BIRCHWOOD NURSING AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Birchwood Nursing and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

BIRCHWOOD NURSING AND REHABILITATION CENTER
395 EAST MIDDLE ROAD
NANTICOKE, PA 18634
(570) 735-2973

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 105
  • Certified Beds: 121

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Birchwood Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.9%
ADL Index Range: 2-100.9%
Total Percent:2.8%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.9%
Total Percent:1.9%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1643.3%
ADL Index Range: 6-1025.6%
ADL Index Range: 0-55.7%
Total Percent:74.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-100.6%
ADL Index Range: 0-51.0%
Total Percent:12.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.4%
Total Percent:2.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.3%
ADL Index Range: 0-50.06%
Total Percent:1.4%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.9%
Total Percent:0.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.9%
Total Percent:0.9%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.4%
ADL Index Range: 15-16
- No Signs of depression
0.8%
Total Percent:1.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.1%
ADL Index Range: 0-1
- No Signs of depression
0.5%
Total Percent:0.6%
 

Rating Details For Birchwood Nursing and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours37 Minutes1 Hour and 27 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 3 Minutes47 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 6 Minutes2 Hours and 37 Minutes
Total Licensed Nurse Hours1 Hour and 40 Minutes2 Hours and 14 Minutes
Total Nurse Hours3 Hours and 46 Minutes4 Hours and 51 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Pennsylvania are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityPennsylvania Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious25%19%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse18%17%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores7%3%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection-7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder66%63%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%11%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%20%
Percent of Short-Stay Residents Who Have Pressure Sores22%13%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/17/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/17/2011
  • Correction Date: 08/09/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/17/2011
  • Correction Date: 08/09/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/17/2011
  • Correction Date: 08/09/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/07/2010
  • Correction Date: 08/03/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/17/2011
  • Correction Date: 08/09/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/17/2011
  • Correction Date: 08/09/2011

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 07/30/2009
  • Correction Date: 09/28/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Let Each Resident Choose Whether to Manage His or Her Own Money or Deposit It with the Nursing Home.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 05/07/2010
  • Correction Date: 07/15/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 06/17/2011
  • Correction Date: 08/09/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Birchwood Nursing and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 01/03/2011
  • Correction Date: 02/22/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 07/11/2008
  • Correction Date: 07/28/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/11/2008
  • Correction Date: 07/28/2008

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Complaint Filed: 02/24/2009
  • Correction Date: 03/30/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Complaint Filed: 05/26/2009
  • Correction Date: 06/15/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Complaint Filed: 05/26/2009
  • Correction Date: 06/15/2009
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Complaint Filed: 05/26/2009
  • Correction Date: 06/15/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/21/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Birchwood Nursing and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/30/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/16/2009
Portable Fire Extinguishers.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/16/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/16/2010
  • Correction Date: 04/16/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/16/2010
  • Correction Date: 04/16/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/16/2010
  • Correction Date: 04/16/2010

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/16/2009
Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 04/16/2010
  • Correction Date: 04/16/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/07/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/16/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 04/16/2010
  • Correction Date: 04/18/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/30/2011
  • Correction Date: 08/09/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/30/2011
  • Correction Date: 08/09/2011
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011