Inspection Reports for
Mulberry Creek Assisted Living
400 Blue Ridge Street, MARTINSVILLE, VA, 24112
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Inspection Reports Summary
Covers 11 inspections · Oct 2023 – Oct 2025Visit Reason
This report covers 11 inspections of Mulberry Creek Assisted Living from October 31, 2023 to October 9, 2025, including routine, renewal, monitoring, and complaint investigations.
Complaint Details
Four inspections were complaint surveys. Three complaint investigations found no violations. One complaint investigation on December 8, 2023 supported some allegations and cited 3 violations related to personnel and resident care.
Findings
Across that history VDSS cited 20 violations under 18 distinct standards. 5 of the 11 visits ended with violations cited and 6 with none. 4 inspections were prompted by a complaint.
Deficiencies (20)
22VAC40-73-680-D: Facility failed to ensure no resident funds used for personal interest by staff.
22VAC40-73-320-A: Report of physical examination incomplete for all fields.
22VAC40-73-610-B: Menus for meals and snacks not dated and posted conspicuously.
22VAC40-73-650-A: Medications started or changed without valid physician order.
22VAC40-73-680-D: Medications not administered according to physician’s instructions.
22VAC40-73-350-B: Failed to ascertain and document sex offender status prior to admission.
22VAC40-73-640-A: Medication management plan not implemented to prevent use of outdated meds.
22VAC40-73-680-D: Medications not administered in accordance with physician’s instructions.
22VAC40-73-40-B-8: Current license not posted conspicuously to residents and public.
22VAC40-73-50-A: Failed to prepare disclosure statement for resident and legal representative.
22VAC40-73-120-A: Staff orientation not completed within first seven working days.
22VAC40-73-250-C: Personal social data missing from staff records including date of hire.
22VAC40-73-250-D: Staff records missing initial tuberculosis assessment within 7 days.
22VAC40-73-390-A: Written resident agreement/acknowledgement not dated and signed at admission.
22VAC40-73-410-A: Failed to provide and document resident orientation upon admission.
22VAC40-90-30-B: Sworn statement or affirmation not completed for all employment applicants.
22VAC40-90-40-B: Criminal history report not obtained on or before 30th day of employment.
22VAC40-73-670-2: Failed to ensure medication aide provided verification of education or training.
22VAC40-73-680-D: Medications not administered per physician’s instructions; improper e-MAR use.
22VAC40-73-680-I: MAR lacked initials of direct care staff administering medication.
Report Facts
Violations cited: 20
Distinct standards: 18
Inspections on page: 11
Inspections with violations: 5
Complaint visits: 4
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