Facility profile · CCN 285141
The Birch At Sutherland
41 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $50,025.
Record summary
Federal record · Q1 202641
Total citations
31
Last 3 years
2
Actual harm+
2
Federal penalties
$50,025
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
41 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 24, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Complaint |
| Sep 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 24, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 9, 2025 | F758 | Implement 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. | D | Complaint |
| Apr 9, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Apr 9, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 9, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Dec 19, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Dec 19, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 19, 2024 | 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 | Complaint |
| Dec 19, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Dec 19, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 19, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 19, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 19, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 19, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Sep 26, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 14, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Feb 14, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint |
| Feb 14, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Feb 14, 2024 | 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 | Complaint |
| Feb 14, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Nov 16, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Nov 16, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Nov 16, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Nov 16, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 16, 2023 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Nov 16, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Nov 16, 2023 | F688 | Provide 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. | D | Standard |
| Aug 9, 2023 | F688 | Provide 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. | D | Complaint |
| Aug 9, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Sep 1, 2022 | F886 | Perform COVID19 testing on residents and staff. | F | Standard |
| Sep 1, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 1, 2022 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Sep 1, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 1, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 1, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 1, 2022 | F625 | Notify 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. | D | Standard |
| Sep 1, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Sep 1, 2022 | 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. | E | Standard |
| Sep 1, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $50,025 and 1 payment-denial actions spanning 45 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 24, 2025 | Fine | $50,025 | — |
| Apr 9, 2025 | Payment Denial | — | May 2, 2025 · 45 days |
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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