CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Birchwood Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Birchwood Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Birchwood Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-31 | 2026-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-31 | 2026-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-31 | 2026-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-31 | 2026-04-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-03-31 | 2026-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-17 | 2025-09-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-08-20 | 2025-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-20 | 2025-09-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-09-17 | 2025-09-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-09-17 | 2025-09-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-08-20 | 2025-09-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-17 | 2025-06-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-04 | 2025-06-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-04-04 | 2025-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-04 | 2025-06-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-04 | 2025-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-04 | 2025-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-04 | 2025-06-17 | N |
| 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. | Health | 2025-04-04 | 2025-06-17 | N |
| 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. | Health | 2025-04-04 | 2025-06-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-04-04 | 2025-06-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-04 | 2025-06-17 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-04-04 | 2025-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-04 | 2025-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-04 | 2025-05-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-04 | 2025-05-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-02 | 2025-01-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-02 | 2025-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-10 | 2025-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-24 | 2025-01-02 | Y |
| 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. | Health | 2024-10-24 | 2024-12-10 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-06-07 | 2024-07-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-07 | 2024-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-07 | 2024-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-07 | 2024-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-07 | 2024-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-07 | 2024-07-22 | N |
| 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. | Health | 2024-06-07 | 2024-06-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-07 | 2024-06-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-07 | 2024-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-07 | 2024-06-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-07 | 2024-06-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-17 | 2024-06-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-17 | 2024-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-17 | 2024-06-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-28 | 2024-05-17 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-03-28 | 2024-05-17 | Y |
| 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. | Health | 2024-03-28 | 2024-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-28 | 2024-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-28 | 2024-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-28 | 2024-05-17 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-08 | 2023-09-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-08 | 2023-09-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-08 | 2023-09-06 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-08 | 2023-09-06 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-06-08 | 2023-08-08 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-05 | 2023-06-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-31 | Not Fixed | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2026-03-31 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-31 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-31 | Not Fixed | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-31 | Not Fixed | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-31 | Not Fixed | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-31 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-31 | Not Fixed | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-31 | Not Fixed | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-31 | Not Fixed | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-03-31 | Not Fixed | N |