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 101 to 125 of 137 citations

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

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

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

    Health citation F-0626, 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).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of September 30, 2021. Found during a standard inspection.

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

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

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

  8. 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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  9. 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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  10. 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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  11. 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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  13. 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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  14. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  15. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  21. 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 March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  23. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness 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 minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness 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 minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

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.