Facility profile · CCN 445157
Mulberry Health & Rehabilitation
35 federal citations on record , including 5 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202635
Total citations
16
Last 3 years
5
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
35 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 27, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 27, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 27, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 27, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 15, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 15, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Jun 15, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 15, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard |
| Jun 15, 2023 | F761 | 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 | Standard |
| Jun 15, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jun 15, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 15, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 15, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jun 15, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 15, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Jun 15, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Jul 19, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 19, 2021 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | K | Standard |
| Jul 19, 2021 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Standard |
| Jul 19, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 19, 2021 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | K | Standard |
| Jul 19, 2021 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Standard |
| Jul 19, 2021 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Jul 19, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 19, 2021 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Jul 19, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 19, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 19, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Jul 19, 2021 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard |
| Nov 19, 2019 | F924 | Put firmly secured handrails on each side of hallways. | D | Standard |
| Nov 19, 2019 | F761 | 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 | Standard |
| Nov 19, 2019 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Nov 19, 2019 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Nov 19, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 19, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
Concerned about care at Mulberry Health & Rehabilitation?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys