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Birch Healthcare Center

📍 62 Rochester Hill Road, Rochester, NH 03867 📞 (603) 335-3955 🛏️ 79 beds

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

September 18, 2025 Health Inspection

Fines and Penalties by Year

2022 2 penalties totaling $514,143

$312,760
Jul 8, 2022

Fine

$201,383
Jul 8, 2022

Fine

2021 9 penalties totaling $80,372

$32,766
Dec 16, 2021

Fine

$3,603
Jul 19, 2021

Fine

$3,275
Jun 21, 2021

Fine

$15,239
Apr 13, 2021

Fine

$2,948
Mar 1, 2021

Fine

$2,620
Feb 22, 2021

Fine

$2,293
Feb 15, 2021

Fine

$15,663
Feb 8, 2021

Fine

$1,965
Jan 4, 2021

Fine

2020 4 penalties totaling $4,573

$1,625
Dec 28, 2020

Fine

$1,310
Dec 21, 2020

Fine

$983
Dec 14, 2020

Fine

$655
Dec 7, 2020

Fine

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Health Violations by Year

2024 1 violations

Tag 0689 G Apr 16, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 8, 2024

2023 7 violations

Tag 0658 D Jul 26, 2023

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

✓ Corrected: Aug 16, 2023
Tag 0761 D Jul 26, 2023

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.

✓ Corrected: Aug 16, 2023
Tag 0812 D Jul 26, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 16, 2023
Tag 0921 D Jul 26, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Aug 15, 2023
Tag 0554 D Feb 8, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Feb 25, 2023
Tag 0623 B Feb 8, 2023

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

✓ Corrected: Feb 25, 2023
Tag 0658 D Feb 8, 2023

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

✓ Corrected: Feb 25, 2023

2022 17 violations

Tag 0550 D Sep 16, 2022

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

✓ Corrected: Oct 1, 2022
Tag 0609 D Sep 16, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 1, 2022
Tag 0610 D Sep 16, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Oct 1, 2022
Tag 0655 D Sep 16, 2022

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

✓ Corrected: Oct 1, 2022
Tag 0656 D Sep 16, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 1, 2022
Tag 0689 J Sep 16, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 1, 2022
Tag 0842 D Sep 16, 2022

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

✓ Corrected: Oct 1, 2022
Tag 0684 D Jul 8, 2022

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

✓ Corrected: Aug 14, 2022
Tag 0686 D Jul 8, 2022

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

✓ Corrected: Aug 13, 2022
Tag 0689 D Jul 8, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 12, 2022
Tag 0732 B Jul 8, 2022

Post nurse staffing information every day.

✓ Corrected: Aug 15, 2022
Tag 0756 D Jul 8, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 14, 2022
Tag 0761 D Jul 8, 2022

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.

✓ Corrected: Aug 15, 2022
Tag 0773 D Jul 8, 2022

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Aug 14, 2022
Tag 0812 E Jul 8, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 14, 2022
Tag 0842 D Jul 8, 2022

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

✓ Corrected: Aug 14, 2022
Tag 0867 D Jul 8, 2022

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

✓ Corrected: Aug 14, 2022

2021 31 violations

Tag 0554 D Dec 16, 2021

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jan 31, 2022
Tag 0578 D Dec 16, 2021

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.

✓ Corrected: Jan 31, 2022
Tag 0580 D Dec 16, 2021

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

✓ Corrected: Jan 31, 2022
Tag 0658 D Dec 16, 2021

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

✓ Corrected: Jan 31, 2022
Tag 0686 D Dec 16, 2021

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

✓ Corrected: Jan 31, 2022
Tag 0690 G Dec 16, 2021

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

✓ Corrected: Jan 4, 2022
Tag 0692 D Dec 16, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jan 31, 2022
Tag 0756 E Dec 16, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jan 31, 2022
Tag 0761 D Dec 16, 2021

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.

✓ Corrected: Jan 31, 2022
Tag 0838 C Dec 16, 2021

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

✓ Corrected: Jan 31, 2022
Tag 0880 K Dec 16, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 31, 2022
Tag 0883 D Dec 16, 2021

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

✓ Corrected: Jan 31, 2022
Tag 0886 D Dec 16, 2021

Perform COVID19 testing on residents and staff.

✓ Corrected: Jan 31, 2022
Tag 0635 D Jun 7, 2021

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Tag 0725 E Jun 7, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0755 D Jun 7, 2021

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

Tag 0880 D Jun 7, 2021

Provide and implement an infection prevention and control program.

Tag 0885 B Jun 7, 2021

Report COVID19 data to residents and families.

Tag 0563 D Apr 13, 2021

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: May 4, 2021
Tag 0580 D Apr 13, 2021

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

2020 4 violations

Tag 0658 D Aug 17, 2020

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

✓ Corrected: Sep 16, 2020
Tag 0689 D Aug 17, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 16, 2020
Tag 0584 E Jun 1, 2020

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.

✓ Corrected: Jun 23, 2020
Tag 0880 C Jun 1, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 23, 2020

2019 6 violations

Tag 0578 D Apr 26, 2019

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.

✓ Corrected: Jun 7, 2019
Tag 0697 D Apr 26, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jun 7, 2019
Tag 0758 D Apr 26, 2019

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.

✓ Corrected: Jun 7, 2019
Tag 0761 D Apr 26, 2019

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.

✓ Corrected: Jun 7, 2019
Tag 0842 D Apr 26, 2019

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

✓ Corrected: Jun 7, 2019
Tag 0880 D Apr 26, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 7, 2019

2018 4 violations

Tag 0761 D Aug 3, 2018

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.

✓ Corrected: Aug 30, 2018
Tag 0641 D Apr 24, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 3, 2018
Tag 0658 D Apr 24, 2018

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

✓ Corrected: Jun 3, 2018
Tag 0755 D Apr 24, 2018

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

✓ Corrected: Jun 3, 2018

2017 5 violations

Tag 0155 E May 17, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

✓ Corrected: Jun 23, 2017
Tag 0280 D May 17, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Jun 23, 2017
Tag 0281 E May 17, 2017

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

✓ Corrected: Jun 23, 2017
Tag 0441 D May 17, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jun 23, 2017
Tag 0514 D May 17, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jun 23, 2017
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