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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505289

Birch Creek Post Acute & Rehabilitation

67 federal citations on record .

Record summary

Federal record · Q1 2026
67
Total citations
67
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care20 Resident Rights12 Care Planning11 Abuse & Neglect8 Infection Control8

Most common F-tags at this facility

F6104 F6844 F6893 F6093 F6573

Citation history

67 on record
SurveyF-TagViolationSeveritySource
Nov 19, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EComplaint
Nov 19, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 10, 2025F692Provide enough food/fluids to maintain a resident's health.EComplaint
Jun 30, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 30, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Mar 14, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Mar 14, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Mar 14, 2025F881Implement a program that monitors antibiotic use.EStandard
Mar 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 14, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Mar 14, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 14, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 14, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Mar 14, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 14, 2025F688Provide 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.DStandard
Mar 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 14, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 14, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 14, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Mar 14, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Mar 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Mar 14, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Mar 14, 2025F584Honor 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.DStandard
Mar 14, 2025F578Honor 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.EStandard
Mar 14, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Mar 14, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Nov 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 28, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DComplaint
Jul 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jul 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 10, 2024F610Respond appropriately to all alleged violations.DComplaint
May 23, 2024F880Provide and implement an infection prevention and control program.EStandard
May 23, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
May 23, 2024F790Provide routine and 24-hour emergency dental care for each resident.EStandard
May 23, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
May 23, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
May 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.CStandard
May 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
May 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
May 23, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 23, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 23, 2024F625Notify 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.BStandard
May 23, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
May 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 23, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Mar 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Mar 22, 2024F610Respond appropriately to all alleged violations.DComplaint
Apr 26, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EComplaint
Apr 26, 2023F880Provide and implement an infection prevention and control program.FComplaint
Apr 26, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Apr 26, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 26, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 26, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 26, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 26, 2023F641Ensure each resident receives an accurate assessment.DStandard
Apr 26, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Apr 26, 2023F625Notify 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.EStandard
Apr 26, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 26, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Apr 26, 2023F578Honor 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.EStandard
Apr 26, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 26, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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