Birchwood Park Rehabilitation

Certification

Medicare-certified.

Ratings

Inspection history (114)

Records from March 2020 to April 2025.

• April 15, 2024

  Tag F0655

  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2024.

• November 3, 2023

  Tag F0686

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 28, 2023.

• September 30, 2021

  Tag F0685

  Assist a resident in gaining access to vision and hearing services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0712

  Ensure that the resident and his/her doctor meet face-to-face at all required visits.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0838

  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0727

  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  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 November 5, 2021.

• September 30, 2021

  Tag F0886

  Perform COVID19 testing on residents and staff.

  Severity L: widespread, immediate jeopardy. Corrected November 5, 2021.

• September 30, 2021

  Tag F0584

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity L: widespread, immediate jeopardy. Corrected November 5, 2021.

• September 30, 2021

  Tag F0885

  Report COVID19 data to residents and families.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0582

  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0730

  Observe each nurse aide's job performance and give regular training.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0623

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

• September 30, 2021

  Tag F0883

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 5, 2021.

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