Total health inspections
7
Texas average 7.4
Last Health inspection on Jul 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Mulberry Manor
Nursing Home, Assisted Living & Memory Care · Stephenville, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Mulberry Manor
Nursing Home, Assisted Living & Memory Care · Stephenville, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Mulberry Manor accepts Medicare, Medicaid, and private pay.
Set within the quiet neighborhood of Stephenville, TX, Mulberry Manor is a dependable senior living community, offering excellent care services, including assisted living and memory care services. The community also caters to the needs of those who are recovering from illnesses or hospitalization with skilled nursing, short-term rehabilitation, and long-term care services. Apart from having 24-hour nurses, residents find comfort in having emergency response systems installed in their cozy accommodations for quick assistance during emergencies.
A full-time Certified Activity Director is available to plan vibrant and enriching activities and monthly outings for residents’ fun and enjoyment. Delicious meals and a long-list of thoughtful amenities are also offered for a well-rounded living experience. At Mulberry Manor, residents are guaranteed to enjoy the lifestyle they deserve without the need to move into another community for their ever-changing needs.
Quality ratings
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 breakdown
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 nursing care / resident
This home is ranked 76th out of 289 homes in Texas. 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.
This home is ranked 76th out of 289 homes in Texas. 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 52m per day
Rank #76 / 289Nurse hours — State benchmarkedThis home is ranked 76th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
+2%
| 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 | ▼ 4% State avg: 26m per day · National avg: 41m 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.
| 22m per day | ▼ 61% State avg: 57m per day · National avg: 52m 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.
| 1h 39m per day | ▼ 18% State avg: 2h 1m per day · National avg: 2h 21m 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.
| 2h 54m per day | ▼ 3% State avg: 2h 59m per day · National avg: 3h 26m 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.
| 10m per day | ▼ 52% State avg: 21m per day · National avg: 29m per day |
Types of Care at Mulberry Manor
Assisted Living
Memory Care
Nursing Home
Capacity and availability
This home usually has availability
Occupancy rate
67.6%
Rank #144 / 297Occupancy rate — State benchmarkedThis home is ranked 144th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
184 days
44 years in operation Rank #107 / 581Years in operation — State benchmarkedThis home is ranked 107th out of 581 homes in Texas. Shows how long this facility has been in operation compared to other Texas SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 37 / 100 Rank #808 / 1392Walk Score — State benchmarkedThis home is ranked 808th out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
CMS Certification Number455744
Staffing
Key information about the people who lead and staff this community.
ContactBusiness Manager/Owner
No Alzheimer's certification
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Since 2023 · 3 years of data
30 citations
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2023 vs. Texas state average
Overall vs. TX average
2 Worse
Metrics worse than Texas average:
• Total citations (400% above)
• Citations per year (400% above) 0 Better No metrics in this bucket.
• Total citations (400% above)
• Citations per year (400% above) 0 Better No metrics in this bucket.
Latest Inspection
July 24, 2025
Annual Inspection
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 30 | 6 | This facility has 400% more total citations than a typical Texas nursing home (30 vs. TX avg 6).↑ 400% worse |
|
Citations per year
Average citations per year since 2023.
| 10 | 2 | This facility has 400% more citations per year than a typical Texas nursing home (10 vs. TX avg 2).↑ 400% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 24, 2025, identified deficiencies related to incomplete care plans for mechanical lift use and hospice services, as well as inadequate collaboration with hospice representatives. Earlier inspections showed a pattern of issues including infection control lapses, incomplete care planning, medication administration errors, staffing shortages, and failure to maintain a safe and sanitary environment. Complaint investigations revealed substantiated findings of verbal abuse by staff, inadequate abuse investigations, unsafe conditions involving a dog, and violations of resident rights, with no enforcement actions or fines listed in the available reports. Most complaints were substantiated, highlighting ongoing challenges with resident care, documentation, and safety protocols. While the facility continues to have deficiencies, some recent inspections suggest focused attention on care planning and hospice collaboration.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
30
Rank #211 / 292Health citations — State benchmarkedThis home is ranked 211th out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
4.29
Rank #227 / 292Citations per inspection — State benchmarkedThis home is ranked 227th out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 30 citations resulted from standard inspections; and 12 of 30 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical health citations
2
In line with Texas averageTexas average: 2
Serious health citations
0
100% better than Texas averageTexas average: 0.4
Citations history (last 3 years)
Administration moderate citation
Jul 24, 2025
Corrected
Care Planning moderate citation
Jul 24, 2025
Corrected
Infection Control moderate citation
Apr 09, 2025
Corrected
Abuse/Neglect moderate citation
Jul 23, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
195
Employees
61
Contractors
134
Staff to resident ratio
2.53:1
71% better than Texas average
Avg staff/day
29
Average shift
8.6 hours
6% better than Texas average
Total staff hours (quarter)
22,940
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
102
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
31.2%
7,148 contractor hours this quarter
Certified Nursing Assistant: 76
Licensed Practical Nurse: 39
Medication Aide/Technician: 11
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Physical Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 76 | 102 | 9,704 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 10 | 39 | 49 | 4,782 | 92 | 100% | 9.3 |
| Nurse Aide in Training | 7 | 0 | 7 | 2,020 | 92 | 100% | 8.5 |
| Medication Aide/Technician | 2 | 11 | 13 | 1,513 | 91 | 99% | 9 |
| Physical Therapy Aide | 0 | 2 | 2 | 984 | 66 | 72% | 7.7 |
| Dietitian | 2 | 0 | 2 | 742 | 73 | 79% | 6.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 632 | 68 | 74% | 9.2 |
| Registered Nurse | 8 | 0 | 8 | 619 | 59 | 64% | 8.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 368 | 46 | 50% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 352 | 51 | 55% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 264 | 62 | 67% | 4.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 102 | 18 | 20% | 5.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 3 | 2 | 2% | 1.5 |
102 Certified Nursing Assistant
% of Days
100%
49 Licensed Practical Nurse
% of Days
100%
7 Nurse Aide in Training
% of Days
100%
13 Medication Aide/Technician
% of Days
99%
2 Physical Therapy Aide
% of Days
72%
2 Dietitian
% of Days
79%
2 Clinical Nurse Specialist
% of Days
74%
8 Registered Nurse
% of Days
64%
1 Administrator
% of Days
70%
2 Nurse Practitioner
% of Days
50%
2 Speech Language Pathologist
% of Days
55%
1 Mental Health Service Worker
% of Days
47%
1 Qualified Social Worker
% of Days
67%
1 Physical Therapy Assistant
% of Days
20%
2 Respiratory Therapy Technician
% of Days
2%
Penalties and fines
Includes penalties issued in 2024
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 (Data as of Jan 2026)
Total fines amount
$205K Rank #276 / 294Federal fines — State benchmarkedThis home is ranked 276th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
154% higher than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$205K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 14, 2024
$205K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 14, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 14, 2024
15 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.4
49% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.6
53% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
19% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
1.2%
Percent of long-stay residents whose ability to move independently worsened
1.2%
93% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.5%
46% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
22% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.1%
Percent of long-stay residents who lose too much weight
2.1%
39% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
46% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.1%
Percent of long-stay residents who received an antipsychotic medication
5.1%
35% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.9%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.68
Number of hospitalizations per 1,000 long-stay resident days.
1.68
21% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.46
19% worse than Texas averageTexas average: 2.07
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.1%
6% worse than Texas averageTexas average: 90.4%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.1%
32% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.6%
38% worse than Texas averageTexas average: 12.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
15% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
51% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77
Medicare
3
3.9% of residents
Medicaid
64
83.1% of residents
Private pay or other
10
13% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Mulberry Manor based on CMS SNF Cost Reports.
Occupancy Rate
73.7%
↑ 0.0pp vs 2022
Net Income
$2.4M
↓ ~$470.6K vs 2022
Total Payroll
$2.7M
↑ ~$347.0K vs 2022
Profit Margin
32.3%
↓ 3.6pp vs 2022
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$8.2M
Surplus of revenue
$2.4M
Governmental community
Operated by state authorities.
Home revenue
$8.2M Rank #228 / 297Revenue — State benchmarkedThis home is ranked 228th out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$2.4M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #274 / 297Payroll — State benchmarkedThis home is ranked 274th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #274 / 297Payroll — State benchmarkedThis home is ranked 274th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.8M
What does this home offer?
Total Residents: 102
Building Type: Single-story
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Mulberry Manor
2.1 miles from city center
Estimated distance in miles from Stephenville's city center to Mulberry Manor's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Texas
Mulberry Manor is located in Stephenville, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Mulberry Manor
Is Mulberry Manor in a walkable area?
Mulberry Manor has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Mulberry Manor?
Mulberry Manor's occupancy is 73.7%.
What is the address of Mulberry Manor?
Mulberry Manor is located at 1670 W Lingleville Rd, Stephenville, TX 76401, United States.
What is the phone number of Mulberry Manor?
(512) 640-7977 will put you in contact with the team at Mulberry Manor.
Is Mulberry Manor Medicare or Medicaid certified?
Yes — Mulberry Manor is a CMS-certified provider of Medicare and Medicaid.
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