All citations for Birchwood Park 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.
Last standard health inspection on record
December 19, 2024
Showing 1 to 25 of 53 citations
Harm to a resident
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
The home gave a date the problem would be corrected (February 15, 2025).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
The home gave a date the problem would be corrected (February 15, 2025).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
The home gave a date the problem would be corrected (February 15, 2025).
Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (February 15, 2025).
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.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Ensure the activities program is directed by a qualified professional.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Employ staff that are licensed, certified, or registered in accordance with state laws.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
The home gave a date the problem would be corrected (February 20, 2025).
No harm, with potential for more than minimal harm
Meet other general requirements.
A waiver was granted (February 20, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
The home gave a date the problem would be corrected (February 15, 2025).
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.
The home gave a date the problem would be corrected (May 14, 2025).
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.
The home gave a date the problem would be corrected (May 14, 2025).
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.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
The home gave a date the problem would be corrected (May 14, 2025).
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.
The home gave a date the problem would be corrected (February 15, 2025).
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.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
The home gave a date the problem would be corrected (February 15, 2025).
No harm, with potential for more than minimal harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
The home gave a date the problem would be corrected (February 15, 2025).
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.