CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Birch Creek Post Acute and Rehabilitation
View the most recent health deficiencies and inspection results for Birch Creek Post Acute and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Birch Creek Post Acute and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-13 | 2026-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-26 | 2026-04-21 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2026-03-26 | 2026-04-21 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-03-26 | 2026-04-21 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-03-13 | 2026-04-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-03-13 | 2026-04-21 | N |
| 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 | 2026-03-13 | 2026-04-21 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-03-13 | 2026-04-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-13 | 2026-04-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-03-13 | 2026-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-13 | 2026-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-13 | 2026-04-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-13 | 2026-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-13 | 2026-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-13 | 2026-04-21 | 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 | 2026-03-13 | 2026-04-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-13 | 2026-04-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-13 | 2026-04-21 | N |
| Provide or obtain dental services for each resident. | Health | 2026-03-13 | 2026-04-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-03-13 | 2026-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-13 | 2026-04-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2026-03-13 | 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 | 2026-03-13 | 2026-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-03-13 | 2026-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2026-03-13 | 2026-04-05 | N |
| Respond appropriately to all alleged violations. | Health | 2025-11-19 | 2025-12-22 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-11-19 | 2025-12-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-10 | 2025-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-11 | 2025-08-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-30 | 2025-08-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-30 | 2025-08-12 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-03-14 | 2025-05-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-03-14 | 2025-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-14 | 2025-04-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-14 | 2025-04-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-03-14 | 2025-04-21 | N |
| 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 | 2025-03-14 | 2025-04-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-03-14 | 2025-04-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-03-14 | 2025-04-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-14 | 2025-04-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-14 | 2025-04-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-14 | 2025-04-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-14 | 2025-04-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-14 | 2025-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-14 | 2025-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-14 | 2025-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-14 | 2025-04-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-14 | 2025-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-14 | 2025-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-14 | 2025-04-21 | 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 | 2025-03-14 | 2025-04-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-14 | 2025-04-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-14 | 2025-04-21 | 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 | 2025-03-14 | 2025-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-04-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-03-14 | 2025-04-21 | N |
| 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. | Health | 2025-03-14 | 2025-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-14 | 2025-04-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-14 | 2025-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-14 | 2025-04-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-14 | 2025-04-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-14 | 2025-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-01 | 2024-12-10 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-28 | 2024-11-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-10 | 2024-08-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-10 | 2024-08-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-15 | 2024-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-10 | 2024-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-07-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-23 | 2024-07-02 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-05-23 | 2024-07-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-23 | 2024-07-02 | 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 | 2024-05-23 | 2024-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-23 | 2024-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-23 | 2024-07-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-23 | 2024-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-23 | 2024-07-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-05-23 | 2024-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-23 | 2024-07-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-23 | 2024-07-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-23 | 2024-07-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Meet other general requirements. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-23 | 2024-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-22 | 2024-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-22 | 2024-04-30 | Y |