The Mulberry at Waverly
CMS
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$25,642
Outcome
The Mulberry at Waverly in Waverly, NE was fined $25,642 by CMS across 2 separate penalties following 41 deficiency citations identified during federal surveys.
Details
The Mulberry at Waverly (Waverly, NE) — $25,642 in CMS Fines
Outcome: The Mulberry at Waverly in Waverly, NE was fined $25,642 by CMS across 2 separate penalties following 41 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that residents are free from significant medication errors.
- Provide safe and appropriate respiratory care for a resident when needed.
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Post nurse staffing information every day.
- Provide and implement an infection prevention and control program.
- 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.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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