Birch Healthcare Center
Birch Healthcare Center is a 3-star rated nursing home in Rochester, NH with 79 beds. CMS sub-ratings: health inspections 3/5, staffing 2/5, quality measures 4/5.
The facility has 75 health violations on record. Federal fines total $599,088 across 15 enforcement actions. Most recent inspection: April 16, 2024.
Staff turnover rate: 64.2% — significantly above the national average.
Data synthesized from CMS.gov and New Hampshire public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Our Coverage of Birch Healthcare Center
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
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.
Fines and Penalties by Year
2022 2 penalties totaling $514,143
Fine
Fine
2021 9 penalties totaling $80,372
Fine
Fine
Fine
Fine
Fine
Fine
Fine
Fine
Fine
2020 4 penalties totaling $4,573
Fine
Fine
Fine
Fine
Health Violations by Year
2024 1 violations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023 7 violations
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure services provided by the nursing facility meet professional standards of quality.
2022 17 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Post nurse staffing information every day.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2021 31 violations
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide enough food/fluids to maintain a resident's health.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
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.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Perform COVID19 testing on residents and staff.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
Report COVID19 data to residents and families.
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide and implement an infection prevention and control program.
2019 6 violations
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.
Provide safe, appropriate pain management for a resident who requires such services.
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.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
2018 4 violations
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.
Ensure each resident receives an accurate assessment.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2017 5 violations
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
Allow residents the right to participate in the planning or revision of care and treatment.
Ensure services provided by the nursing facility meet professional standards of quality.
Have a program that investigates, controls and keeps infection from spreading.
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Frequently Asked Questions About Birch Healthcare Center
- What violations has Birch Healthcare Center received?
- Birch Healthcare Center has 75 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Birch Healthcare Center?
- Birch Healthcare Center has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
- When was Birch Healthcare Center last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Birch Healthcare Center safe?
- Safety at Birch Healthcare Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Birch Healthcare Center?
- Phone: (603) 335-3955. Address: 62 Rochester Hill Road, Rochester, NH. For visiting hours and admission information, call the facility directly.
- What services does Birch Healthcare Center offer?
- Birch Healthcare Center is a skilled nursing facility with 79 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Rochester, NH?
- Compare Birch Healthcare Center with other nursing homes in Rochester, NH on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Rochester, NH
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Birch Healthcare Center (this facility) | ★★★☆☆ | 75 | 79 |
| Rochester Manor | ★★☆☆☆ | 27 | 108 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
This page is maintained by NursingHomeNews.org and is not affiliated with Birch Healthcare Center.