All citations for Birch Creek Post Acute & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Birch Creek Post Acute & Rehabilitation

Last standard health inspection on record

March 13, 2026

Showing 26 to 50 of 109 citations

  1. No harm, with potential for more than minimal harm

    Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0571, Resident Rights Deficiencies. Inspection of June 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

  2. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 26, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  3. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  4. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2026).

  5. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Pattern (more than a few residents). CMS level E.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  6. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  7. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  8. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of November 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  9. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  10. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2025).

  11. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  12. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Pattern (more than a few residents). CMS level E.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  13. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  14. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  15. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  17. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  18. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  19. No harm, with potential for more than minimal harm

    Educate 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

  21. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  22. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  23. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  24. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.