Mulberry Healthcare and Rehabilitation Cent
411 1/2 W Mahoning Street · Punxsutawney, PA · 15767 · 8149386020
75 certified beds For profit - Corporation Chain: Bonamour Health Group
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.87 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $24,042 |
Inspection citations (46 in the current record)
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Potential for harm · D December 22, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 10, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 8, 2025
Honor each resident's preferences, choices, values and beliefs.
Corrected December 16, 2025 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 16, 2025 · Quality of Life and Care
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Potential for harm · F December 8, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 16, 2025 · Nutrition and Dietary
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Potential for harm · F December 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2025 · Nutrition and Dietary
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Potential for harm · D December 8, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 16, 2025 · Administration
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Potential for harm · D December 8, 2025
Provide and implement an infection prevention and control program.
Corrected December 16, 2025 · Infection Control
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Potential for harm · D December 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 16, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 4, 2025 · Pharmacy Service
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Potential for harm · D November 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K October 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 4, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Ensure each resident receives an accurate assessment.
Corrected December 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 4, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 4, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 4, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 4, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 4, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 4, 2024 · Pharmacy Service
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Potential for harm · F October 18, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 4, 2024 · Nutrition and Dietary
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Potential for harm · F October 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 4, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 18, 2024 | Fine | $24,042 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395618 · certified since January 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.