All citations for Birchwood Care Home
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.
Last standard health inspection on record
May 19, 2026
Showing 1 to 25 of 68 citations
Harm to a resident
Ensure that residents are free from significant medication errors.
Past non-compliance: already corrected by the time of the inspection (July 1, 2024).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
The home gave a date the problem would be corrected (July 19, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Provide primary/alternate means for communication.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Establish policies and procedures for medical documentation.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Develop a communication plan.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Provide primary/alternate means for communication.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
The home gave a date the problem would be corrected (June 20, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (July 26, 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.