Deficiency Records for The Mulberry at Waverly
Updated as of October 01, 2016
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? |
|---|---|---|---|---|
| Provide activities to meet the interests and needs of each resident. | Health | 2016-05-25 | 2016-06-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-25 | 2016-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-25 | 2016-06-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-05-25 | 2016-06-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-25 | 2016-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-25 | 2016-06-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-04-22 | 2015-06-07 | N |
| Provide housekeeping and maintenance services. | Health | 2015-04-22 | 2015-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-22 | 2015-06-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-04-22 | 2015-06-07 | N |
| Provide housekeeping and maintenance services. | Health | 2015-04-22 | 2015-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-22 | 2015-06-07 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Proper backup exit lighting. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Proper backup exit lighting. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-04-14 | 2015-05-28 | N |
| Approved construction type or materials. | Fire Safety | 2014-04-22 | 2014-07-02 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-04-22 | 2014-07-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-22 | 2014-07-02 | N |
| Approved construction type or materials. | Fire Safety | 2014-04-22 | 2014-07-02 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-04-22 | 2014-07-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-22 | 2014-07-02 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Proper backup exit lighting. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Proper backup exit lighting. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2014-04-22 | 2014-05-30 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-03 | 2014-05-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-04-03 | 2014-05-05 | N |
| Provide housekeeping and maintenance services. | Health | 2014-04-03 | 2014-05-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-04-03 | 2014-05-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-04-03 | 2014-05-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-04-03 | 2014-05-05 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-03 | 2014-05-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-04-03 | 2014-05-05 | N |
| Provide housekeeping and maintenance services. | Health | 2014-04-03 | 2014-05-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-04-03 | 2014-05-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-04-03 | 2014-05-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-04-03 | 2014-05-05 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2013-10-28 | 2013-12-12 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-10-28 | 2013-12-12 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2013-10-28 | 2013-12-12 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-10-28 | 2013-12-12 | Y |
