All citations for Birchwood Rehabilitation & Healthcare Center

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 Rehabilitation & Healthcare Center

Last standard health inspection on record

March 31, 2026

Showing 51 to 62 of 62 citations

  1. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of June 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  2. 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 June 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  4. 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 May 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of May 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  6. 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 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  7. 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 March 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  8. No harm, with potential for minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  9. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  10. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  11. No harm, with potential for minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of June 7, 2024. Found during a standard inspection.

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

  12. No harm, with potential for minimal harm

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

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of June 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

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.