Starfile / Pennsylvania

MULBERRY HEALTHCARE AND REHABILITATION CENT

411 1/2 W MAHONING STREET, PUNXSUTAWNEY, PA 15767 · CCN 395618

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$24,042

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

BONAMOUR HEALTH GROUP

Facilities in chain

5

Chain avg overall

1.60 / 5

Inspection citations (49)2 immediate jeopardy1 actual harm

1. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-22 · Health · corrected 2026-02-10

   Potential for more than minimal harm

2. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

3. DF0675Honor each resident's preferences, choices, values and beliefs.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

5. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

6. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

8. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

9. DF0880Provide and implement an infection prevention and control program.2025-12-08 · Health · corrected 2025-12-16

   Potential for more than minimal harm

10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-23 · Health · corrected 2025-03-04

    Potential for more than minimal harm

11. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-14 · Health · corrected 2024-12-04

    Potential for more than minimal harm

12. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

13. DF0584Honor 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.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

14. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

15. 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.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

16. DF0641Ensure each resident receives an accurate assessment.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

17. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

19. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-18 · Health · corrected 2024-12-04

    Immediate jeopardy

20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

21. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

22. DF0759Ensure medication error rates are not 5 percent or greater.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

23. DF0761Ensure 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.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

24. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

26. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

27. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

28. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

29. DF0880Provide and implement an infection prevention and control program.2024-10-18 · Health · corrected 2024-12-04

    Potential for more than minimal harm

30. EF0685Assist a resident in gaining access to vision and hearing services.2024-03-04 · Health · corrected 2024-04-01

    Potential for more than minimal harm

31. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-01-31 · Health · corrected 2024-02-20

    Potential for more than minimal harm

32. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

33. DF0641Ensure each resident receives an accurate assessment.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

36. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

37. 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.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

39. CF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-07 · Health · corrected 2024-02-05

    Potential for minimal harm

40. CF0732Post nurse staffing information every day.2023-12-07 · Health · corrected 2024-02-05

    Potential for minimal harm

41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

42. DF0761Ensure 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.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

43. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

44. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

45. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2023-12-07 · Health · corrected 2024-02-05

    Potential for more than minimal harm

47. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-10 · Health · corrected 2023-05-03

    Actual harm

48. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-03-10 · Health · corrected 2023-04-25

    Potential for more than minimal harm

49. LF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-03-10 · Health · corrected 2023-04-25

    Immediate jeopardy

Ownership

Other facilities in PUNXSUTAWNEY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.