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Wayne Woodlands Manor

37 Woodlands Drive, Waymart, PA 18472 · Wayne County · (570) 488-7130

117 certified beds, about 96 residents a day · Non profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395936 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 22, 2026, inspectors cited 6 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 34 health citations since November 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $77,800 in the last three years; the largest was $57,330, and the latest is dated November 21, 2025.

Nurses and nurse aides worked 3.87 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.

59.5% 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 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
20D
8E
2F
Potential for minimal harm
0A
1B
0C
July 22, 2026Complaint inspection · 1 citation
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on a review of the clinical records of Resident 1 and Resident 2, representative of the facility's symptomatic resident population, select facility policies, observations, and staff interviews, it was determined the facility failed to implement an effective infection prevention and control program by failing to recognize and respond to a suspected respiratory outbreak, implement transmission-based precautions for symptomatic residents, and implement outbreak control measures after multiple residents developed similar respiratory symptoms affecting 56 residents out of 97 residents residing in the facility.
May 22, 2026Standard inspection · 6 citations
  1. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on select facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to consistently assess, monitor, and respond to significant weight changes to identify nutritional risks and implement timely nutritional interventions for three of twenty-four residents reviewed (Residents 1, 41, and 28).
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on select facility policy, clinical record review, and staff interview it was determined the facility failed to document the use of non-pharmacological interventions prior to the administration of a psychotropic medication for one of 24 residents reviewed (Resident 101).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Manual, Minimum Data Set (MDS) assessments, clinical record review, resident observation, and staff interviews, it was determined the facility failed to ensure the MDS assessments accurately reflected the residents' status for two of 24 residents reviewed (Resident 3 & Resident 26).
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on select facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to develop and maintain a comprehensive, person-centered care plan that accurately reflected a resident's pain management needs and interventions for one of 24 residents reviewed (Resident 3).
  5. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on select facility policy, clinical record review, and staff interviews it was determined the facility staff failed to follow physician orders when administering pain medication for one resident out of 24 reviewed (Resident 86).
  6. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on clinical record review and resident and staff interviews, it was determined the facility failed to ensure residents received necessary behavioral health care in a timely manner to attain or maintain the highest practicable mental and psychosocial well-being for one of 24 residents sampled (Resident 41).
November 21, 2025Standard inspection, Complaint inspection · 9 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on a review of clinical records, select facility policies, facility-provided investigative documentation, and staff interviews, it was determined the facility failed to prevent the development of pressure injuries and failed to perform timely and thorough assessments of pressure injuries resulting in actual harm for one (Resident 55) of two residents out of 20 sampled residents (Residents 55 and 49).
  2. F
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on observation, staff interviews, and review of facility policy, the facility failed to maintain a fully functioning resident call bell system that ensured residents could directly and promptly request assistance from staff for three of four halls in the facility (Green Hall, Mauve Hall, and Blue Hall).
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on review of clinical records, select facility policy, observation, and staff interview, it was determined that the facility failed to implement effective procedures to maintain accurate records of controlled drugs and ensure accurate drug administration for one resident out of 20 sampled (Resident 74).
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on observation, review of select facility policy and clinical records, and staff interviews, it was determined the facility failed to adhere to acceptable storage and labeling practices for multi-dose medications in one of two medication carts observed (Blue Hall C Unit).
  5. E
    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.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on review of scheduled mealtimes, review of select facility policy, resident interviews, and staff interviews, the facility failed to ensure that residents were consistently offered a nutritious evening snack during the time interval between dinner and breakfast, resulting in the potential for more than 14 hours between meals without the required nutritional snack. This deficient practice was identified for 6 of 6 residents participating in a group interview who desired a bedtime snack. (Residents 35, 47, 50, 51, 51, and 75).
  6. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on a review of clinical records, facility policy, and staff interviews, it was determined the facility failed to develop and implement an individualized pain management program consistent with professional standards of practice, failed to attempt non-pharmacological interventions to alleviate pain prior to the administration of pain medication prescribed on an as needed basis, and failed to follow physician orders when administering pain medication for two residents out of 20 residents reviewed (Resident 74 and Resident CR1).
  7. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on clinical record review, review of facility-provided investigative documentation, care plan review, and facility staff interview, it was determined that the facility failed to develop and implement an individualized, person-centered plan of care to address dementia-related behaviors for one resident (Resident 31) out of a sample of 20 residents reviewed.
  8. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on a review of clinical records, select facility policy and staff interviews, it was determined the facility failed to ensure that a resident's drug regimen was free of unnecessary antibiotics for one out of 20 residents sampled (Resident CR1).
  9. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that laboratory and diagnostic test results were promptly provided to the ordering physician for one of twenty sampled residents (Resident CR1).
July 8, 2025Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 31, 2025
    Inspectors wroteBased on a review of clinical records, information submitted to the State Survey Agency through the Electronic Reporting System, facility email communication, and staff interviews, it was determined the facility failed to ensure that all allegations of resident abuse and misappropriation were thoroughly investigated and that complete investigation results were submitted to the State Survey Agency within five working days of the incident, as evidenced by one of one allegation of misappropriation reviewed involving two residents of six residents sampled (Residents CR1 and CR2).
February 14, 2025Standard inspection, Complaint inspection · 8 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on review of clinical records, the facility's abuse prohibition policy, and select investigative reports, and interviews with staff and residents, it was determined the facility failed to ensure that a resident was free from neglect by not utilizing a mechanical lift as planned to ensure safety and prevent major injury, fracture of the right femoral neck, for one resident, (Resident 5), out of 18 sampled residents reviewed for abuse prohibition.
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on a review of facility policy, the minutes from facility Resident Council meetings, and grievances lodged with the facility, and resident and staff interviews, it was determined the facility failed to put forth sufficient efforts to promptly resolve continued resident complaints and grievances expressed during Resident Council meetings and verbal grievances, including those voiced by six of six residents attending a resident group meeting (Residents 27, 69, 63, 2, 15, and 18) and failed to keep the residents apprised of the status of the facility's decisions and efforts toward grievance resolution.
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on a review of the facility's abuse prohibition policy, employee personnel files and staff interviews, it was determined the facility failed to fully develop and implement its established abuse prohibition procedures by not adequately screening five of five employees for employment (Employee 5, 6, 7, 8 and 10).
  4. E
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on clinical record review and staff interviews, it was determined the facility failed to ensure each resident received the necessary behavioral health care in a timely manner to attain or maintain the highest practicable mental and psychosocial well-being for two of 18 residents sampled (Residents 33 and 8).
  5. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteinterview, it was determined the facility failed to implement procedures to identify and prevent potential misappropriation of resident property, narcotic medications, for one resident out of 18 residents sampled (Resident 16).
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on a review of clinical records, facility documentation, staff interviews, and direct observation, it was determined the facility failed to provide necessary care and services to prevent urinary tract infections (UTIs) to the extent possible for one resident (Resident 65) with an indwelling urinary catheter out of 18 sampled residents.
  7. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on clinical record and select facility policy review and staff interviews, it was determined the facility failed to provide effective pain management and administer pain medication as prescribed by the physician and failed to attempt non-pharmacological interventions to alleviate pain prior to the administration of a narcotic pain medication prescribed on an as needed basis for one resident out of six residents sampled for pain (Resident 5).
  8. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2025
    Inspectors wroteBased on a review of clinical records and facility-initiated transfer notices and a staff interviews, it was determined the facility failed to provide written notice of facility-initiated hospital transfer to the resident and their representative for one resident out of the 18 residents sampled. (Resident 46).
August 5, 2024Complaint inspection · 5 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2024
    Inspectors wroteBased on a policy review, clinical record review, select document and investigation review, and resident and staff interviews, it was determined that the facility failed to protect residents from sexual abuse, resulting in psychosocial harm for one of four residents reviewed (Resident 1).
  2. E
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2024
    Inspectors wroteBased on staff interviews and a review of employee personnel records, it was determined that the facility failed to provide abuse prevention training to agency nursing staff for two of 5 reviewed (Employees 3 and 8).
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2024
    Inspectors wroteBased on a review of clinical records, policy review, and staff interviews, it was determined that the facility failed to submit a timely and thorough investigation of alleged sexual abuse to the State Survey Agency for one of four residents reviewed (Resident 1).
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2024
    Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to timely develop and implement a person-centered care plan to meet one resident's current needs for aggressive behaviors for one of nine residents reviewed (Resident 2). Findings including: Clinical record review revealed that Resident 2 was admitted to the facility on [DATE], with diagnoses to include dementia with behavioral disturbance. [...]
  5. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 17, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to maintain complete and accurate clinical records for one of four residents reviewed (Resident 1).
May 23, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 21, 2024
    Inspectors wroteBased on a review of clinical records and the facility's abuse prohibition policy and staff interviews, it was determined the facility failed to timely report alleged abuse of one resident out of 14 sampled (Resident 1) to the State Survey Agency.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 21, 2024
    Inspectors wroteBased on a review of clinical records, the facility's abuse prohibition policy and information provided by the facility it was determined the facility failed to promptly conduct a thorough investigation to rule out abuse and implement corrective action and submit the results of the completed investigation to the State Survey Agency within five working days of the incident as evidenced by one of 14 residents reviewed (Resident 1)
November 16, 2023Complaint inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2024
    Inspectors wroteBased on a review of clinical records and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set Assessments (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) accurately reflected the status of one resident out of six sampled (Resident 1).
  2. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2024
    Inspectors wroteBased on a review of clinical records and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered plan to address a resident's dementia-related behavioral symptoms for one out of six residents reviewed (Resident 1)

Fire safety inspections

14 fire safety citations on file: 4 on May 22, 2026, 7 on November 21, 2025, 3 on February 14, 2025.

Every fire safety citation14 citations
  1. E
    Use approved construction type or materials.
    K 161 · May 22, 2026 · Corrected (the home has a date of correction)
  2. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 22, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 22, 2026 · Corrected (the home has a date of correction)
  4. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 22, 2026 · Corrected (the home has a date of correction)
  5. E
    Use approved construction type or materials.
    K 161 · November 21, 2025 · Corrected (the home has a date of correction)
  6. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 21, 2025 · Corrected (the home has a date of correction)
  7. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 21, 2025 · Corrected (the home has a date of correction)
  8. C
    Provide properly protected cooking facilities.
    K 324 · November 21, 2025 · Corrected (the home has a date of correction)
  9. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 21, 2025 · Corrected (the home has a date of correction)
  10. C
    Have simulated fire drills held at unexpected times.
    K 712 · November 21, 2025 · Corrected (the home has a date of correction)
  11. C
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 21, 2025 · Corrected (the home has a date of correction)
  12. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 14, 2025 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 14, 2025 · Corrected (the home has a date of correction)
  14. E
    Meet requirements for the use of electrical equipment.
    K 919 · February 14, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 21, 2025Fine $57,330
August 5, 2024Fine $20,470

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.873.893.86
Registered nurses0.420.790.69
All nursing staff on weekends3.533.533.42
Nurse aides2.39
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)59.5%44.5%45.8%
Registered nurse turnover60.0%39.9%42.9%
Administrators who left0

CMS expects 3.26 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 4.01 on weekdays and 3.53 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.870.424.013.53 22.5%0 of 9096
Oct to Dec 20253.920.534.023.64 19.2%0 of 9286
Jul to Sep 20253.810.493.953.45 25.3%0 of 9291
Apr to Jun 20254.080.614.253.65 24.9%0 of 9186
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
25.216.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.23.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
28.117.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.94.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.417.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.622.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.29.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.21.8

Owners and operators

Legal business name: WAYNE WOODLANDS MANOR.

NameRoleTypeShareSince
Wayne Woodlands Manor5% or greater direct ownership interestOrganization100%07/01/1994
Fox, DianeManaging control - governing bodyIndividual10/31/2024
Gelderman, BridgetManaging control - governing bodyIndividual12/03/2024
Meagher, PaulManaging control - governing bodyIndividual10/31/2019
Moro, NancyManaging control - governing bodyIndividual10/31/2023
Mumford, DirkManaging control - governing bodyIndividual10/31/2020
Romance, JoanneManaging control - governing bodyIndividual10/31/2023
Rush, StantonManaging control - governing bodyIndividual10/31/2018
Zuber, PatManaging control - governing bodyIndividual10/31/2023
Wayne Memorial Health System Inc.Operational/managerial controlOrganization01/16/2025
Branning, PhillipOperational/managerial controlIndividual01/23/2025
Eisenhauer, JudyOperational/managerial controlIndividual09/03/2024
Fox, DianeTrustee of the SNFIndividual10/31/2024
Gelderman, BridgetTrustee of the SNFIndividual12/03/2024
Meagher, PaulTrustee of the SNFIndividual10/31/2019
Moro, NancyTrustee of the SNFIndividual10/31/2023
Mumford, DirkTrustee of the SNFIndividual10/31/2020
Romance, JoanneTrustee of the SNFIndividual10/31/2023
Rush, StantonTrustee of the SNFIndividual10/31/2018
Zuber, PatTrustee of the SNFIndividual10/31/2023
Wayne Memorial Health System Inc.Adp of the SNFOrganization01/23/2025
Wayne Woodlands ManorAdp of the SNFOrganization01/16/2025
Eisenhauer, JudyAdp of the SNFIndividual01/23/2025
Mera, MariaAdp of the SNFIndividual01/28/2025

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on May 22, 2026: "Provide enough food/fluids to maintain a resident's health."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 10 problems in this area, most recently on May 22, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on May 22, 2026: "Ensure each resident receives an accurate assessment."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on November 21, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."

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Pennsylvania contacts for a concern about a nursing home

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Common questions

What is Wayne Woodlands Manor's Medicare star rating?
CMS rates Wayne Woodlands Manor 1 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Wayne Woodlands Manor get at its last inspection?
6 health deficiencies at the standard inspection on May 22, 2026. The Pennsylvania average is 10.
Has Wayne Woodlands Manor been fined?
Yes. CMS lists 2 fines totaling $77,800 in the last three years.
Does Wayne Woodlands Manor accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Wayne Woodlands Manor?
CMS lists 24 owners and managers. Legal business name: WAYNE WOODLANDS MANOR.

Sources

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