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Waverly Heights

1400 Waverly Road, Gladwyne, PA 19035 · Montgomery County · (610) 645-8600

31 certified beds, about 24 residents a day · Non profit - Corporation · Medicare since 1986

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395718 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 5, 2026, inspectors cited 2 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 6 health citations since April 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 7.52 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 3.00 of those hours.

16.7% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
0B
1C
April 9, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased 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.
February 5, 2026Standard inspection · 2 citations
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on observations, Review of facility policies and clinical records. Interview with staff. It was determined that the facility failed to ensure an effective infection control program. related to tube feeding and oxygen administration. Three of 12 residents reviewed. (Resident R1, R8 and R3). Findings Include:Review of facility policy, titled OXYGEN ADMINISTRATION AND CARE OF EQUIPMENT, dated January 1, 20218, revealed, Change cannula bi-weekly and as needed. Date and time should be on bottle and cannula. Oxygen tubing should be placed in a plastic bag attached to the concentrator when not in use. Observation of the facility nurses' station on February 4, 2026, at 12:15 p.m., with Employee E3, Infection Control Nurse, Employee E3, revealed that the tube feeding stand for Resident R1 was inside the nurse's station medication room. [...]
  2. C
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on the review of facility provided documentation and interview with staff, it was determined that facility did not ensure to include as part of its Quality Assurance and Performance Improvement (QAPI) program mandatory training that outlines and informs staff of the elements and goals of the facility's QAPI program for four of five employees reviewed (Employees E4, E5, E6 ,E7 and E8)
February 21, 2025Standard inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on a review of facility policy, observation, and staff interviews, it was determined that the facility failed to establish, implement and maintain an effective infection control program related to enhanced barrier precaution, relating to staff education, proper signage and available personal protective equipment (PPE) for three of three reviewed. (Resident 3, Resident R10, and Resident 129)
April 25, 2024Standard inspection · 2 citations
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 27, 2024
    Inspectors wroteBased on the review of clinical records and interview with staff, it was determined that the facility failed to notify the resident and the resident's representative(s) of the transfer to the hospital and the reasons for the transfer in a timely manner for one of 12 residents reviewed (Resident R8).
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 27, 2024
    Inspectors wroteBased on review of the clinical records, review of facility policies and interviews with staff, it was determined that the facility failed to ensure that a resident was free of significant medication error related to the receiving wrong medication which was prescribed for another resident for one of 4 residents reviewed for medication administration (Resident R9).

Fire safety inspections

13 fire safety citations on file: 2 on February 5, 2026, 7 on February 21, 2025, 4 on April 25, 2024.

Every fire safety citation13 citations
  1. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · February 5, 2026 · Corrected (the home has a date of correction)
  2. E
    Install properly constructed and protected linen or trash chutes.
    K 541 · February 5, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 21, 2025 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 21, 2025 · Corrected (the home has a date of correction)
  5. E
    Install a two-hour-resistant firewall separation.
    K 133 · February 21, 2025 · Corrected (the home has a date of correction)
  6. E
    Install an approved automatic sprinkler system.
    K 351 · February 21, 2025 · Corrected (the home has a date of correction)
  7. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 21, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 21, 2025 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 21, 2025 · Corrected (the home has a date of correction)
  10. E
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · April 25, 2024 · Corrected (the home has a date of correction)
  11. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 25, 2024 · Corrected (the home has a date of correction)
  12. E
    Install properly constructed and protected linen or trash chutes.
    K 541 · April 25, 2024 · Corrected (the home has a date of correction)
  13. E
    Have proper medical gas storage and administration areas.
    K 923 · April 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)7.523.893.86
Registered nurses3.000.790.69
All nursing staff on weekends7.113.533.42
Nurse aides4.50
Licensed practical nurses0.02
Nursing staff turnover (share who left in a year)16.7%44.5%45.8%
Registered nurse turnover13.3%39.9%42.9%
Administrators who left0

CMS expects 3.87 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 7.69 on weekdays and 7.11 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.10 in April to June 2025 to 7.52 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20267.523.007.697.11 0.0%0 of 9024
Oct to Dec 20256.552.636.736.10 0.0%0 of 9227
Jul to Sep 20255.932.286.115.48 0.0%0 of 9229
Apr to Jun 20256.102.416.335.52 0.0%0 of 9128
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.716.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.617.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.717.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.422.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.29.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.21.8

Owners and operators

Legal business name: WAVERLY HEIGHTS.

NameRoleTypeShareSince
Waverly Senior Services5% or greater direct ownership interestOrganization100%07/01/2023
Feher, MeredithCorporate officerIndividual06/24/2021
Garvin, ThomasCorporate officerIndividual07/04/2010
Supper, RobertCorporate officerIndividual06/24/2021
Waverly Senior ServicesOperational/managerial controlOrganization07/01/2023
Feher, MeredithOperational/managerial controlIndividual06/24/2021
Waverly Senior ServicesAdp of the SNFOrganization03/19/2025
Feher, MeredithAdp of the SNFIndividual03/07/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 5, 2026: "Provide and implement an infection prevention and control program."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on February 5, 2026: "Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 25, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."

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Pennsylvania contacts for a concern about a nursing home

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Common questions

What is Waverly Heights's Medicare star rating?
CMS rates Waverly Heights 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waverly Heights get at its last inspection?
2 health deficiencies at the standard inspection on February 5, 2026. The Pennsylvania average is 10.
Has Waverly Heights been fined?
CMS lists no fines in the last three years.
Does Waverly Heights accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Waverly Heights?
CMS lists 8 owners and managers. Legal business name: WAVERLY HEIGHTS.

Sources

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