Wayne Woodlands Manor
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.
Inspection Findings
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: