Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395651

Birchwood Rehabilitation & Healthcare Center

55 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $123,390.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
55
Total citations
50
Last 3 years
3
Actual harm+
2
Federal penalties
$123,390
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care26 Resident Rights7 Care Planning6 Medication & Pharmacy5 Nutrition & Dietary5

Most common F-tags at this facility

F6896 F6933 F5843 F7442 F6922

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Sep 17, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Sep 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 17, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Aug 20, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
Aug 20, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Aug 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Jun 17, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Apr 4, 2025F761Ensure 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.DStandard
Apr 4, 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
Apr 4, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DStandard
Apr 4, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 4, 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
Apr 4, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 4, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 4, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 4, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Jan 2, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jan 2, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 24, 2024F584Honor 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.DComplaint
Jun 7, 2024F761Ensure 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.DStandard
Jun 7, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 7, 2024F693Ensure 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
Jun 7, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Jun 7, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
May 17, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.DComplaint
May 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 28, 2024F880Provide and implement an infection prevention and control program.DComplaint
Mar 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 28, 2024F584Honor 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.EComplaint
Mar 28, 2024F574The resident has the right to receive notices in a format and a language he or she understands.EComplaint
Mar 28, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Aug 8, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Aug 8, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Aug 8, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Aug 8, 2023F693Ensure 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.EComplaint
Jun 8, 2023F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
May 5, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.EComplaint
May 5, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
May 5, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 5, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
May 5, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
May 5, 2023F688Provide 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.EStandard
May 5, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 5, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 28, 2023F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint
Mar 28, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Mar 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Mar 28, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Mar 28, 2023F584Honor 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.EComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $123,390 .

DateTypeFinePayment denial
Aug 20, 2025Fine$115,372—
Oct 24, 2024Fine$8,018—
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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