D

Birch Hill Health Services

1475 Birch Hill Lane, Shawano, WI 54166
Score: 46 / 100

CMS data shows Birch Hill Health Services earning a D grade with a score of 46/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels are a potential concern at Birch Hill Health Services, with 3.39 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 16 deficiencies at Birch Hill Health Services. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.39 3.8 Below Average
Registered Nurses (RN) 0.52 0.7 Below Average
Licensed Practical Nurses (LPN) 0.70 0.7 Average
Certified Nursing Assistants (CNA) 2.17 2.4 Average
Weekend Total Nursing 3.14 3.8 Below Average
Weekend RN Hours 0.27 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Nov 9, 2025
Most Recent Inspection
🟠 16 Moderate
View recent deficiencies (5 shown)
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Nov 9, 2025 · Resident Rights Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Nov 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Nov 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 9, 2025 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    May 19, 2025 · 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 3.8% 4.5% Better
Falls with major injury 3.9% 3.0% Worse
On antipsychotic medication 44.9% 14.5% Worse
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 31.6% 14.0% Worse
Excessive weight loss 1.7% 7.5% Better
New/worsened incontinence 35.9% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 46 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: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 24, 2024
Deficiencies (Cycle 1)
13