Deficiency Records for Mulberry Healthcare and Rehabilitation Cent
Updated as of June 01, 2021
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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-18 | 2021-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-05-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-03-18 | 2021-05-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-18 | 2021-05-06 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-03-18 | 2021-05-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-18 | 2021-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-12-22 | 2021-01-26 | N |
| Respond appropriately to all alleged violations. | Health | 2020-12-22 | 2021-01-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-07-06 | 2020-08-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-06 | 2020-08-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-06 | 2020-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-06 | 2020-08-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-18 | 2020-01-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-07 | 2019-12-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-09-26 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-25 | 2019-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-25 | 2019-06-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-06-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-04-18 | 2019-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-18 | 2019-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-18 | 2019-06-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-04-18 | 2019-06-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-18 | 2019-06-11 | 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 | 2019-04-18 | 2019-06-11 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-04-18 | 2019-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-06-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-18 | 2019-06-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-18 | 2019-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-06-11 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-04-18 | 2019-06-11 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-30 | 2018-12-04 | Y |
| 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 |
| 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 |
