AUTUMN LAKE HEALTHCARE AT BIRCH MANOR has an overall rating of 4 out of 5 stars. Its quality measures are strong at 5 stars, but health inspection and staffing are both 3 stars, reported nurse staffing is below the federal benchmark (3.46 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4604.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
1.08
Nurse aides
1.91
Weekend nursing
3.10
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 31%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.7%Improving
Residents with a fall causing major injury
3%Worsening
Residents with pressure ulcers (bedsores)
2.5%Improving
Residents with a urinary tract infection
1%Worsening
Residents who lost too much weight
5.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.2%Worsening
Residents whose ability to walk got worse
14.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15.2%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.3%Improving
Residents with new or worsening incontinence
29.3%Worsening
Residents with depressive symptoms
11.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Steady
Short-stay residents given the seasonal flu vaccine
92%Steady
Short-stay residents given the pneumonia vaccine
95.3%Improving
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2018 — widespread issue, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: F
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited August 2018 — widespread issue, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: F
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited August 2018 — widespread issue, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: F
The nursing home failed to keep essential equipment working safely. Cited August 2018 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 22 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AUTUMN LAKE HEALTHCARE · 60 homes · 3 stars avg
Occupancy
107.7 residents on an average day (91% of 118 beds)
Resident voice
Resident council
Medicare history
Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.