All citations for Birchwood Nursing and 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 Birchwood Nursing and Rehabilitation

Last standard health inspection on record

June 18, 2025

Showing 1 to 21 of 21 citations

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2026).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  10. 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 June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of May 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

  14. 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 May 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

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

    Have policies on smoking.

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

    Health citation F-0926, Environmental Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  18. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2023).

  19. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

  20. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    A waiver was granted.

  21. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    A waiver was granted (May 27, 2023).

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.