Deficiency Records for Mulberry Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Mulberry Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Implement emergency and standby power systems. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-16 | 2023-04-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-17 | 2023-03-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-17 | 2023-03-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-17 | 2023-03-17 | N |
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. | Health | 2023-02-17 | 2023-03-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-03-17 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-24 | 2019-12-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-24 | 2019-12-16 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-10-24 | 2019-12-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-24 | 2019-12-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-24 | 2019-12-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-24 | 2019-12-16 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-26 | 2019-09-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-26 | 2019-09-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-26 | 2019-09-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-23 | 2018-11-20 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-23 | 2018-09-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-23 | 2018-09-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-23 | 2018-09-26 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-08-24 | 2018-09-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-24 | 2018-09-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-09-23 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-08-24 | 2018-09-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-24 | 2018-09-23 | N |