Skilled nursing facility · CMS certification number 495426

MULBERRY CREEK NURSING & REHAB CENTER

MARTINSVILLE, Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 300

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 25 April 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$32,446,290	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,356,393	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$24,089,897	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$22,226,166	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,863,731	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,121	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,900,852	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,900,853 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	76,860	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,748	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	44,256	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	18,794	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	67,798	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	93	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	107	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	70	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	270	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	413.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	251.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421030, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$22,163,625	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,649,609	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,514,016	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,819,130	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$305,114	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$90,761	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$214,353	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$214,360 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	300	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,288	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	263	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	450.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	236.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421029, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 June 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$18,470,184	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,163,799	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,306,385	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,387,845	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,081,460	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$82,932	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,998,528	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,998,528 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	300	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	59,372	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	258	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	431.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	230.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1382263, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 June 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$18,273,157	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,511,985	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,761,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,276,025	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,514,853	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,915,266	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$400,413	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $400,410 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	300	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	56,538	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	329	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	95.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	8.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1349964, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 31 January 2020 to 31 December 2020 — a reporting period of 335 days, on form CMS-2540-10, settled, processed by CMS on 22 October 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$18,955,891	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,567,406	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,388,485	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,341,632	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,953,147	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,534,525	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,418,622	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,418,622 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	300	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,105	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	282	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	358.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	230.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303075, read from the public cost report file SNF10FY2020.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Ownership Data Not Available	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RBM OPCO OF MARTINSVILLE LLC (enrollment ID O20191212002303).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MCCLINTIC OPERATIONS HOLDCO I LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	11/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
ROBERT MCCLINTIC	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	11/30/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OHI ASSET (VA) MARTINSVILLE SNF, LLC	Organization	5% OR GREATER SECURITY INTEREST	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/27/2019	Private equity company: No Real estate investment trust: Yes Holding company: No
AMBER REESE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/14/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMY PHILLIPS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAROLINE M CHISHOLM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/9/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KOBY JOHNSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/9/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARY FERRELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OHI ASSET (VA) MARTINSVILLE SNF, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/27/2019	Private equity company: No Real estate investment trust: Yes Holding company: No
KATIE M PERRY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARY FERRELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MCCLINTIC OPERATIONS HOLDCO I LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
MCCLINTIC OPERATIONS HOLDCO II LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
ROBERT MCCLINTIC	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: MCCLINTIC OPERATIONS HOLDCO II LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MCCLINTIC OPERATIONS HOLDCO II LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2025: ROBERT MCCLINTIC no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATIE M PERRY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KISSITO HEALTHCARE INC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KISSITO HEALTHCARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ROBERT MCCLINTIC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMBER REESE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MCCLINTIC OPERATIONS HOLDCO I LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MCCLINTIC OPERATIONS HOLDCO I LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CAROLINE M CHISHOLM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMY PHILLIPS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARY FERRELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARY FERRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KOBY JOHNSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: OHI ASSET (VA) MARTINSVILLE SNF, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: OHI ASSET (VA) MARTINSVILLE SNF, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATIE M PERRY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MCCLINTIC OPERATIONS HOLDCO II LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 August 2023: KATHY SANDERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv

Recent changes on this record

1 July 2026: MCCLINTIC OPERATIONS HOLDCO II LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MCCLINTIC OPERATIONS HOLDCO II LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2025: ROBERT MCCLINTIC no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATIE M PERRY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KISSITO HEALTHCARE INC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KISSITO HEALTHCARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ROBERT MCCLINTIC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMBER REESE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MCCLINTIC OPERATIONS HOLDCO I LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MCCLINTIC OPERATIONS HOLDCO I LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CAROLINE M CHISHOLM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMY PHILLIPS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARY FERRELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARY FERRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KOBY JOHNSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: OHI ASSET (VA) MARTINSVILLE SNF, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: OHI ASSET (VA) MARTINSVILLE SNF, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATIE M PERRY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MCCLINTIC OPERATIONS HOLDCO II LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
25 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
25 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
10 June 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
1 August 2023: KATHY SANDERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
6 June 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
22 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	9 May 2024	9 May 2024	1	2
2	5 December 2022	5 December 2022	8	11
3	30 January 2020	30 January 2020	2	0

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

11 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
15 November 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	11 December 2024
21 August 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	11 October 2024
9 May 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	18 July 2024
5 December 2022	Health	F 0584	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has no plan of correction
5 December 2022	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	14 February 2023
5 December 2022	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	14 February 2023
5 December 2022	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has no plan of correction
5 December 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has no plan of correction
5 December 2022	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has no plan of correction
30 January 2020	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	31 January 2020
30 January 2020	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	31 January 2020

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services	2020-01-31
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Martinsville City
Telephone Number	5402650322
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	300
Average Number of Residents per Day	187.0
Overall Rating	5
Health Inspection Rating	5
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: MCCLINTIC OPERATIONS HOLDCO II LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for MULBERRY CREEK NURSING & REHAB CENTER

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