Deficiency Records for Mulberry Healthcare and Rehabilitation Cent
Updated as of February 01, 2019
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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-20 | 2018-09-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-20 | 2018-09-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-07-20 | 2018-09-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-20 | 2018-09-18 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-10 | 2018-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-26 | 2018-06-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-26 | 2018-06-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-26 | 2018-06-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-26 | 2018-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-26 | 2018-06-19 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-04-26 | 2018-06-19 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-04-26 | 2018-06-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-26 | 2018-06-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-26 | 2018-06-19 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-05-04 | 2018-06-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-04 | 2018-06-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-05-04 | 2018-06-19 | 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 | 2018-05-04 | 2018-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-04 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-04 | 2018-06-19 | N |
| 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 |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-26 | 2016-06-15 | Y |
| 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 |
| 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 |
| 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 |
