Waverly Hills Post Acute
895 Powers Blvd · Waverly, TN · 37185 · 9312967552
100 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $48,110 |
Inspection citations (23 in the current record)
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Immediate jeopardy · J April 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D June 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 12, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 12, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 12, 2025 · Administration
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Potential for harm · D June 18, 2025
Provide and implement an infection prevention and control program.
Corrected July 12, 2025 · Infection Control
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Potential for harm · D July 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 13, 2024 · Resident Rights
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Potential for harm · D July 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 13, 2024 · Quality of Life and Care
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Potential for harm · D July 17, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 13, 2024 · Quality of Life and Care
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Potential for harm · D July 17, 2024
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.
Corrected August 13, 2024 · Pharmacy Service
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Potential for harm · E July 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 13, 2024 · Nutrition and Dietary
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Potential for harm · E July 17, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 13, 2024 · Environmental
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Immediate jeopardy · J August 17, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2023 · Quality of Life and Care
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Potential for harm · D August 17, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 12, 2023 · Resident Rights
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Potential for harm · D August 17, 2023
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.
Corrected September 12, 2023 · Resident Rights
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Potential for harm · D August 17, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 12, 2023 · Quality of Life and Care
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Potential for harm · E August 17, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 12, 2023 · Nursing and Physician Services
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Potential for harm · D August 17, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 17, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 12, 2023 · Administration
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Potential for harm · E August 17, 2023
Provide and implement an infection prevention and control program.
Corrected September 12, 2023 · Infection Control
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Potential for harm · D August 17, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 12, 2023 · Infection Control
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Potential for harm · E August 17, 2023
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected September 12, 2023 · Administration
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Potential for harm · D August 17, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 12, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 17, 2023 · found via complaint
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.
Corrected September 12, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 17, 2023 | Fine | $48,110 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445251 · certified since April 9, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.