All citations for Birchwood Health and Rehabilitation Center

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 Birchwood Health and Rehabilitation Center

Last standard health inspection on record

August 7, 2025

Showing 1 to 25 of 36 citations

Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 17, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 17, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Provide a means of sharing information on occupancy/needs.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level E.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 4, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 26, 2026).
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 February 12, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 12, 2026).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of August 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 7, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pattern (more than a few residents). CMS level E.
Health citation F-0561, Resident Rights Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2023).
No harm, with potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Pattern (more than a few residents). CMS level E.
Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 17, 2023).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level E.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2023).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pattern (more than a few residents). CMS level E.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2021).

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.