Birchwood Park Rehabilitation

Inspection history (114)

• September 30, 2021 · F

  Citation F0838

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0838 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · L

  Citation F0886

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0886 (CMS scope/severity L: widespread, immediate jeopardy) for Perform COVID19 testing on residents and staff. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · D

  Citation F0626

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0626 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · E

  Citation F0690

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• September 30, 2021 · E

  Citation F0883

  Federal surveyors cited this nursing home on 2021-09-30 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2021-11-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-09-30.GOV

• March 5, 2020 · E

  Citation F0727

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · E

  Citation F0622

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0622 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · D

  Citation F0582

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · E

  Citation F0625

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0625 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

• March 5, 2020 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2020-03-05 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2020-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-03-05.GOV

Penalties

Total fines on file: $131,178

Staffing

Latest: 3.29 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Va Snf Operations Holdings LLC

   parent · PAC 1850788043