Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 285143

The Mulberry At Waverly

41 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $25,642.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
41
Total citations
28
Last 3 years
2
Actual harm+
3
Federal penalties
$25,642
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care14 Infection Control6 Resident Rights5 Medication & Pharmacy4 Care Planning3

Most common F-tags at this facility

F6845 F8804 F6893 F8123 F7602

Citation history

41 on record
SurveyF-TagViolationSeveritySource
Jun 24, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Apr 8, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Apr 8, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 5, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Dec 5, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Dec 5, 2024F759Ensure medication error rates are not 5 percent or greater.EComplaint
Dec 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 5, 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.EComplaint
Dec 5, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 5, 2024F732Post nurse staffing information every day.FStandard
Dec 5, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Aug 28, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 8, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Feb 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Jan 10, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 10, 2024F688Provide 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
Jan 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 10, 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
Jan 10, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard
Jan 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 12, 2023F880Provide and implement an infection prevention and control program.FComplaint
Mar 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 9, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 9, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 9, 2023F888Ensure staff are vaccinated for COVID-19DStandard
Mar 9, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 9, 2023F880Provide and implement an infection prevention and control program.EStandard
Mar 9, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 9, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 9, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Mar 9, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 9, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 9, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 9, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $25,642 and 1 payment-denial actions spanning 26 days.

DateTypeFinePayment denial
Dec 5, 2024Payment Denial—Feb 19, 2025 · 26 days
Jun 17, 2024Fine$9,805—
Dec 12, 2023Fine$15,837—
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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