Birchaven Retirement Village

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 327 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 133 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.59 therapist hours per resident per day in 2026Q1 — more than 88% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 118 beds and averages 94.1 residents a day — about 80% occupied, or roughly 24 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.38 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.63 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.24 hrs/resident/day on weekends vs 5.64 on weekdays — 7% thinner on weekends. RN hours go from 1.55 to 0.98 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · Dcited before2026-05-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, Self-Reported Incident (SRI) review, staff interview, and policy review, the facility failed to ensure residents were free from physical abuse. This affected one (#96) of three residents reviewed for abuse. The facility census was 90. Findings included: Review of Former Resident (FR) #96's medical record revealed an admission date of [DATE]. The resident expired under Hospice care on [DATE]. Diagnoses included Lewy Bodies dementia, Parkinson's disease, and a cognitive communication deficit. Review of FR #96's significant change in status Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was unable to complete the test for cognitive function levels. The resident had physical behaviors such at hitting others one to three times weekly. This was documented as significant in interfering with the resident's care. Review of the SRI dated [DATE]…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-04-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff interview, review of the Self-Reported Incident (SRI) documentation, review of witness statements, review of the facility investigation, and policy review, the facility failed to ensure residents were free from verbal abuse by staff. This affected one (Resident #67) of three residents (#04, #67, and #94) reviewed for abuse. The facility census was 93.Findings Include:Review of the medical record for Resident #67 revealed an admission date of 08/05/25. Diagnoses included neurocognitive disorder with Lewy bodies, major depressive disorder, cognitive communication deficit, abnormalities of gait and mobility, dementia, Parkinson's disease, restless leg syndrome, hypertension, benign prostatic hyperplasia, insomnia, sleep apnea, parasomnia, rapid eye movement (REM) sleep behavior disorder, and generalized muscle weakness.Review of the most recent quarterly Minimum Data Set (MDS) assessment, dated 03/24/26, for Resident #67 revealed a Brief Interview of Mental Status (BIMS) score was unable to be determined due to his cognitive state. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, review of facility submitted Self-Reported Incident (SRI), review of witness statements, review of the facility investigation, review of an email correspondence, review of the employee timecard punches, and policy review, the facility failed to implement their abuse policy when there were allegations of staff to resident physical and verbal abuse. This affected one (Resident #67) out of three residents reviewed for abuse, with the potential to affect 13 residents identified by the facility to reside on AB unit. The facility census was 93.Findings Include:Review of the medical record for Resident #67 revealed an admission date of 08/05/25. Diagnoses included neurocognitive disorder with Lewy bodies, major depressive disorder, cognitive communication deficit, abnormalities of gait and mobility, dementia, Parkinson's disease, restless leg syndrome, hypertension, benign prostatic hyperplasia, insomnia, sleep apnea, parasomnia, REM (rapid eye movement) sleep behavior…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, review of the employee timecard punches, review of facility Self-Reported Incident (SRI), review of the facility investigation, and policy review, the facility failed to timely report alleged verbal and physical abuse. This affected one (Resident #67) out of three residents reviewed for abuse, with the potential to affect 13 residents identified by the facility to reside on the AB unit. The facility census was 93.Findings Include:Review of the medical record for Resident #67 revealed an admission date of 08/05/25. Diagnoses included neurocognitive disorder with Lewy bodies, major depressive disorder, cognitive communication deficit, abnormalities of gait and mobility, dementia, Parkinson's disease, restless leg syndrome, hypertension, benign prostatic hyperplasia, insomnia, sleep apnea, parasomnia, REM (rapid eye movement) sleep behavior disorder, and generalized muscle weakness.Review of the most recent quarterly Minimum Data Set (MDS) assessment dated [DATE] for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, review of the facility Self-Reported Incident (SRI), review of the facility investigation, review of witness statements, review of the employee timecard punches, and policy review, the facility failed to ensure an allegation of physical and verbal abuse were thoroughly investigated and to prevent potential further abuse. This affected one (Resident #67) out of three residents reviewed for abuse. The facility census was 93.Findings Include:Review of the medical record for Resident #67 revealed an admission date of 08/05/25. Diagnoses included neurocognitive disorder with Lewy bodies, major depressive disorder, cognitive communication deficit, abnormalities of gait and mobility, dementia, Parkinson's disease, restless leg syndrome, hypertension, benign prostatic hyperplasia, insomnia, sleep apnea, parasomnia, REM (rapid eye movement) sleep behavior disorder, and generalized muscle weakness.Review of the most recent quarterly Minimum Data Set (MDS) assessment dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-09 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, review of the menu and review of the dietary spreadsheet, the facility failed to ensure food was served per the facility menu and spreadsheet. This had the potential to affect 29 (#2, #6, #7, #11, #12, #14, #16, #17, #20, #25, #28, #29, #33, #36, #37, #41, #42, #43, #44, #52, #62, #63, #65, #66, #72, #74, #75, #76, and #149) residents who resided on the Cedar and Dogwood units. The facility census was 90. Findings include: Review of the weekly menu revealed the meal for lunch on 01/08/24 was a fried bologna sandwich and a relish plate with ranch dressing and scalloped corn or broccoli cheddar soup with an Italian beef sub. Review of the menu spreadsheet for lunch on 01/08/24 revealed broccoli cheddar soup would be served as a six-ounce portion. Observations on 01/08/24 beginning at approximately 11:30 A.M. of the meal service for the Cedar and Dogwood Unit, revealed Dietary Aide #474 was plating meals. Dietary Aide #474 was observed using a four-ounce ladle to serve the broccoli cheddar soup. Interview on 01/08/24 at 11:50 A.M. with Chef #441…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview, the facility failed to ensure food items stored in unit refrigerators were labeled and dated and further failed to ensure unit refrigerators did not contain expired food items. This had the potential to affect 45 (#1, #2, #5, #6, #7, #8, #9, #11, #12, #14, #16, #17, #19, #20, #22, #23, #25, #28, #29, #33, #36, #37, #41, #42, #43, #44, #45, #47, #48, #51, #52, #54, #55,#59, #61, #62, #63, #65, #66, #72, #74, #75, #76, #148, and #149) who resided on the Birch, Cedar, and Dogwood units. The facility census was 90. Findings include: 1. Observation on 01/09/24 at 11:25 A.M. of the unit refrigerator located on the Birch-hall revealed there was an unlabeled pack of two small sandwiches which stated to use by 10/07/24. An interview on 01/09/24 at 11:28 A.M. with Certified Nursing Assistant (CNA) #579 verified the items should have been disposed of. 2. Observation on 01/09/24 at 11:32 A.M. of the refrigerator located near the dining area for the Birch-hall revealed the following: • Three unlabeled and undated disposable plastic containers containing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-09 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interview, staff interview, review of facility Transmission Based Precautions (TBP) and Enhanced Barrier Precautions (EBP) postings, and review of facility policy, the facility failed to ensure proper infection control practices were implemented related to Coronavirus Disease 2019 (COVID-19) and EBP. This affected six residents (#25, #14, #28, #72, #49, and #82) of eight residents reviewed for TBP and EBP. The facility census was 90. Findings include: 1. Review of Resident #25's medical record revealed an admission date of 10/21/24. Diagnoses included cognitive communication deficit, type II diabetes, dysphagia, end stage renal disease, dependence on renal dialysis, peripheral vascular disease, and heart failure. Review of Resident #25's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of eight indicating Resident #25 was moderately cognitively impaired. Resident #25 required maximal assistance with toilet use, bathing, dressing and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-09 · tag F0887 — pattern
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to ensure residents received education and provided consent for COVID-19 vaccinations prior to administration or refusal. This affected five resident (#28, #46, #82, #149, and #201) of five residents reviewed for COVID-19 vaccination. The facility census was 90. Findings include: 1. Review of the medical record of Resident #28 revealed an admission date of 03/15/24. Diagnoses included rhabdomyolysis, type II diabetes mellitus, obesity, cerebral infarction, and chronic obstructive pulmonary disease. Review of the medical record revealed no form to indicate Resident #28 was given any information on COVID-19 vaccination nor any consent or refusal of the vaccine. 2. Review of the medical record of Resident #46 revealed an admission date of 12/03/24. Diagnoses included spinal stenosis, anemia, hyperlipidemia, hypertension, cerebral infarction, and chronic obstructive pulmonary disease. Review of the medical record revealed no form to indicate Resident #46 was given any information on COVID-19 vaccination nor any consent or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and policy review, the facility failed to ensure residents were treated with dignity and respect. This affected three (Residents #23, #57, and #64) of three residents reviewed for dignity and respect. The facility census was 90. Findings include: 1. Review of the medical record revealed Resident #23 was admitted to the facility on [DATE]. Diagnoses included muscle weakness, need for assistance with personal care, dependence on wheelchair, dysphagia, and cognitive communication deficit. Review of the quarterly Minimum Data Set (MDS) assessment revealed the resident was cognitively impaired. The resident required supervision or touching assistance for eating. An observation of the lunch meal on 01/06/25 beginning at approximately 11:30 A.M. revealed residents residing in the nursing facility and the assisted living facility shared the dining room located on the A-B Unit. Resident #23 was seated in the dining room for the lunch meal and was next to a resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 39 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $3.7M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH