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WAYNE WOODLANDS MANOR

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WAYNE WOODLANDS MANOR is a non profit - corporation facility in WAYMART, PA with 117 certified beds and a 1-star overall CMS rating. The facility has 34 deficiency records on file. Total penalties: $12K.

37 WOODLANDS DRIVE, WAYMART, PA 18472

Phone: 5704887130

Overall Rating

1/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
395936
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
117
Residents
91
In Hospital
No
County
Wayne
Last Inspection
Nov 21, 2025

Staffing Data

RN Hours
0.49 (nat'l avg: 0.68)
LPN Hours
0.94
CNA Hours
2.37
Total Nursing Hours
3.81 (nat'l avg: 3.89)
PT Hours
0.10
Nursing Turnover
60.5%
RN Turnover
75.0%

What the CMS Record Reveals About WAYNE WOODLANDS MANOR

WAYNE WOODLANDS MANOR operates 117 certified beds in WAYMART, PA with approximately 91 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $12K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.81 total nursing hours per resident day (national average 3.89), with RN coverage at 0.49 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, WAYNE WOODLANDS MANOR falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 60.5%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

D — Isolated - Minimal harm Nov 21, 2025 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Jan 13, 2026

D — Isolated - Minimal harm Nov 21, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 13, 2026

D — Isolated - Minimal harm Nov 21, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2026

F — Widespread - Minimal harm Nov 21, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jan 13, 2026

E — Pattern - Minimal harm Nov 21, 2025 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 13, 2026

E — Pattern - Minimal harm Nov 21, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 13, 2026

E — Pattern - Minimal harm Nov 21, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 13, 2026

D — Isolated - Minimal harm Nov 21, 2025 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2026

G — Isolated - Actual harm Nov 21, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2026

D — Isolated - Minimal harm Jul 8, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 31, 2025

G — Isolated - Actual harm Feb 14, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 10, 2025

E — Pattern - Minimal harm Feb 14, 2025 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2025

D — Isolated - Minimal harm Feb 14, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2025

D — Isolated - Minimal harm Feb 14, 2025 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2025

B — Pattern - No harm Feb 14, 2025 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2025

E — Pattern - Minimal harm Feb 14, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 10, 2025

D — Isolated - Minimal harm Feb 14, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 10, 2025

E — Pattern - Minimal harm Feb 14, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2025

E — Pattern - Minimal harm Aug 5, 2024 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 17, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 17, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 17, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 17, 2024

G — Isolated - Actual harm Aug 5, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 17, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 21, 2024

E — Pattern - Minimal harm Apr 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm Apr 5, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2024

E — Pattern - Minimal harm Apr 5, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm Apr 5, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm Apr 5, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm Apr 5, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 4, 2024

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 4, 2024

D — Isolated - Minimal harm Aug 30, 2023 Tag: 0563

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Category: Resident Rights Deficiencies

Corrected: Sep 20, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 5.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 91.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 31.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 32.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.3% Yes

Penalty History 1 penalties totaling $12K

Date Type Amount
May 19, 2023 Fine $12K

Frequently Asked Questions

What is the overall CMS rating for WAYNE WOODLANDS MANOR?
WAYNE WOODLANDS MANOR has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (1★).
What are the staffing levels at WAYNE WOODLANDS MANOR?
WAYNE WOODLANDS MANOR reports 3.81 total nursing hours per resident day (national average: 3.89). RN hours are 0.49 per resident day (national average: 0.68). Nursing staff turnover is 60.5%.
How many beds does WAYNE WOODLANDS MANOR have?
WAYNE WOODLANDS MANOR has 117 certified beds with approximately 91 residents. The facility is located at 37 WOODLANDS DRIVE, WAYMART, PA 18472.
Does WAYNE WOODLANDS MANOR have any deficiencies on record?
Yes, WAYNE WOODLANDS MANOR has 34 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has WAYNE WOODLANDS MANOR received any fines or penalties?
Yes, WAYNE WOODLANDS MANOR has received 1 penalties totaling $12K.
Who owns WAYNE WOODLANDS MANOR?
WAYNE WOODLANDS MANOR is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was WAYNE WOODLANDS MANOR last inspected?
The most recent health inspection for WAYNE WOODLANDS MANOR was on Nov 21, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for WAYNE WOODLANDS MANOR?
WAYNE WOODLANDS MANOR is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial