Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395618

Mulberry Healthcare And Rehabilitation Cent

49 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $24,042.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
49
Total citations
46
Last 3 years
3
Actual harm+
1
Federal penalties
$24,042
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care13 Medication & Pharmacy7 Resident Rights7 Administration6 Nutrition & Dietary5

Most common F-tags at this facility

F8123 F8673 F8803 F6893 F7553

Citation history

49 on record
SurveyF-TagViolationSeveritySource
Dec 22, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 8, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 8, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Dec 8, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 8, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
Dec 8, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Dec 8, 2025F675Honor each resident's preferences, choices, values and beliefs.DStandard
Dec 8, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Jan 23, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 14, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 18, 2024F880Provide and implement an infection prevention and control program.DStandard
Oct 18, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Oct 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 18, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Oct 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
Oct 18, 2024F761Ensure 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.DStandard
Oct 18, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 18, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 18, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Oct 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Oct 18, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 18, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Oct 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Oct 18, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Oct 18, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 4, 2024F685Assist a resident in gaining access to vision and hearing services.EComplaint
Jan 31, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Dec 7, 2023F880Provide and implement an infection prevention and control program.DStandard
Dec 7, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Dec 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 7, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Dec 7, 2023F761Ensure 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.DStandard
Dec 7, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 7, 2023F732Post nurse staffing information every day.CStandard
Dec 7, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.CStandard
Dec 7, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 7, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Dec 7, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 7, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 7, 2023F641Ensure each resident receives an accurate assessment.DStandard
Dec 7, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Mar 10, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.LComplaint
Mar 10, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
Mar 10, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $24,042 .

DateTypeFinePayment denial
Oct 18, 2024Fine$24,042—
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.

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