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 76 to 100 of 137 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 19, 2024. Found during a standard inspection.

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

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of December 19, 2024. Found during a complaint inspection.

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

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 19, 2024. Found during a complaint inspection.

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

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 19, 2024. Found during a complaint inspection.

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

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2024. Found during 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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 30, 2024).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of April 15, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 2, 2024).

  21. 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 September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2021).

  22. 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 September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2021).

  23. 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 September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2021).

  24. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2021).

  25. 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 September 30, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2021).

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.