The Mulberry at Waverly
Waverly, NE · 54 beds · For profit - Corporation
Red Flags
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 2 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 84% total nursing staff turnover
Green Flags
No positive signals identified yet.
Quick Facts
Violation Timeline
June 23, 2025
1 deficiencyPharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
April 7, 2025
2 deficiencyiesQuality of Life and Care Deficiencies
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Provide safe and appropriate respiratory care for a resident when needed.
Environmental Deficiencies
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
December 4, 2024
9 deficiencyiesResident Assessment and Care Planning Deficiencies
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Nursing and Physician Services Deficiencies
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Post nurse staffing information every day.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 27, 2024
2 deficiencyiesQuality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
August 7, 2024
2 deficiencyiesQuality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
June 16, 2024
1 deficiencyQuality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
February 11, 2024
2 deficiencyiesQuality of Life and Care Deficiencies
Show details
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Show details
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 9, 2024
1 deficiencyResident Rights Deficiencies
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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing
A nurse checks on each resident roughly every 5.8 hours on average.
Fines & Penalties
- Payment Denial Dec 4, 2024Payment Denial
- Fine Jun 16, 2024$9,805
- Fine Dec 11, 2023$15,837
- Payment Denial Mar 8, 2023Payment Denial
Ownership
-
DOURO VALLEY INVESTMENT, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
NE 11 HOLDINGS OPCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
BRASS NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
BSD BEIS HEALTH TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
COPPER NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
GOLD NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
NE SNF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
SF 4140 OLDE WASHINGTON BLVD REAL PROPERTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/01/2023
NO PERCENTAGE PROVIDED Organization -
SILVER NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
TULIP INVESTMENTS NE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Organization -
WEISZ, DAVID
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 08/02/2023
NO PERCENTAGE PROVIDED Individual -
SILBERSTEIN, ARI
CORPORATE OFFICER
Since since 08/02/2023
Individual -
PIHLGREN, LINDSEY
W-2 MANAGING EMPLOYEE
Since since 08/02/2023
Individual