Birchwood Rehabilitation & Healthcare Center
BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA — inspection on August 20, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During the onsite visit to the facility on [DATE], verification of the implementation of the facility's removal plan was completed and the Immediate Jeopardy was lifted on [DATE], at 9:30 AM. 483.25(d)(1)(2) Free of Accidents Hazards/Supervision/Devices. 28 Pa Code 201.18(b)(1) (e)(1) Management. 28 Pa Code 201.14(a) Responsibility of Licensee. 28 Pa Code 211.12(c)(d)(1)(3)(5) Nursing Services.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Birchwood Rehabilitation & Healthcare Center
395 Middle Road Nanticoke, PA 18634
SUMMARY STATEMENT OF DEFICIENCIES
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of clinical records and staff interview, it was determined the facility failed to develop and implement an effective, individualized, person-centered care plan to address a resident's dementia-related behavioral symptoms for one of 5 residents reviewed (Resident 1).Findings include: A review of the clinical record revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses including dementia (a progressive condition involving cognitive decline, memory loss, and changes in personality and behavior) and anxiety disorder (a mental health condition characterized by persistent worry or fear that interferes with daily functioning). A quarterly Minimum Data Set (MDS an assessment completed periodically to plan resident care) dated June 23, 2025, indicated that Resident 1 was moderately cognitively impaired with a BIMS score of 12 (Brief Interview for Mental Status a tool to assess the resident's attention, orientation, and the ability to register and recall new information, a score of 8-12 equates to moderate cognitive impairment). A review of nursing documentation from April 20, 2025, through August 14, 2025, revealed repeated instances of dementia related behavioral symptoms.
These included verbal and physical aggression toward staff (e.g., hitting, kicking, yelling), intrusion into other residents' rooms, refusals of care, accusatory statements directed at staff, and physical aggression toward a visiting family member of another resident.
Documentation also noted the resident was often difficult to redirect.
The resident's current care plan for cognitive impairment related to dementia failed to identify these specific behaviors and lacked individualized, person centered interventions to address and manage each behavioral symptom.
There was no documented evidence the care plan incorporated information based on a thorough assessment of the resident's preferences, social history, customary routines, or personal interests, as required to support effective behavioral management strategies. An interview with the Director of Nursing on August 14, 2025, at 4:40 PM, confirmed the facility was unable to provide evidence of the development and implementation of an individualized person-centered plan to address dementia-related behaviors.28 Pa Code 211.12 (c)(d)(1)(3)(5) Nursing services.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Birchwood Rehabilitation & Healthcare Center
395 Middle Road Nanticoke, PA 18634
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0835 during a complaint investigation conducted on 2025-08-20.
Category: Administration Deficiencies
The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-17.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.