Pennsylvania Department of Health
WAVERLY HEIGHTS
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 43 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


WAVERLY HEIGHTS - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Based on an Abbreviated Survey in response to one reportable incident completed on April 09, 2026, it was determined that Waverly Heights was not in compliance with the following Requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related to the health portion of the survey process.

Plan of Correction:

483.25(d)(1)(2) REQUIREMENT Free of Accident Hazards/Supervision/Devices:

This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.

§483.25(d) Accidents.
The facility must ensure that -
§483.25(d)(1) The resident environment remains as free of accident hazards as is possible; and

§483.25(d)(2)Each resident receives adequate supervision and assistance devices to prevent accidents.

Observations: Based on review of clinical records, facility documentation, and staff interview, it was determined that the facility failed to ensure adequate assistance was provided during a transfer, resulting in a fall for one of three residents reviewed for falls (Resident R1). This was identified as past non-compliance. Findings include: Clinical record review revealed that Resident R1 was admitted to the facility on October 10, 2023, with diagnoses including atherosclerotic heart disease, polymyalgia rheumatica, and a history of falls. Review of Resident R1's care plan, dated October 10, 2023, indicated the resident was at risk for falls related to deconditioning. Further review of the care plan revealed that Resident R1 required a two-person assist for toileting and transfers. Review of the facility's investigation, dated March 30, 2026, revealed that Employee E1, Nurse Aide, attempted to transfer Resident R1 using a standing lift without assistance. During the transfer, the resident let go of the lift and their knees buckled. Employee E1 then called out to the resident's caregiver for assistance to help lower the resident to the floor. Review of Resident R1's private caregiver witness statement, dated March 24, 2026, revealed on March 24, 2026, "The (nurse aide), transferred (Resident R1) from bed to bathroom used sit to stand lift by self she gave shower and dressed her. I was sitting in chair by window, (nurse aide) called for my help. I went to bathroom (Resident R1) was slipping out sit stand lift we lowered her to the floor". An interview on April 09, 2026 at 10:54 a.m. with Director of Nursing, Employee E2, confirmed that Resident R1 required a two-person assist at time of the transfer. Following the incident on March 24, 2026, the facility implemented the following corrective actions: On March 24, 2026, Resident R1's care plan was immediately updated to specify the use of two staff members for transfers via Hoyer lift. From March 24, 2026, through March 30, 2026, in-service training was provided to all nurse aides and nurses, with ongoing training continuing as needed. From March 24, 2026, through April 6, 2026, staff competencies for sit-to-stand mechanical lifts were completed for all nurse aides and nursesStarting March 2026 and April 2026 all care plan and care cue cards were audited for accuracy and will continue monthly for the next 12 months. Review of Resident R1's clinical record and cue card confirmed correct transfer status is in place. This deficiency was identified as past non-compliance. 28 Pa. Code 201.14 (a) Responsibility of licensee. 28 Pa. Code 211.12 (d)(5) Nursing Services.

Plan of Correction - To be completed: 04/21/2026

Past noncompliance: no plan of correction required.

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement