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Nursing HomeMedicaid Investigative

Waynesboro Post Acute & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

104 J V Mangubat Drive, Waynesboro, TN 38485109 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 35 Google reviews

5
4
3
2
1
Waynesboro Post Acute & Rehabilitation Nursing Home in Waynesboro, TN — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 5.0)
  • High RN turnover (67%)

Bottom 25% in TN · Below recommended RN staffing · Worst in LYON HEALTHCARE chain · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

This facility is highly regarded for its effective physical therapy and engaging activity programs, making it a strong candidate for rehabilitation. However, we recommend conducting a thorough tour of the specific room your loved one will occupy to ensure the physical environment meets your safety standards, as some recent reports have highlighted maintenance concerns in the rehab wing.

Google Reviews

Google Reviews

35 reviews on Google
Waynesboro Post Acute & Rehabilitation receives high praise for its dedicated therapy team and compassionate nursing staff, with many families noting that their loved ones thrived during their stay. However, there are significant concerns regarding facility maintenance and safety protocols in the rehab wing, as well as occasional lapses in dietary management and communication.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean8.0Activities9.0MedsN/AMemoryN/AComms6.0Value4.0

Strengths

  • Effective and encouraging physical therapy team
  • Clean and odor-free environment
  • Active and engaging resident activities
  • Friendly and compassionate nursing staff

Concerns

  • Poor facility maintenance and safety hazards in rehab wing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.3'18(3)4.85.0'20(1)4.04.4'22(8)5.03.0'24(4)4.9'25(8)

Distribution · 39 analyzed

5
28
4
4
3
5
2
0
1
2

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent feedback regarding maintenance in the rehab wing, what steps is the facility taking to ensure those areas are safe and well-maintained for residents?
  • 2I noticed the facility has a very active activity calendar; could you walk me through a typical week of programming and how you encourage residents to participate?
  • 3With the current staffing ratings from CMS, how do you ensure that residents consistently receive personalized attention and timely assistance throughout the day and night?
  • 4I see that you engage with some feedback online; how do you use family input to improve the quality of care and address concerns as they arise?
  • 5What is your protocol for handling urgent medical changes or emergencies, and how do you keep family members updated during those critical moments?
  • 6Since the facility is rated highly for its physical therapy team, how do you coordinate their efforts with the nursing staff to ensure a smooth recovery process for residents?

Personalized based on this facility's data


Key Review Excerpts

The therapists worked diligently and got my mom walking again and taught her how to dress and shower herself, make her bed, self ambulate from bed to chair, etc.

Long-term resident's family · 2024★★★★★

The Rehab center was a place I would not send my Dog. I took my wife there and the facility was terrible, No bed rails on bed, brought cushion beside bed if she rolled off to cushion the fall, ceiling looked water damage and portions were loose, a bunch of wires were in 1 plug.

Rehab patient's family · 2024☆☆☆☆

The halls are uncluttered and clean, and I have NEVER noticed that "nursing home smell". The staff have always been friendly & helpful, whether nurse or LNA.

Visitor · 2022★★★★★
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
67%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility35.5%
Worse than Avg
Here
35.5%
US
93.4%
TN
89.5%
Wayne
89.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility51.4%
Worse than Avg
Here
51.4%
US
12.1%
TN
12.9%
Wayne
7.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility43.1%
Worse than Avg
Here
43.1%
US
19.5%
TN
31.9%
Wayne
19.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
15.5%
TN
16.9%
Wayne
15.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
15.3%
TN
18.5%
Wayne
10.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.2%
Worse than Avg
Here
12.2%
US
5.3%
TN
6.3%
Wayne
6.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility35.4%
Worse than Avg
Here
35.4%
US
79.8%
TN
79.8%
Wayne
64.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility60.0%
Worse than Avg
Here
60.0%
US
81.8%
TN
79.4%
Wayne
67.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
TN
1.6%
Wayne
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (5.9)
4 complaint-triggered

This facility has concerning complaint-triggered deficiencies from families who filed reports, including recent issues with abuse protection and incident reporting in 2025. The most recurring problem areas involve resident safety and abuse prevention, care planning and medical records, and emergency preparedness. While all deficiencies show correction dates, the recent nature of serious safety violations warrants careful consideration during your visit.

Oct 22, 2025Complaint
4
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0842Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 20, 2022Routine
3
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Jun 27, 2018Routine
13
0580Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0657Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Actual harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0867Actual harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0020Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0026Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0036Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Waynesboro Post Acute & Rehabilitation

Organization Type

nonprofit

Chain Affiliation

Chain Name

Lyon Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 1.7/5 · Rank 13 of 14 (Worst)

Ownership & Management

Owners

Tn 2 Snf Operations Holdings LLC

Owner · Organization

100%

Key personnel

Bergin, MilesManaging Control - Governing BodyIdels, ShimonOfficer / DirectorBergin, MilesManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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