CMS data shows Birch Healthcare Center earning a D grade with a score of 41/100, placing it below most facilities in New Hampshire. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Birch Healthcare Center is near the national average, with 3.52 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 10 deficiencies at Birch Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.52 | 3.8 | Average |
| Registered Nurses (RN) | 0.58 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.62 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.32 | 2.4 | Average |
| Weekend Total Nursing | 3.06 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Sep 17, 2025 · Resident Rights Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Sep 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0698 Severity DProvide safe, appropriate dialysis care/services for a resident who requires such services.Sep 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 28, 2024 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 28, 2024 · Infection Control 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 | 3.2% | 4.5% | Better |
| Falls with major injury | 5.3% | 3.0% | Worse |
| On antipsychotic medication | 9.8% | 14.5% | Better |
| Urinary tract infections | 3.7% | 2.5% | Worse |
| ADL decline (daily activities) | 8.6% | 14.0% | Better |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 33.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $10,655
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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- B