Deficiency Records for The Mulberry at Waverly
Updated as of June 01, 2020
This is not the most recent data for The Mulberry at Waverly. For the most recent information, click here.
A list of the most recent deficiencies for The Mulberry at Waverly. 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? |
|---|---|---|---|---|
| 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. | Health | 2019-10-31 | 2019-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-12-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-31 | 2019-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-31 | 2019-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-31 | 2019-12-15 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-01 | 2019-12-13 | 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 | 2019-11-01 | 2019-12-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-11-01 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-01 | 2019-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-01 | 2019-12-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-01 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-01 | 2019-12-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-01 | 2019-12-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Be properly staffed | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-18 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-18 | 2018-08-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-07-18 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-18 | 2018-08-31 | 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 | 2017-08-17 | 2017-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-17 | 2017-09-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-08-17 | 2017-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-17 | 2017-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-17 | 2017-09-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-10 | 2017-09-19 | N |
