Wayland Nursing and Rehabilitation Center
730 Lunenburg Highw · Keysville, VA · 23947 · 4347368406
90 certified beds For profit - Corporation Chain: Principle Long Term Care
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (38 in the current record)
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Potential for harm · D April 16, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · D April 16, 2025
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 May 20, 2025 · Resident Rights
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Potential for harm · D April 16, 2025
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · D April 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · E April 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2025 · Nutrition and Dietary
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Potential for harm · D April 16, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 16, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 20, 2025 · Administration
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Potential for harm · D April 16, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 21, 2024 · Resident Rights
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No harm found · C April 16, 2025
Post nurse staffing information every day.
Corrected May 20, 2025 · Nursing and Physician Services
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Potential for harm · D July 28, 2022
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected September 1, 2022 · Resident Rights
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Potential for harm · D July 28, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2022 · Quality of Life and Care
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Potential for harm · D July 28, 2022
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 1, 2022 · Quality of Life and Care
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Potential for harm · D July 28, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected September 1, 2022 · Quality of Life and Care
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Potential for harm · E July 28, 2022
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected September 1, 2022 · Quality of Life and Care
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Potential for harm · D July 28, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 1, 2022 · Pharmacy Service
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Potential for harm · D July 28, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 1, 2022 · Pharmacy Service
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Potential for harm · D July 28, 2022
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected September 1, 2022 · Administration
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Potential for harm · E July 28, 2022
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected September 1, 2022 · Environmental
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Potential for harm · D July 28, 2022
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 1, 2022 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495226 · certified since November 30, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.