A

The Birches at Trillium Woods

14585 59TH AVENUE NORTH, PLYMOUTH, MN 55446
Score: 97 / 100

The Birches At Trillium Woods is one of the top-rated nursing facilities in Plymouth, Minnesota, earning an A grade based on CMS data. With a score of 97/100, it ranks in the top 1% of facilities statewide — a strong indicator of quality care.

Staffing levels at The Birches At Trillium Woods exceed national averages, with 4.95 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.19 hours per resident per day also exceeds the national average of 0.7 hours.

The Birches At Trillium Woods shows a strong inspection record, with just 4 deficiencies noted in recent CMS surveys, none of which were classified as serious.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.95 3.8 Above Average
Registered Nurses (RN) 1.19 0.7 Above Average
Licensed Practical Nurses (LPN) 0.82 0.7 Above Average
Certified Nursing Assistants (CNA) 2.95 2.4 Above Average
Weekend Total Nursing 4.53 3.8 Above Average
Weekend RN Hours 0.84 0.7 Above Average

🔍 Inspection & Deficiency History

4
Total Deficiencies
Sep 11, 2024
Most Recent Inspection
⚪ 1 Minor 🟠 3 Moderate
View recent deficiencies (3 shown)
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Sep 11, 2024 · Pharmacy Service Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Sep 11, 2024 · Pharmacy Service Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jun 1, 2022 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.0% 4.5% Better
Falls with major injury 8.3% 3.0% Worse
On antipsychotic medication 17.9% 14.5% Worse
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 28.0% 14.0% Worse
Excessive weight loss 1.9% 7.5% Better
New/worsened incontinence 35.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 97 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
44
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 11, 2024
Deficiencies (Cycle 1)
2