GoodStanding

Nursing home report

Mulberry Square

Registered name: MULBERRY HEALTHCARE AND REHABILITATION CENT

PUNXSUTAWNEY, PA · Medicare-certified · 75 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Mulberry Square in Punxsutawney, PA has a 2-star overall rating, with 2-star health inspections and 3-star staffing, while quality measures are 4 stars. It reports 2.76 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, has $24,042 in fines in the last 24 months, and has a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.7607 hrs/resident/day

Quality measures

Last inspection: December 22, 2025Penalties, last 24 months: $24,042recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7607.

Staffing detail

Registered nurses
0.71
Licensed practical nurses
0.65
Nurse aides
1.39
Weekend nursing
2.37

Hours per resident per day.

Total staff turnover: 34%
Registered nurse turnover: 13%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.4%22.9%Worsening

Residents with a fall causing major injury

5.3%2.2%Improving

Residents with pressure ulcers (bedsores)

3.8%5.6%Worsening

Residents with a urinary tract infection

2.8%2.2%Improving

Residents who lost too much weight

0%7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.1%2.5%Improving

Residents whose ability to walk got worse

14.3%

Long-stay residents on antianxiety or sleep medication

27.8%38.6%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

35.2%16%Improving

Residents with depressive symptoms

11.1%9.5%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.8%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

85%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to make sure a resident could get needed vision and hearing services. Cited March 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 685 — 42 CFR §483.25 — S/S: E

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $24,042 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $24,042 in total fines.

  • Federal fine

    Oct 18, 2024

    $24,042

Operator & ownership

Recent ownership change · Jun 28, 2022

Now operated by Mulberry Healthcare Operating, LLC, previously Mulberry Square Elder Care and Rehabilitation Center LLC.

Ownership
For profit - Corporation
Chain
Part of BONAMOUR HEALTH GROUP · 5 homes · 2.2 stars avg
Occupancy
53.5 residents on an average day (71% of 75 beds)
Resident voice
Resident council
Medicare history
Certified for 42 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.