BIRCH HILL CARE 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 "Very 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 Birch Hill Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Reduced Physical Function

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 Wisconsin 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 04/18/2011.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/31/2010 Correction Date: 05/27/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/31/2010 Correction Date: 05/27/2010

Environmental

Keep Temperature Levels Comfortable and Safe. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/18/2011 Correction Date: 05/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2010 Correction Date: 05/27/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/18/2011 Correction Date: 05/18/2011

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: 03/31/2010 Correction Date: 05/27/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/31/2010 Correction Date: 05/27/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/16/2009 Correction Date: 03/18/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/31/2010 Correction Date: 05/27/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/31/2010 Correction Date: 05/27/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/18/2011 Correction Date: 05/18/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/18/2011 Correction Date: 05/18/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/18/2011 Correction Date: 05/18/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/16/2009 Correction Date: 03/18/2009

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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 Birch Hill Care 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 04/19/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/30/2010 Correction Date: 03/30/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/30/2010 Correction Date: 04/30/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Electrical

A Separate and Independent Backup Electrical Power Source. Inspection Date: 03/30/2010 Correction Date: 04/30/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/30/2010 Correction Date: 03/30/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/11/2009 Correction Date: 03/18/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/30/2010 Correction Date: 04/30/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/19/2011 Correction Date: 05/18/2011

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 03/30/2010 Correction Date: 04/30/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/19/2011 Correction Date: 05/18/2011