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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

Birch Healthcare Center: Resident Rights Gaps - NH Mar 1, 2026
Birch Healthcare: Abuse Reporting Failures - NH Feb 28, 2026
Birch Healthcare Center: Dialysis Safety Gaps - NH Feb 27, 2026

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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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.

Health Inspection

Fines and Penalties by Year

2022 2 penalties totaling $514,143

$312,760

Fine

$201,383

Fine

2021 9 penalties totaling $80,372

$32,766

Fine

$3,603

Fine

$3,275

Fine

$15,239

Fine

$2,948

Fine

$2,620

Fine

$2,293

Fine

$15,663

Fine

$1,965

Fine

2020 4 penalties totaling $4,573

$1,625

Fine

$1,310

Fine

$983

Fine

$655

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

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.

Last verified: April 16, 2024 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Birch Healthcare Center.

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