Birchwood Park Rehabilitation

Certification

Medicare-certified.

Ratings

Inspection history (114)

Records from March 2020 to April 2025.

• December 19, 2024

  Tag F0560

  Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0887

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0946

  Provide training in compliance and ethics.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0645

  PASARR screening for Mental disorders or Intellectual Disabilities.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0941

  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0603

  Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

  Severity G: isolated, actual harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0636

  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0850

  Hire a qualified full-time social worker in a facility with more than 120 beds.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0947

  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 14, 2025.

• December 19, 2024

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0661

  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 14, 2025.

• December 19, 2024

  Tag F0944

  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G: isolated, actual harm. Corrected February 15, 2025.

• December 19, 2024

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 14, 2025.

• December 19, 2024

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 14, 2025.

Penalties (1)

Total fines: $131,178

• December 19, 2024 · Fine

  CMS recorded a civil money penalty of $131,178 against this nursing home on December 19, 2024.

Staffing

3.35 nurse hours per resident per day in Q2 2026, up from 3.29 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Ydi Eastern Holdco LLC