Deficiency Records for Mulberry Healthcare and Rehabilitation Cent
Updated as of July 01, 2018
This is not the most recent data for Mulberry Healthcare and Rehabilitation Cent. For the most recent information, click here.
A list of the most recent deficiencies for Mulberry Healthcare and Rehabilitation Cent. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2017-04-11 | 2017-05-23 | 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 | 2017-04-11 | 2017-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-11 | 2017-05-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-11 | 2017-05-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-04-11 | 2017-05-23 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-06 | 2017-05-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-06 | 2017-05-23 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-06 | 2017-05-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-06 | 2017-05-23 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-06 | 2017-05-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-06 | 2017-05-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-04-06 | 2017-05-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-06 | 2017-05-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-06 | 2017-05-23 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-02-25 | 2017-03-28 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-25 | 2017-03-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-25 | 2017-03-28 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-01-12 | 2017-02-07 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-12 | 2017-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-12 | 2017-02-07 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-19 | 2017-01-24 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-19 | 2017-01-24 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-12-19 | 2017-01-24 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-12-19 | 2017-01-24 | Y |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-12-19 | 2017-01-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-19 | 2017-01-24 | Y |
| 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 | 2016-11-22 | 2016-12-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-04-27 | 2016-06-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-27 | 2016-06-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-27 | 2016-06-25 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-27 | 2016-06-25 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-04-27 | 2016-06-15 | N |
| Completely assess the resident at least every twelve months. | Health | 2016-04-27 | 2016-06-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-27 | 2016-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-27 | 2016-06-15 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-04-27 | 2016-06-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-27 | 2016-06-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-27 | 2016-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-27 | 2016-06-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-27 | 2016-06-15 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2016-04-27 | 2016-06-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-27 | 2016-06-15 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-04-27 | 2016-06-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-04-27 | 2016-06-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-27 | 2016-06-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-26 | 2016-06-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-05 | 2016-04-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-05 | 2016-04-27 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-04-05 | 2016-04-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-05 | 2016-04-27 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-10-29 | 2015-12-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-29 | 2015-12-01 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-10-26 | 2015-12-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-10-26 | 2015-12-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-26 | 2015-12-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-26 | 2015-12-01 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-10-09 | 2015-12-01 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-10-09 | 2015-12-01 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-10-09 | 2015-12-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-03-18 | 2015-04-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-03-18 | 2015-04-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-18 | 2015-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-18 | 2015-04-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-03-18 | 2015-04-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-03-18 | 2015-04-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-03-18 | 2015-04-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-18 | 2015-04-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Portable fire extinguishers. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-03 | 2015-04-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-26 | Not Fixed | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-26 | Not Fixed | Y |
