Federal inspection record · CMS data as of October 1, 2026

Waverly Hills Post Acute

895 Powers Blvd, Waverly, TN · (931) 296-7552

CMS overall rating

1 of 5

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Certified beds
100
Residents per day
63
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 9, 1990

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Waverly Hills Post Acute carries 76.25 inspection points. That is fewer than 13% of Tennessee's 300 rated homes.

5★4★3★2★1★+9 homes above 175.505102550100inspection points → fewer is better on the leftThis home · 76.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–17 pts
  • 3★ 17–31 pts
  • 2★ 31–61 pts
  • 1★ over 61 pts

Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 15, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 1, 2026

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 17, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected September 12, 2023

Everything else, by area of care

Quality of Life and Care5D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 18, 2025 · Standard · F689 · Corrected July 12, 2025

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 18, 2025 · Standard · F695 · Corrected July 12, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 17, 2024 · Standard · F684 · Corrected August 13, 2024

  4. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    July 17, 2024 · Standard · F698 · Corrected August 13, 2024

  5. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    August 17, 2023 · Standard · F690 · Corrected September 12, 2023

Administration3E
  1. D

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    June 18, 2025 · Standard · F851 · Corrected July 12, 2025

  2. E

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    August 17, 2023 · Standard · F949 · Corrected September 12, 2023

  3. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    August 17, 2023 · Standard · F867 · Corrected September 12, 2023

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    June 18, 2025 · Standard · F880 · Corrected July 12, 2025

  2. E

    Provide and implement an infection prevention and control program.

    August 17, 2023 · Standard · F880 · Corrected September 12, 2023

  3. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    August 17, 2023 · Standard · F883 · Corrected September 12, 2023

Resident Rights3D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    July 17, 2024 · Standard · F550 · Corrected August 13, 2024

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 17, 2023 · Standard · F554 · Corrected September 12, 2023

  3. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 17, 2023 · Standard · F584 · Corrected September 12, 2023

Pharmacy Service2E
  1. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    July 17, 2024 · Standard · F761 · Corrected August 13, 2024

  2. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    August 17, 2023 · Standard · F761 · Corrected September 12, 2023

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 17, 2024 · Standard · F812 · Corrected August 13, 2024

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 17, 2024 · Standard · F921 · Corrected August 13, 2024

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 17, 2023 · Standard · F725 · Corrected September 12, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 17, 2023 · Standard · F609 · Corrected September 12, 2023

Resident Assessment and Care Planning1D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 17, 2023 · Standard · F842 · Corrected September 12, 2023

Inspection history

  1. 2025-06-18

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-07-17

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-08-17

    12 health deficiencies · 1 fire-safety deficiencies

    Top issue: Administration (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 47 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

4 h 47 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 58% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$15,288 in federal fines on record over the past three years.

DatePenaltyAmount
2026-04-15Fine$15,288

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine45.7 pts worse43.8%89.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.3 pts worse84.5%93.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better3.0%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms84.6 pts worse99.5%14.9%13.5%
Percentage of long-stay residents who lose too much weight4.1 pts better1.9%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication23.2 pts worse54.9%31.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.2 pts worse25.2%17.0%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.4 pts better11.0%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better5.9%13.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.3%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts worse2.5%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better16.5%19.0%18.3%
Percentage of long-stay residents with pressure ulcers1.3 pts worse6.1%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine51.4 pts worse28.0%79.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts better6.9%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better0.0%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine48 pts worse31.2%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.3 pts worse32.9%22.6%23.4%

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness3D
  1. D

    Conduct testing and exercise requirements.

    June 18, 2025 · E39 · Corrected July 11, 2025

  2. D

    Conduct testing and exercise requirements.

    July 17, 2024 · E39 · Corrected August 13, 2024

  3. D

    Include a process for Emergency Preparedness collaboration.

    July 17, 2024 · E9 · Corrected August 13, 2024

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure proper usage of power strips and extension cords.

    June 18, 2025 · K920 · Corrected July 11, 2025

Smoke1D
  1. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 17, 2024 · K345 · Corrected August 13, 2024

Miscellaneous1D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 17, 2024 · K761 · Corrected August 13, 2024

Egress1D
  1. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    August 17, 2023 · K223 · Corrected August 25, 2023

·

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