{"schema_version":"1.0.0","facility":{"id":"cms-445251","ccn":"445251","name":"Waverly Hills Post Acute","source_name":"Waverly Hills Post Acute","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TN","address":{"line1":"895 Powers Blvd","city":"Waverly","state":"TN","zip":"37185","county_name":"Humphreys County","county_fips":"47085","county_method":"name_match","ssa_county_code":"420","urban":false},"location":{"lat":36.1025,"lon":-87.783,"method":"cms_published_coordinates"},"phone":"9312967552","certification":{"authority":"CMS","ccn":"445251","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1990-04-09","certified_beds":100,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/445251"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":100,"avg_residents_per_day":62.6},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":3},"short_stay_qm":{"value":4},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.94455,"lpn_hprd":1.35277,"rn_hprd":0.4798,"licensed_hprd":1.83258,"total_nurse_hprd":4.77712,"weekend_total_nurse_hprd":4.68412,"weekend_rn_hprd":0.37757,"pt_hprd":0.02217,"nursing_turnover_pct":58.2,"rn_turnover_footnote":"27","administrators_left":1,"case_mix_index":1.78011,"case_mix_index_ratio":1.26226,"case_mix_total_nurse_hprd":4.92389,"adjusted_total_nurse_hprd":3.75488,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-06-18","cycle1_deficiencies":5,"cycle1_score":91,"cycle2_date":"2024-07-17","cycle23_deficiencies":6,"cycle23_score":32,"total_weighted_score":76.25},"cms_penalty_counts":{"fines":1,"fine_total":15288,"payment_denials":0,"total":1},"first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/445251","provenance":[{"source_id":"cms_provider_info","source_record_id":"445251","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"445251","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"ownership_not_available":true,"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-04-15","latest_standard_health":"2025-06-18","earliest_date":"2023-08-17","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":30,"health_count":23,"fire_count":7,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":2,"serious_count":2,"complaint_count":1,"by_severity":{"immediate_jeopardy":2,"potential":28},"by_scope_severity":{"J":2,"D":22,"E":6},"by_concept":{"clinical_care":8,"emergency_preparedness":3,"environment_life_safety":5,"administration":3,"infection_prevention":3,"food_nutrition":1,"resident_rights":4,"medication":2,"staffing":1},"type_ids":["cms-f0689","cms-e0039","cms-k0920","cms-f0695","cms-f0851","cms-f0880","cms-e0009","cms-k0345","cms-k0761","cms-f0812","cms-f0921","cms-f0550","cms-f0684","cms-f0698","cms-f0761","cms-k0223","cms-f0725","cms-f0949","cms-f0554","cms-f0584","cms-f0609","cms-f0690","cms-f0842","cms-f0867","cms-f0883"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":15288,"payment_denials":0,"latest_date":"2026-04-15"},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-445251","ccn":"445251","name":"Waverly Hills Post Acute","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TN","city":"Waverly","zip":"37185","county_fips":"47085","county_name":"Humphreys County","address":"895 Powers Blvd","beds":100,"residents":62.6,"ownership":"for_profit","lat":36.1025,"lon":-87.783,"overall":1,"health_rating":1,"staffing_rating":2,"qm_rating":4,"nurse_hprd":4.78,"turnover":58.2,"inspections":7,"last_inspection":"2026-04-15","deficiencies":30,"serious":2,"ij":2,"open":0,"penalties":1,"fines_total":15288,"deficiency_type_ids":["cms-f0689","cms-e0039","cms-k0920","cms-f0695","cms-f0851","cms-f0880","cms-e0009","cms-k0345","cms-k0761","cms-f0812","cms-f0921","cms-f0550","cms-f0684","cms-f0698","cms-f0761","cms-k0223","cms-f0725","cms-f0949","cms-f0554","cms-f0584","cms-f0609","cms-f0690","cms-f0842","cms-f0867","cms-f0883"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-445251-20260415-health","ccn":"445251","date":"2026-04-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2026-05-01","cmp":1}]},{"id":"cms-445251-20250618-fire","ccn":"445251","date":"2025-06-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0039","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-11","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-11","std":1,"tv":"New"}]},{"id":"cms-445251-20250618-health","ccn":"445251","date":"2025-06-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-12","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-12","std":1},{"t":"cms-f0851","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-12","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-12","std":1}]},{"id":"cms-445251-20240717-fire","ccn":"445251","date":"2024-07-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0009","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1,"tv":"New"},{"t":"cms-e0039","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1,"tv":"New"},{"t":"cms-k0345","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1,"tv":"New"}]},{"id":"cms-445251-20240717-health","ccn":"445251","date":"2024-07-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-13","std":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-13","std":1}]},{"id":"cms-445251-20230817-fire","ccn":"445251","date":"2023-08-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0223","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"}]},{"id":"cms-445251-20230817-health","ccn":"445251","date":"2023-08-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0867","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-12","std":1},{"t":"cms-f0949","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-12","std":1}]}],"deficiency_types":{"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0851":{"code":"F-0851","title":"Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-e0009":{"code":"E-0009","title":"Include a process for Emergency Preparedness collaboration.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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","concept":"medication","concept_label":"Medication management"},"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0949":{"code":"F-0949","title":"Provide behavior health training consistent with the requirements and as determined by a facility assessment.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"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","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0690":{"code":"F-0690","title":"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","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"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","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"}},"penalties":[{"id":"cms-445251-pen-f138516","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-04-15","amount":15288,"fine_id":"138516","evidence_class":"VERIFIED","source_record_id":"445251|Fine|138516"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445251&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TN","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.7,"staffing_rating":2.5,"avg_residents_per_day":83.4,"cycle1_health_deficiencies":4.3,"cycle1_fire_deficiencies":3.6,"nurse_aide_hprd":2.14,"lpn_hprd":1.08,"rn_hprd":0.5969,"licensed_hprd":1.68,"total_nurse_hprd":3.81924,"weekend_total_nurse_hprd":3.32104,"weekend_rn_hprd":0.39,"pt_hprd":0.08,"nursing_turnover_pct":48.6,"rn_turnover_pct":43.2,"administrators_left":0.6,"case_mix_index":1.48006,"fines":0.5,"fine_amount":20665,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TN","name":"Tennessee"},"county":{"fips":"47085","name":"Humphreys County"},"zip":"37185","city":"Waverly"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-445489","ccn":"445489","name":"Humphreys County Care and Rehabilitation","address":"104 Fort Hill Road","city":"Waverly","state":"TN","zip":"37185","beds":91,"overall":1,"inspections":6,"last_inspection":"2025-09-04","deficiencies":34,"serious":1,"ij":0,"open":0,"fines_total":10868,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.9}]}}