Facility profile · CCN 475003
Birchwood Terrace Rehab & Healthcare
22 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $127,834.
Record summary
Federal record · Q1 202622
Total citations
21
Last 3 years
1
Actual harm+
1
Federal penalties
$127,834
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
22 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 20, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 20, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Dec 31, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Sep 3, 2024 | F880 | Provide and implement an infection prevention and control program. | L | Standard |
| Sep 3, 2024 | F761 | 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. | B | Standard |
| Sep 3, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Sep 3, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Sep 3, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard |
| Sep 3, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | Standard |
| Sep 3, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Sep 3, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Sep 3, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 3, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Sep 3, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Jun 24, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jun 14, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Jun 14, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Jun 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jun 14, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jun 14, 2023 | F584 | 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. | B | Standard |
| Jun 14, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | B | Standard |
| Mar 21, 2023 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | C | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $127,834 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 3, 2024 | Fine | $127,834 | — |
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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