All citations for Birchaven Retirement Village

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 Birchaven Retirement Village

Last standard health inspection on record

January 9, 2025

Showing 1 to 5 of 5 citations

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2020).

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

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

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

    Health citation F-0920, Environmental Deficiencies. Inspection of December 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2020).

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

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of December 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2020).

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

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of December 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2020).

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

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2020).

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.