nursing home in Martinsville, VA
Mulberry Creek Nursing & Rehab Center
300 Blue Ridge Street, Martinsville, VA 24112 · (540) 265-0322
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mulberry Creek Nursing & Rehab Center at a glance
Mulberry Creek Nursing & Rehab Center is a 300-bed for-profit nursing home in Martinsville, Virginia (Martinsville City County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 3.6 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (May 9, 2024) found 1 health citation. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 49.3% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 300
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 31, 2020
- Resident/family council
- Resident
- County
- Martinsville City County
- CMS Certification Number
- 495426
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.9 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.59 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.42 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.13 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.13 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 49.3% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 48.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 12 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 300 | 113 | 107 | |
| Average residents per day | 187 | 99 | 86 | |
| Occupancy | 62.3% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.3% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 17.3% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 1.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.4% | 14.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.4% | 15.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.2% | 18.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.9% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21.7% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.4% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 90.9% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.9% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.8% | 73.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 15, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 11, 2024 |
| August 21, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 11, 2024 |
| May 9, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected July 24, 2024 |
| May 9, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected July 24, 2024 |
| May 9, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 18, 2024 |
| December 5, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Waiver has been granted |
| December 5, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | E Potential harm, pattern | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected January 27, 2023 |
| December 5, 2022 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | D Potential harm, isolated | Corrected January 27, 2023 |
| December 5, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| December 5, 2022 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 14, 2023 |
| December 5, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| December 5, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| December 5, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| December 5, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected February 14, 2023 |
| January 30, 2020 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 31, 2020 |
| January 30, 2020 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected January 31, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
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Frequently asked questions
What is Mulberry Creek Nursing & Rehab Center's rating?
Mulberry Creek Nursing & Rehab Center has 5 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Mulberry Creek Nursing & Rehab Center receive?
Its most recent standard health inspection found 1 citation, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Mulberry Creek Nursing & Rehab Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Mulberry Creek Nursing & Rehab Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mulberry Creek Nursing & Rehab Center and how do I contact it?
Mulberry Creek Nursing & Rehab Center is at 300 Blue Ridge Street, Martinsville, VA 24112. Phone: (540) 265-0322.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.