Deficiency Records for The Mulberry at Waverly
Updated as of September 01, 2019
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Have 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 |
