All citations for The Birches at Trillium Woods

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 The Birches at Trillium Woods

Last standard health inspection on record

May 27, 2026

Showing 1 to 10 of 10 citations

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  9. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

  10. No harm, with potential for minimal harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2023).

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.