Woodland Terrace

1922 Fifth Avenue NW
Waverly, IA, 50677
3193524540
CCN: 165442
4
Overall
3
Health
4
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
FAGRE, LEEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GEISE, PAULAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHEA, VERONICAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZUMBACH, PEGGYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (14)
2025-08-27 · Health
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F600 · 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.
2025-05-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · 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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
B
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
B
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2024-05-30 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-04-04 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-13 · Health
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F657 · 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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.14
3.68
RN Hrs/Resident/Day
0.94
0.54
LPN Hrs/Resident/Day
0.37
0.81
CNA Hrs/Resident/Day
2.83
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01