BIRCHWOOD NURSING AND REHABILITATION CENTER

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.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

Clinically Complex

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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.

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

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.

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

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.

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