The Mulberry at Waverly
CCN: 285143 · Waverly, NE 68462 · Lancaster County
Overview
- Address
- 11041 North 137th St, Waverly, NE 68462
- Phone
- 4027862626
- Certified beds
- 54
- Avg daily residents
- 44 (81% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1994-06-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.79 | 3.54 | 4.13 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.74 | 0.62 | 0.81 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.53 | 0.79 | 0.58 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.52 | 2.14 | 2.74 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.27 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.00 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-12-05 | 12 | 9 | 9 | 96 | 1 | 96 |
| Cycle 2/3 (prior) | 2024-01-10 | 19 | 8 | 11 | 254 | 1 | 254 |
Deficiencies (41)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-06-24 | 2025-07-24 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-08 | 2025-05-12 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-04-08 | 2025-05-12 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-12-05 | 2025-01-19 |
| 0732 | Post nurse staffing information every day. | F | 2024-12-05 | 2025-01-19 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-12-05 | 2025-01-19 |
| 0584 | 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. | E | 2024-12-05 | 2025-01-19 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-05 | 2025-01-19 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-05 | 2025-01-19 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-12-05 | 2025-01-19 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2024-12-05 | 2025-01-19 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-12-05 | 2025-01-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-28 | 2024-09-23 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-08-28 | 2024-09-23 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-08 | 2024-08-29 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-08 | 2024-08-29 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-06-17 | 2024-06-17 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-02-12 | 2024-03-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-12 | 2024-03-11 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-10 | 2024-02-23 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | 2024-01-10 | 2024-02-23 |
| 0625 | 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. | D | 2024-01-10 | 2024-02-23 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-10 | 2024-02-23 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-01-10 | 2024-02-23 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-01-10 | 2024-02-23 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-10 | 2024-02-23 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-01-10 | 2024-02-23 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2023-12-12 | 2024-01-12 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-03-09 | 2023-04-06 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-03-09 | 2023-04-06 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-03-09 | 2023-04-06 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-03-09 | 2023-04-06 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-03-09 | 2023-04-06 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-03-09 | 2023-04-06 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-09 | 2023-04-06 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2023-03-09 | 2023-04-06 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-03-09 | 2023-04-06 |
| 0888 | Ensure staff are vaccinated for COVID-19 | D | 2023-03-09 | 2023-04-06 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-03-09 | 2023-04-06 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-03-09 | 2023-04-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-03-09 | 2023-04-06 |
Penalties (3)
| Date | Type | Fine amount |
|---|---|---|
| 2024-06-17 | Fine | $9,805 |
| 2023-12-12 | Fine | $15,837 |
| 2024-12-05 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: AVID HEALTHCARE GROUP
- Chain ID
700- Facilities in chain
- 11
- Legal business name
- MULBERRY AT WAVERLY LLC
Owner / manager organizations (10)
| Organization | Role | Association |
|---|---|---|
| DOURO VALLEY INVESTMENT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| NE 11 HOLDINGS OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| BRASS NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| BSD BEIS HEALTH TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| COPPER NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| GOLD NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| NE SNF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2023 |
| SILVER NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| TULIP INVESTMENTS NE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| WEISZ, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/02/2023 |
| SILBERSTEIN, ARI | CORPORATE OFFICER | since 08/02/2023 |
| PIHLGREN, LINDSEY | W-2 MANAGING EMPLOYEE | since 08/02/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $29 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.52 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 83.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $493,025 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $3,578,294 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 86.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 13.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,677,379 | metrics.total_assets |
| Cost Report | Total Costs ($) | $282,882 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $689,218 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,988,161 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 13.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.57908 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.74440 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.80633 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.12980 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.78539 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 43.6 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.78628 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.13694 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.61976 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.54299 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.12277 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 1.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 700 | Chain ID |
| Provider Information | Chain Name | AVID HEALTHCARE GROUP | Chain Name |
| Provider Information | City/Town | Waverly | City/Town |
| Provider Information | CMS Certification Number (CCN) | 285143 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Lancaster | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-06-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.9193 | Latitude |
| Provider Information | Legal Business Name | MULBERRY AT WAVERLY LLC | Legal Business Name |
| Provider Information | Location | 11041 North 137th St,Waverly,NE,68462 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -96.534 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 54 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 11 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.25512 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.91106 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 11041 North 137th St | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | The Mulberry at Waverly | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 540 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 96 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 9 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-12-05 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 96 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 12 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-01-10 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 254 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 11 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 254 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 19 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.72273 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 66.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.27132 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.53139 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.51841 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00000 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.73993 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.78973 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NE | State |
| Provider Information | Telephone Number | 4027862626 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 25642.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.47367 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 83.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 135.500 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 68462 | ZIP Code |