F60

The Mulberry at Waverly

Grade F 60/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

54

Ownership

For profit - Corporation

Total Fines

$25,642

Last Survey

N/A

11041 North 137th St, Waverly, NE 68462
4027862626

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.81h
LPN
0.58h
CNA
2.74h
Total
4.13h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

DOURO VALLEY INVESTMENT, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2023

NE 11 HOLDINGS OPCO LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2023

BRASS NE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

BSD BEIS HEALTH TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

COPPER NE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

GOLD NE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

NE SNF HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

SF 4140 OLDE WASHINGTON BLVD REAL PROPERTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

SILVER NE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

TULIP INVESTMENTS NE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

WEISZ, DAVID

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

SILBERSTEIN, ARI

IndividualCORPORATE OFFICERSince Aug 2023

PIHLGREN, LINDSEY

IndividualW-2 MANAGING EMPLOYEESince Aug 2023

Penalties & Fines (4)

$25,642total fines
DateTypeDescriptionAmount
Dec 5, 2024Payment Denial
Jun 17, 2024Fine$9,805
Dec 12, 2023Fine$15,837
Mar 9, 2023Payment Denial

Health Inspection Deficiencies (41)

June 24, 2025Health1 deficiency
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jul 24, 2025
April 8, 2025Health2 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected May 12, 2025
0921FMinimal harm, Widespread

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected May 12, 2025
December 5, 2024Health9 deficiencies
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 19, 2025
0732FMinimal harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jan 19, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 19, 2025
0584EMinimal harm, Pattern

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

Corrected Jan 19, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 19, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 19, 2025
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 19, 2025
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 19, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 19, 2025
August 28, 2024Health2 deficiencies
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Sep 23, 2024
August 8, 2024Health2 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 29, 2024
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Aug 29, 2024
June 17, 2024Health1 deficiency1 severe
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jun 17, 2024
February 12, 2024Health2 deficiencies1 severe
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
January 10, 2024Health8 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Feb 23, 2024
0582CNo harm, Widespread

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Feb 23, 2024
0625DMinimal harm, Isolated

Notify 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.

Resident Rights Deficiencies

Corrected Feb 23, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 23, 2024
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Feb 23, 2024
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 23, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 23, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 23, 2024
December 12, 2023Health1 deficiency
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 12, 2024
March 9, 2023Health13 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Apr 6, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 6, 2023
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Apr 6, 2023
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 6, 2023
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Apr 6, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Apr 6, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 6, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 6, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Apr 6, 2023
0888DMinimal harm, Isolated

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Apr 6, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 6, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Apr 6, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 6, 2023

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Frequently Asked Questions

What is the CareGrader rating for The Mulberry at Waverly?

The Mulberry at Waverly in Waverly, Nebraska has a CareGrader grade of F (Poor), with a composite score of 59.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for The Mulberry at Waverly?

The Mulberry at Waverly has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does The Mulberry at Waverly have?

The Mulberry at Waverly has 41 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has The Mulberry at Waverly been fined?

Yes. The Mulberry at Waverly has $25,642 in total fines from CMS enforcement actions across 4 penalties.

How many beds does The Mulberry at Waverly have?

The Mulberry at Waverly has 54 certified beds with approximately 43 current residents (80% occupancy). The facility is located at 11041 North 137th St, Waverly, Nebraska 68462. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.