Nursing Home
Mulberry Creek Nursing & Rehab Center
Part of Kissito Healthcaresee all 6 affiliated facilities
Medicare Outcome Measures
- No Different than the National Rate
Potentially preventable hospital readmissions
10.81% (lower is better)
- No Different than the National Rate
Residents discharged back to the community
44.20% (higher is better)
- No Different than the National Rate
Infections acquired during the stay requiring hospitalization
7.42% (lower is better)
Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
2.2%
national median 0.9%
worse than the national median
-
Long-stay residents experiencing falls with major injury
4.1%
national median 2.8%
worse than the national median
-
Short-stay residents who newly received an antipsychotic medication
1.3%
national median 1.0%
worse than the national median
-
Long-stay residents whose ability to walk independently worsened
15.4%
national median 12.5%
worse than the national median
-
Long-stay residents with pressure ulcers
6.3%
national median 4.2%
worse than the national median
-
Long-stay residents who received an antipsychotic medication
17.3%
national median 13.4%
worse than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
- Nurse staffing per resident per day
- 3.6 hours
- Registered nurse (RN) time per resident per day
- 0.4 hours
- Weekend nurse staffing per resident per day
- 3.1 hours
- Nursing staff turnover in the past year
- 49.3%
VA average: 3.8 hours · National: 3.9 hours
All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.
VA average: 0.7 hours · National: 0.7 hours
RN hours only — the most highly trained nursing staff.
VA average: 3.3 hours · National: 3.4 hours
Total nurse staffing on Saturdays and Sundays, when staffing typically dips.
VA average: 48.1% · National: 45.8%
Share of this facility’s nursing staff who stopped working there over 12 months.
Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.
Ownership
- Ownership type
- For profit - Limited Liability company
CMS has not published detailed ownership records for this facility.
Inspections & Fire Safety — 1 health (VA avg 14.5) · 2 fire (VA avg 2.7) Details
11 deficiencies cited across recent inspection cycles. Most recent survey: November 15, 2024.
Most recent inspection cycle: 1 health deficiency · VA average: 14.5 · National: 9.3
13 fire-safety deficiencies cited — most often miscellaneous (3) and smoke (3).
Most recent fire-safety inspection (2024-05-09): 2 deficiencies · VA average: 2.7 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
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How Mulberry Creek Nursing & Rehab Center compares nearby
Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.
Among the 9 nursing homes within 25 miles, Mulberry Creek Nursing & Rehab Center's overall star rating is 5★; the median among the 8 peers reporting it is 3.5★.
| Measure | This facility | Nearby median | Best nearby |
|---|---|---|---|
| Overall star rating reported by 8 of 8 nearby peers | 5★ | 3.5★ | 5★ |
| Health inspections reported by 8 of 8 nearby peers | 5★ | 3.5★ | 5★ |
| Staffing reported by 8 of 8 nearby peers | 2★ | 2★ | 5★ |
| Quality measures reported by 8 of 8 nearby peers | 2★ | 3★ | 5★ |
The comparison group
- Martinsville Health And Rehab
- King's Grant Lacy Health Center
- Stanleytown Health And Rehabilitation Center
- Eden Rehabilitation and Healthcare Center
- UNC Rockingham Rehab & Nursing Care Center
- Rocky Mount Health & Rehab Center
- Franklin Health And Rehabilitation Center
- Stratford Healthcare Center
Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work