Public Record
Mulberry Creek Nursing & Rehab Center
Operated by Kissito Healthcare
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 300
- Avg. residents per day
- 188
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 14
- Fire safety findings
- 13
- Inspections on file
- 8
- Last inspection
- 2024-11-15
*CMS
*CMS
*CMS
*CMS
Citations
14 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0761Generalpotential for harm
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.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection3 deficiencies
- View inspection reportInspectionFire Safety11 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspection2 deficiencies
Ownership
Kissito Healthcare
6nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Mulberry Creek Nursing & Rehab Center?
- Mulberry Creek Nursing & Rehab Center is a Medicare- and Medicaid-certified nursing home in Martinsville, VA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 495426.
- What is the CMS rating for Mulberry Creek Nursing & Rehab Center?
- Mulberry Creek Nursing & Rehab Center has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Mulberry Creek Nursing & Rehab Center have?
- Mulberry Creek Nursing & Rehab Center is certified for 300 beds. It serves an average of 188 residents per day.
- How many citations does Mulberry Creek Nursing & Rehab Center have?
- Mulberry Creek Nursing & Rehab Center has 14 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Mulberry Creek Nursing & Rehab Center last inspected?
- Mulberry Creek Nursing & Rehab Center was last inspected on November 15, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/495426-mulberry-creek-nursing-rehab-center