The Mulberry At Waverly has received an F grade based on CMS data, with a score of 19/100 — placing it among the lowest-rated nursing facilities in Nebraska. Families considering this Waverly facility should carefully review its inspection history and quality metrics.
Staffing at The Mulberry At Waverly is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 41 deficiencies at The Mulberry At Waverly, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.79 | 3.8 | Average |
| Registered Nurses (RN) | 0.74 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.53 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.52 | 2.4 | Average |
| Weekend Total Nursing | 3.47 | 3.8 | Average |
| Weekend RN Hours | 0.72 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Jun 23, 2025 · Pharmacy Service Deficiencies
- Tag 0921 Severity FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Apr 7, 2025 · Environmental Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Apr 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0732 Severity FPost nurse staffing information every day.Dec 4, 2024 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 4, 2024 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.5% | 4.5% | Average |
| Falls with major injury | 1.8% | 3.0% | Better |
| On antipsychotic medication | 16.5% | 14.5% | Worse |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 20.4% | 14.0% | Worse |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 23.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $25,642
How This Grade Was Calculated
This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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