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.

Back to Birchwood Park Rehabilitation

Last standard health inspection on record

December 19, 2024

Showing 26 to 50 of 53 citations

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, Administration Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Provide training in compliance and ethics.

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

    Health citation F-0946, Administration Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, Administration Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 14, 2025).

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

    Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

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

    Health citation F-0560, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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

    Health citation F-0568, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 2025).

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

    Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

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

    Health citation F-0586, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 2025).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

  15. 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 December 19, 2024. Found during a standard inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

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

    Health citation F-0840, Administration Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 2025).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of December 19, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.