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.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 25m per day | |
|
LPN / LVN
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.
| 1h 4m per day | |
|
Nurse Aide
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.
| 2h 15m per day | |
|
Weekend Total Nursing
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.
| 3h 12m per day | |
|
Physical Therapist
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.
| 3m per day | |
|
Weekend RN
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.
| 11m per day |
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 routine and focused inspections. Excludes complaint investigations.
| 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 violations
Inspections that uncovered at least one regulatory violation.
| 5 | 9 | This facility has 44% fewer inspections with violations than a typical Virginia assisted living residence (5 vs. VA avg 9).↓ 44% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 45% | 64% | This facility has 19 percentage points lower inspection violation rate than a typical Virginia assisted living residence (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 assisted living residence (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 assisted living residence (1.3 vs. VA avg 2.3).↓ 43% better |
State average N/A
Last Health inspection on Nov 2024
State average N/A
State average N/A
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.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
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 State averageState average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
11% worse than State averageState average: 19.7
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
32% worse than State averageState average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
22.3%
13% worse than State averageState average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
7% better than State averageState average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
60% worse than State averageState average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.0%
30% worse than State averageState average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.3%
48% worse than State averageState average: 1.5%
Percent of long-stay residents who lose too much weight
11.1%
90% worse than State averageState average: 5.9%
Percent of long-stay residents who have depressive symptoms
1.9%
88% better than State averageState average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
19.3%
50% worse than State averageState average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.3%
In line with State averageState average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
5% better than State averageState average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.6%
9% better than State averageState average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
32% worse than State averageState average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
19% better than State averageState 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 #34 / 78Payroll — State benchmarkedThis home is ranked 34th out of 78 homes in Virginia for Payroll. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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 #24 / 78Payroll % — State benchmarkedThis home is ranked 24th out of 78 homes in Virginia for Payroll %. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Falcons Landing | NH AL IL MC SNF | Potomac Falls | - | 60 | A+ | 33 | - |
| The Chesapeake | NH AL IL MC SNF | Newport News (Saunders) | - | 52 | - | 30 | 1 Bed / 2 Bed |
| Brandermill Woods Healthcare Communities | NH AL IL MC SNF | Midlothian (Brandermill) | - | 91 | - | 4 | Apartment / Cottage / 1 Bed / 2 Bed / 3 Bed |
| Mulberry Creek Assisted Living | NH MC SNF | Martinsville | - | 60 | - | 60 | - |
| Autumn Care of Portsmouth | NH HOS MC RC | Portsmouth (Midtown) | - | 108 | - | 72 | Private Rooms / Semi-Private Rooms |
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.
According to VA state health department records, Mulberry Creek Assisted Living's license expires on May 30, 2026.
Mulberry Creek Assisted Living's occupancy is 56.9%.
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.
Mulberry Creek Assisted Living has had 11 reported deficiencies since 2023 according to records from Virginia Department of Social Services (VDSS).
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
