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Complaint Investigation

Wayne Woodlands Manor

November 21, 2025 · Waymart, PA · 37 Woodlands Drive
Citations 3
CMS Rating 1/5
Beds 117
Provider ID 395936
Healthcare Facility
Wayne Woodlands Manor
Waymart, PA  ·  View full profile →
Inspection Summary

WAYNE WOODLANDS MANOR in WAYMART, PA — inspection on November 21, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0697
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

provider order.

September 5, 2025, at 11:20AM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 6, 2025, at 1:33PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 9 despite the provider order.

September 7, 2025, at 04:47AMHydrocodone/Acetaminophen 5/325mg was administered for a pain scale 9 despite the provider order.

September 8, 2025, at 07:41AM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 8, 2025, at 7:51PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 8 despite the provider's order.

September 9, 2025, at 08:13AMHydrocodone/Acetaminophen 5/325mg was administered for a pain scale 8 despite the provider order.

September 9, 2025, at 8:14PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 10, 2025, at 5:18PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider's order.

September 12, 2025, at 08:44AMHydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 13, 2025, at 08:17AM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 14, 2025, at 06:39AM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 6 despite the provider order.

September 14, 2025, at 7:10PMHydrocodone/Acetaminophen 5/325mg was administered for a pain scale 9 despite the provider order.

September 15, 2025, at 05:49AM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 6 despite the provider order.

September 15, 2025, at 8:20PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 16, 2025, at 10:19AMHydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 16, 2025, at 7:51PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 17, 2025, at 02:37AM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 17, 2025, at 08:54AMHydrocodone/Acetaminophen 5/325mg was administered for a pain scale 7 despite the provider order.

September 17, 2025, at 4:31PM- Hydrocodone/Acetaminophen 5/325mg was administered for a pain scale 8 despite the provider order.

The clinical record did not contain documentation explaining clinical reasoning for these administrations when the pain levels did not meet the ordered parameters.An interview was conducted on November 21, 2025, at 12:35 PM with the Director of Nursing to review the findings related to CR1. 28 Pa.

Code 211.10(d) Resident care policies.28 Pa Code 211.12 (d)(3)(5) Nursing Services.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wayne Woodlands Manor

37 Woodlands Drive Waymart, PA 18472

SUMMARY STATEMENT OF DEFICIENCIES

During an interview with the Director of Nursing (DON) on November 20, 2025, at 1:15 PM, the DON reviewed the clinical findings with the surveyor.

The DON acknowledged the documented sequence of events and discussed that the antibiotic had been started before culture confirmation and without documented clinical symptoms. 28 Pa.

Code 211.10 (c) Resident care policies.28 Pa.

Code 211.12 (d)(3)(5) Nursing services

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wayne Woodlands Manor

37 Woodlands Drive Waymart, PA 18472

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on November 21, 2025, at approximately 12:00 PM, the Director of Nursing (DON) reviewed the above findings with the surveyor.

The DON did not provide an explanation for the absence of documentation showing the physician had been notified of the abnormal results or had reviewed the x-ray findings.

The DON confirmed that it is the facility's responsibility to ensure the physician is promptly provided with laboratory and diagnostic test results. 28 Pa Code 211.2 (d)(3) Medical director. 28 Pa Code 211.12 (d)(3) Nursing services.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WAYMART, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WAYNE WOODLANDS MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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