information before the start of a shift on one occasion and did not display the information in a location accessible to residents and visitors on multiple occasions. Observations showed the posting was either missing or placed inside the nurses' station, which was not accessible to residents or visitors. Interviews with an LPN and the DON confirmed the posting process and acknowledged the inaccessibility of the location.
Failure to Maintain Sanitary Food Storage and Preparation Practices
Penalty
Summary
Facility staff failed to maintain sanitary conditions in the kitchen, as evidenced by several observations. A 26-inch fan coated in dust was found blowing directly onto clean meal tray covers, tray bottoms, bowls, cups, and glasses stored on a metal shelving unit. The fan's position and condition resulted in dust being blown onto these clean items. Inside the walk-in refrigerator, multiple food storage issues were identified: uncovered bowls of mixed fruit were left exposed on a ladder rack, a Ziploc bag containing sliced Swiss cheese was left open to the environment, and a sandwich wrapped in paper was found without a name or date label. Additionally, a food processor that was stated to be clean and ready for use was found with standing water inside the bowl, a wet blade, and a wet lid, indicating it had not been properly air-dried as required by facility policy. Staff interviews confirmed that these practices did not align with facility procedures. The staff member acknowledged that the fruit bowls should have been covered, the cheese bag closed, and the sandwich labeled with a name and date. The food processor was also recognized as improperly dried, which could allow for bacterial or mold growth. The staff member agreed that the dusty fan should not have been blowing into the kitchen and that it was contaminating clean items. These findings were communicated to facility administration, including the administrator, DON, nurse consultant, and an administrator colleague.
Failure to Maintain QAPI Meeting Documentation
Penalty
Summary
Facility staff failed to maintain evidence of a continuous Quality Assurance and Performance Improvement (QAPI) program, as required by their policy, for nine out of ten quarters reviewed. During the survey, the administrator was unable to provide complete QAPI meeting attendance records for the period between Q4 of 2022 and Q4 of 2024. The records that were provided were incomplete, with missing sign-in sheets, undated documents, and an inability to identify the specific dates when meetings took place. Additionally, some records showed that required attendees, such as the infection preventionist and the director of nursing, were absent from certain meetings. Interviews with administrative staff confirmed that while QAPI meetings were reportedly held monthly or at least quarterly, there was insufficient documentation to support this claim. The facility's QAPI policy required regular, at least quarterly, meetings, but the lack of proper records and sign-in sheets meant there was no verifiable evidence that the QAPI program was being consistently implemented or monitored during the review period.
Failure to Timely Notify Physician of Change in Condition
Penalty
Summary
Facility staff failed to notify the physician in a timely manner regarding a resident's change in condition, specifically swelling and redness to the left knee observed on 3/6/24. The initial observation of the knee issue was made by a CNA and reported to the primary nurse, who assessed the resident but did not immediately document the findings or directly notify the physician. Instead, the information was placed in the physician communication book, which is used for non-urgent matters to be addressed during the physician's next visit. The physician did not see the resident until the following day, at which point an x-ray was ordered. The resident had a history of a fall on 2/25/24, after which no injuries were noted and the resident did not initially complain of pain. Over a week later, swelling and redness were observed in the left knee, but there was no immediate documentation or direct physician notification regarding this change in condition. The clinical record lacked evidence of timely documentation or communication to the physician about the new symptoms observed on 3/6/24. Interviews with facility staff confirmed that the nurse should have called the physician and documented the assessment and findings in the medical record, rather than relying on the communication book. The delay in direct physician notification and lack of timely documentation in the clinical record constituted the deficiency identified by surveyors.
Failure to Provide Education and Refusal Opportunity for Psychoactive Medications
Penalty
Summary
Facility staff failed to provide required education and the opportunity to refuse psychoactive medications for one resident. Clinical record review showed that the resident was prescribed Risperidone 0.5 mg daily and Sertraline 50 mg daily, and these medications were administered as ordered. However, there was no documentation in the medical record indicating that the resident or their representative was informed about the risks and benefits of these medications, nor was there evidence that the resident was given the option to refuse them. Interviews with facility staff, including the director of nursing, confirmed that the facility's policy requires obtaining consent and providing education regarding psychotropic medications, which carry specialized risks for side effects. The facility's own policy also states that residents have the right to accept or decline such medications after being informed of the risks, benefits, and alternatives. Despite these requirements, no documentation or evidence of such education or opportunity for refusal was found for the resident in question.
Failure to Maintain Resident's Wheelchair Cushion in Good Repair
Penalty
Summary
Facility staff failed to maintain a homelike environment for one resident by not ensuring the resident's wheelchair cushion was in good repair. Observations revealed that the resident's wheelchair cushion was torn on both corners, exposing the yellow foam underneath. The resident reported that the cushion had been in use for a long time, the holes had started small and grown larger, and the cushion had lost its padding due to age. The resident also stated that a replacement had never been offered. Staff interviews confirmed that the process for replacing damaged wheelchair cushions involved notifying therapy, but in this case, the torn cushion had not been addressed. The LPN acknowledged upon observation that the cushion should be replaced and indicated she would notify the appropriate staff. Facility policy states that residents have the right to a safe, clean, comfortable, and homelike environment, but this was not upheld in this instance.
Failure to Provide Required Documentation During Resident Transfers
Penalty
Summary
Facility staff failed to provide required documentation to the receiving hospital during facility-initiated transfers for two residents. In one case, a resident with moderate cognitive impairment, as indicated by a BIMS score of 8 out of 15, experienced respiratory distress on two separate occasions. On both occasions, the resident was transferred to the hospital after nursing staff administered treatments and notified the physician. However, there was no evidence in the electronic health record that the necessary documentation was sent to the hospital during these transfers. For another resident, staff did not provide evidence that clinical documentation necessary for continuity of care was sent to the hospital during a transfer for evaluation and treatment of high fever and subsequent admission for influenza, UTI, and sepsis. The clinical record lacked documentation that the resident's representative and physician contact information, advance directive information, instructions for ongoing care, medication list, or care plan goals were sent to the receiving facility. Interviews with administrative staff and nursing personnel confirmed that there was no evidence of the required documentation being sent during these transfers. The facility's policy stated that an approved transfer and referral record, along with any additional medical information required by the receiving facility, should accompany the resident during transfer, but this was not evidenced in the reviewed cases.
Failure to Develop and Implement Comprehensive Care Plans for Oxygen Therapy and Contractures
Penalty
Summary
Facility staff failed to develop and implement comprehensive care plans for two residents. For one resident with COPD and respiratory failure, staff did not follow the physician's order for oxygen therapy, as observations showed the oxygen flow rate was set between two and three liters per minute, rather than the ordered two liters per minute via nasal cannula. The resident's care plan specified that oxygen therapy should be administered as ordered, but this was not consistently followed. Staff interviews confirmed that the care plan was not adhered to when the oxygen was not set according to the physician's order. For another resident, staff failed to develop a care plan addressing the resident's contractures, despite repeated observations of contracted hands and feet. No contracture-related devices were observed in use, and the comprehensive care plan did not include interventions to prevent worsening of contractures. Interviews with nursing staff and the MDS coordinator confirmed that the contractures were not addressed in the care plan, and the CNA was unaware of any required interventions for the contractures.
Failure to Provide Routine Fingernail Care
Penalty
Summary
Facility staff failed to provide routine fingernail care for one resident who was unable to trim their own nails. The resident, who was moderately impaired in decision-making according to a recent BIMS assessment, was observed on multiple occasions to have fingernails approximately 1/4 inch long. Although the resident's care plan indicated that activities of daily living and personal care would be completed with staff support as appropriate, the resident reported that staff had not recently offered to trim their nails and that they were unable to do it themselves. Interviews with staff revealed that CNAs were responsible for trimming fingernails unless the resident was diabetic, in which case a nurse would perform the task. Both LPN and CNA staff acknowledged that the resident's nails were long and needed trimming, and that nail care was typically assessed daily, especially on shower days. Facility policy required daily grooming, including nail care, but this was not provided as needed for the resident in question.
Failure to Implement and Document Contracture Interventions
Penalty
Summary
Facility staff failed to implement interventions to prevent the worsening of contractures for a resident with bilateral contractures in both hands and feet. The resident was repeatedly observed lying in bed with contracted hands and feet, and no contracture-related devices were in use during these observations. Interviews with nursing and therapy staff confirmed awareness of the contractures, but there was no evidence in the clinical record or therapy notes that the contractures had been assessed or that interventions had been implemented. Nursing staff stated that interventions, such as floating heels and placing items in the resident's hands, were used as tolerated, but there was no documentation to support these claims or to indicate the resident's tolerance or refusal. Further review revealed that therapy staff had not assessed or treated the contractures, and previous therapy records were unavailable due to changes in therapy providers. The facility's policy indicated that range of motion exercises were performed daily with bathing and were not documented. However, there was no evidence that these exercises or any other interventions were being carried out or documented for the resident's contractures, leading to a failure to address the resident's needs for maintaining or improving range of motion.
Failure to Maintain Physician-Ordered Oxygen Flow Rate
Penalty
Summary
Facility staff failed to provide respiratory care and services as ordered for one resident with COPD and respiratory failure. The resident was admitted with these diagnoses and had a physician's order for oxygen therapy at a flow rate of two liters per minute via nasal cannula. Multiple observations on different days revealed that the oxygen flow rate being delivered to the resident was between two and three liters per minute, rather than the prescribed two liters per minute. The resident's care plan also specified that oxygen therapy should be administered at the ordered rate and device. Staff interviews confirmed that the correct method for reading the oxygen flow meter is to ensure the bottom of the float ball is on the prescribed liter line, as also indicated in the manufacturer's instructions and facility policy. Despite these guidelines, the oxygen flow rate was not maintained at the physician-ordered level during the observed periods. The deficiency was brought to the attention of facility administrative and nursing leadership, but no additional information was provided prior to the survey exit.
Failure to Monitor for Side Effects of Psychoactive Medications
Penalty
Summary
Facility staff failed to monitor for side effects in residents receiving psychoactive medications. For one resident, there were active orders for Risperidone 0.5 mg daily and Sertraline 50 mg daily, both of which were administered as ordered according to the medication administration records for March and April 2025. However, a review of the clinical record did not reveal any evidence that staff were monitoring for side effects associated with these medications. Another resident was prescribed Seroquel 50 mg nightly, which was also administered as ordered during the same period. Similarly, there was no documentation or evidence in the clinical record that staff monitored for side effects related to this medication. Interviews with the DON confirmed that the facility is responsible for monitoring side effects of all psychoactive medications, and acknowledged that the facility's software sometimes triggers reminders for such monitoring, but in these cases, it had not done so. A review of the facility's policy on Psychotropic Drug Therapy did not reveal specific steps for monitoring side effects of psychoactive medications. No additional information or documentation regarding monitoring was provided prior to the survey exit.
Failure to Maintain Complete and Accurate Clinical Records
Penalty
Summary
Facility staff failed to maintain complete and accurate clinical records for two residents. For one resident with an indwelling urinary catheter, staff did not document the catheter care provided each shift. Although the resident and a CNA confirmed that catheter care was performed regularly, there were no physician orders for catheter care and no documentation in the clinical record to reflect that this care was being provided. The CNA stated she was unaware of any place in the record to document this care. For another resident, staff did not document the initial observation of swelling and redness to the left knee. The resident, who had a history of coronary artery disease, dementia, atrial fibrillation, cerebrovascular accident, osteoarthritis, and previous knee replacement, was noted to have swelling and redness by a CNA, which was reported to the LPN. The LPN assessed the knee and notified the physician using a communication book, but did not document the assessment or findings in the medical record. The physician later evaluated the resident, ordered an x-ray, and the resident was sent to the ER after an acute fracture was identified. Facility policy requires that all actions taken in response to a resident's problem be documented in the medical record, as it serves as legal proof of care provided. In both cases, the lack of documentation failed to meet accepted professional standards for maintaining complete and accurate clinical records.
Failure to Post Daily Nurse Staffing Information in Accessible Location
Penalty
Summary
Facility staff failed to post daily nurse staffing information prior to the start of the shift on one observed date and did not post the information in a location that was readily accessible to residents and visitors on three observed dates. Observations revealed that the staffing information was either missing or posted inside the nurses' station, which was not accessible to residents or visitors due to privacy reasons. The posting was placed inside a plastic page protector on an interior wall, making it difficult to see, especially for individuals in wheelchairs or with poor eyesight. Interviews with staff, including an LPN and the director of nursing, confirmed that the night nurse was responsible for posting the daily staffing information and that the posting was typically hung inside the nurses' station. The director of nursing acknowledged that the posting was not completed prior to the start of the shift on one date and that the location was not accessible to residents or visitors. The administrator later confirmed via email that the facility did not have a policy regarding daily staff posting and stated that they followed federal regulations.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 citations issued around you in the last 12 months — including the immediate-jeopardy cases — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Keysville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Hall-blackstone | 13.4 mi | ★★★★★ | 0 | 0 |
| Twin Lakes Rehabilitation And Nursing | 18.3 mi | ★★★★★ | 0 | 0 |
| Chase City Health And Rehab Center | 18.8 mi | ★★★★★ | 0 | 0 |
| Farmville Health & Rehab Center | 23 mi | ★★★★★ | 0 | 0 |
| Holly Manor Rehab And Nursing | 24.7 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.