The Mulberry at Waverly
11041 North 137th St, Waverly, NE 68462 · CCN 285143
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 54
- Avg residents/day
- 43.6
- Phone
- 4027862626
Inspection history vs Nebraska & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Nebraska avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-05 | 12 | 6.7 | 9.5 | +5.3 worse |
| 2 | 2024-01-10 | 13 | 6.1 | 9.8 | +6.9 worse |
| 3 | 2023-03-09 | 16 | 5.4 | 9.3 | +10.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.79 | 83.5% |
| RN staffing (reported) | 0.74 | 66.7% |
| Total nurse staffing (adjusted) | 4.13 | — |
Fines & penalties
- Total fines
- $25,642
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- AVID HEALTHCARE GROUP
- Facilities in chain
- 11
- Chain avg overall
- 1.50 / 5
Inspection citations (41)2 immediate jeopardy
- DF0760Ensure that residents are free from significant medication errors.2025-06-24 · Health · corrected 2025-07-24
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-08 · Health · corrected 2025-05-12
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-08 · Health · corrected 2025-05-12
Potential for more than minimal harm
- EF0584Honor 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.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-19
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-28 · Health · corrected 2024-09-23
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-28 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-08 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-08 · Health · corrected 2024-08-29
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-17 · Health · corrected 2024-06-17
Immediate jeopardy
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-12 · Health · corrected 2024-03-11
Immediate jeopardy
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-12 · Health · corrected 2024-03-11
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-01-10 · Health · corrected 2024-02-23
Potential for minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-01-10 · Health · corrected 2024-02-23
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-12-12 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0888Ensure staff are vaccinated for COVID-192023-03-09 · Health · corrected 2023-04-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DOURO VALLEY INVESTMENT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| NE 11 HOLDINGS OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| BRASS NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| BSD BEIS HEALTH TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| COPPER NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| GOLD NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| NE SNF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
| SILVER NE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| TULIP INVESTMENTS NE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| WEISZ, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 |
| SILBERSTEIN, ARI | Individual | CORPORATE OFFICER | — | 2023-08-02 |
| PIHLGREN, LINDSEY | Individual | W-2 MANAGING EMPLOYEE | — | 2023-08-02 |
Other facilities in Waverly
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.