5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Virginia averages
Total nursing care
This home is ranked 46th out of 70 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 26m
8% below state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
4 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Mulberry Creek Assisted Living is administered by Kailey Joyce.
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 11 | 14 | This facility has had 21% fewer total inspections than the Virginia average (11 vs. VA avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 21% fewer |
|
Inspections with deficiencies
Inspections that uncovered at least one regulatory deficiency.
| 5 | 9 | This facility has 44% fewer inspections with deficiencies than a typical Virginia nursing home (5 vs. VA avg 9).↓ 44% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 45% | 64% | This facility has 19 percentage points lower inspection deficiency rate than a typical Virginia nursing home (45% vs. VA avg 64%).↓ 19% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 7 | This facility has 43% fewer total complaints than a typical Virginia nursing home (4 vs. VA avg 7).↓ 43% better |
|
Complaints per year
Average complaints per year since 2023.
| 1.3 | 2.3 | This facility has 43% fewer complaints per year than a typical Virginia nursing home (1.3 vs. VA avg 2.3).↓ 43% better |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
State average 4.2
Last Health inspection on Nov 2024
State average 38.4
State average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 14 citations resulted from standard inspections; and 5 of 14 resulted from complaint investigations.
100% better than State averageState average: 0.4
100% better than State averageState average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% fewer staff per resident than Virginia average
0% compared with Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
All 44 LPN Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 131 CNA Staff are full-time employees. No contractors work on this role.
131
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
617 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 131 | 0 | 131 | 39,010 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 44 | 0 | 44 | 17,851 | 92 | 100% | 9.4 |
| Qualified Activities Professional | 17 | 0 | 17 | 4,583 | 92 | 100% | 8.7 |
| Registered Nurse | 11 | 0 | 11 | 3,642 | 92 | 100% | 8.3 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 3,014 | 70 | 76% | 8.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,878 | 86 | 93% | 7.2 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,459 | 73 | 79% | 6.7 |
| Dental Services Staff | 3 | 0 | 3 | 1,423 | 69 | 75% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 982 | 71 | 77% | 7.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 897 | 69 | 75% | 7 |
| Physical Therapy Aide | 3 | 0 | 3 | 810 | 71 | 77% | 6.5 |
| RN Director of Nursing | 1 | 0 | 1 | 535 | 61 | 66% | 8.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 494 | 70 | 76% | 7.1 |
| Feeding Assistant | 0 | 1 | 1 | 352 | 44 | 48% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 185 | 23 | 25% | 8.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 140 | 26 | 28% | 5.4 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 92 | 52 | 57% | 1.6 |
| Medical Director | 0 | 1 | 1 | 33 | 19 | 21% | 1.7 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
35% worse than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
11% worse than Virginia averageVirginia average: 19.7
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
32% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
22.3%
13% worse than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
7% better than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
60% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.0%
30% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.3%
48% worse than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
11.1%
90% worse than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
1.9%
88% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
19.3%
50% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.3%
In line with Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
5% better than Virginia averageVirginia average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.6%
9% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
32% worse than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
19% better than Virginia averageVirginia average: 73.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
178Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Mulberry Creek Assisted Living from 2021–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #31 / 69Payroll costs — State benchmarkedThis home is ranked 31st out of 69 homes in Virginia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #18 / 69Payroll % of net patient revenue — State benchmarkedThis home is ranked 18th out of 69 homes in Virginia. Shows payroll as a percentage of net patient revenue versus the Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (35% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Martinsville's city center to Mulberry Creek Assisted Living's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Falcons Landing | NH AL IL MC SNF | Potomac Falls | 60
Facility
60
VA AVG
96
Rank
#270 / 365 |
81.0%
Facility
81.0%
VA AVG
70.4
Rank
#99 / 297 | +15% | 6.16
Facility
6.16
VA AVG
3.74
Rank
#6 / 70 | -70% | +64% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 11
Facility
11
VA AVG
38.4
Rank
#7 / 69 | 3.7
Facility
3.7
VA AVG
8.9
Rank
#8 / 69 | - | 49 | A+ |
33
Facility
33
VA AVG
45
Rank
#282 / 435 | Air Force Retired Officers Community-Washington D.c | $37.2MFiscal year ending 12/2023
Facility
$37.2MFiscal year ending 12/2023
VA AVG
$19.9M
Rank
#5 / 69 | $21.0MFiscal year ending 12/2023
Facility
$21.0MFiscal year ending 12/2023
VA AVG
$11.3M
Rank
#7 / 69 | 56.5%Fiscal year ending 12/2023
Facility
56.5%Fiscal year ending 12/2023
VA AVG
76.3%
Rank
#23 / 69 | 495312 | ||||
| Brandermill Woods Healthcare Communities | NH AL IL MC SNF | Midlothian (Brandermill) | 91
Facility
91
VA AVG
96
Rank
#177 / 365 |
60.4%
Facility
60.4%
VA AVG
70.4
Rank
#212 / 297 | -14% | 5.62
Facility
5.62
VA AVG
3.74
Rank
#10 / 70 | +17% | +50% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 7
Facility
7
VA AVG
38.4
Rank
#3 / 69 | 2.3
Facility
2.3
VA AVG
8.9
Rank
#2 / 69 | - | 55 | - |
4
Facility
4
VA AVG
45
Rank
#430 / 435 | Frasier Brickhouse | $29.3MFiscal year ending 06/2024
Facility
$29.3MFiscal year ending 06/2024
VA AVG
$19.9M
Rank
#14 / 69 | $11.8MFiscal year ending 06/2024
Facility
$11.8MFiscal year ending 06/2024
VA AVG
$11.3M
Rank
#25 / 69 | 40.5%Fiscal year ending 06/2024
Facility
40.5%Fiscal year ending 06/2024
VA AVG
76.3%
Rank
#60 / 69 | 495183 | ||||
| The Glebe Retirement Community | NH AL IL MC SNF | Daleville | 84
Facility
84
VA AVG
96
Rank
#205 / 365 |
60.7%
Facility
60.7%
VA AVG
70.4
Rank
#210 / 297 | -14% | 5.00
Facility
5.00
VA AVG
3.74
Rank
#19 / 70 | -24% | +33% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 7
Facility
7
VA AVG
38.4
Rank
#3 / 69 | 7.0
Facility
7.0
VA AVG
8.9
Rank
#32 / 69 | - | 51 | - |
16
Facility
16
VA AVG
45
Rank
#375 / 435 | Ellen Harvey-D'ardenne | $19.5MFiscal year ending 12/2023
Facility
$19.5MFiscal year ending 12/2023
VA AVG
$19.9M
Rank
#33 / 69 | $8.7MFiscal year ending 12/2023
Facility
$8.7MFiscal year ending 12/2023
VA AVG
$11.3M
Rank
#37 / 69 | 44.4%Fiscal year ending 12/2023
Facility
44.4%Fiscal year ending 12/2023
VA AVG
76.3%
Rank
#54 / 69 | 495404 | ||||
| Birmingham Green | NH AL MC SNF | Manassas | 64
Facility
64
VA AVG
96
Rank
#263 / 365 | - | - | - | -32% | - | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 15
Facility
15
VA AVG
38.4
Rank
#19 / 69 | 7.5
Facility
7.5
VA AVG
8.9
Rank
#35 / 69 | 1 | 164 | - |
50
Facility
50
VA AVG
45
Rank
#175 / 435 | Perry Mason | $26.9MFiscal year ending 06/2024
Facility
$26.9MFiscal year ending 06/2024
VA AVG
$19.9M
Rank
#18 / 69 | $22.8MFiscal year ending 06/2024
Facility
$22.8MFiscal year ending 06/2024
VA AVG
$11.3M
Rank
#6 / 69 | 84.6%Fiscal year ending 06/2024
Facility
84.6%Fiscal year ending 06/2024
VA AVG
76.3%
Rank
#11 / 69 | 495390 | ||||
| Mulberry Creek Assisted Living | NH MC SNF | Martinsville | 60
Facility
60
VA AVG
96
Rank
#270 / 365 | - | - | 3.43
Facility
3.43
VA AVG
3.74
Rank
#46 / 70 | -53% | -8% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 74 | 14
Facility
14
VA AVG
38.4
Rank
#13 / 69 | 2.3
Facility
2.3
VA AVG
8.9
Rank
#2 / 69 | - | 188 | - |
60
Facility
60
VA AVG
45
Rank
#108 / 435 | - | $17.5MFiscal year ending 12/2023
Facility
$17.5MFiscal year ending 12/2023
VA AVG
$19.9M
Rank
#35 / 69 | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
VA AVG
$11.3M
Rank
#31 / 69 | 60.7%Fiscal year ending 12/2023
Facility
60.7%Fiscal year ending 12/2023
VA AVG
76.3%
Rank
#18 / 69 | 495426 |
Mulberry Creek Assisted Living has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Mulberry Creek Assisted Living's occupancy is 56.9%.
No, Mulberry Creek Assisted Living has a no-pet policy.
Mulberry Creek Assisted Living is registered as a for-profit in VA.
Kailey Joyce is the administrator of Mulberry Creek Assisted Living.
Mulberry Creek Assisted Living has 60 beds.
Yes — there are 10 photos of Mulberry Creek Assisted Living in the photo gallery on this page.
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