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Complaint Investigation

Birchwood Rehabilitation & Healthcare Center

March 31, 2026 · Nanticoke, PA · 395 Middle Road
Citations 11
CMS Rating 1/5
Beds 121
Provider ID 395651
Healthcare Facility
Birchwood Rehabilitation & Healthcare Center
Nanticoke, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA — inspection on March 31, 2026.

Found 11 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0600 during a standard health inspection conducted on 2026-03-31.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Past Non-Compliance.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0627 during a standard health inspection conducted on 2026-03-31.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-03-31.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-03-31.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-03-31.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

The facility failed to ensure that reweighing was completed timely to

standards of practice.

During an interview on March 30, 2026, at 2:00 PM, the Director of Nursing

Code 211.10 (c) Resident care policies. 28 Pa.

Code 211.12 (c) (d)(3)(5) Nursing services.

395651 03/31/2026

Birchwood Rehabilitation & Healthcare Center 395 Middle Road Nanticoke, PA 18634

Observation revealed the oxygen tank was empty.

During interview on March 28, 2026, at 11:23 AM, Employee 4, Registered Nurse (RN), confirmed the oxygen tank was empty and replaced the tank with a full oxygen tank.

Employee 4 assessed the resident's vital signs and documented an oxygen saturation level of 94 percent (measurement of oxygen level in the blood) and heart rate of 62 beats per minute.

Employee 4 indicated the resident's skin color appeared normal and there were no signs of distress.

Employee 4 confirmed the resident had physician orders for continuous oxygen and staff should monitor oxygen tank levels.

During interview on March 29, 2026, at 9:30 AM, the above findings were reviewed with the Director of Nursing (DON) and Nursing Home Administrator (NHA).

The facility failed to ensure Resident 38 received oxygen continuously in accordance with physician orders. 28 Pa.

Code 211.10(c) Resident care policies. 28 Pa.

Code 211.12 (d)(1)(5) Nursing services.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2026-03-31.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.

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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2026-03-31.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0773 during a standard health inspection conducted on 2026-03-31.

Category: Administration Deficiencies

The facility was found deficient in the following area: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited BIRCHWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-03-31.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, 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 11 deficiencies cited during this inspection of BIRCHWOOD REHABILITATION & HEALTHCARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NANTICOKE, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BIRCHWOOD REHABILITATION & HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.