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Nursing home report

Birchwood of Spring Branch

Registered name: Avir at Arden Wood

Houston, TX · Medicare-certified · 174 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Birchwood of Spring Branch in Houston has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, though quality measures are 5 stars. It reported 3.05 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $22,895 in fines in the last 24 months, and has a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.0515 hrs/resident/day

Quality measures

Last inspection: May 22, 2026Penalties, last 24 months: $22,895recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0515.

Staffing detail

Registered nurses
0.41
Licensed practical nurses
1.04
Nurse aides
1.60
Weekend nursing
2.69

Hours per resident per day.

Total staff turnover: 26%
Registered nurse turnover: 29%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.7%9.9%Improving

Residents with a fall causing major injury

1.7%3%Worsening

Residents with pressure ulcers (bedsores)

3.7%4.1%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

23.4%4.1%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

1.9%14.8%Worsening

Residents whose ability to walk got worse

1.5%9%Worsening

Long-stay residents on antianxiety or sleep medication

14.2%18.4%Worsening

Short-stay residents newly given an antipsychotic

4.7%

Residents with a long-term catheter

0%0.6%Worsening

Residents with new or worsening incontinence

3.6%9.4%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

97.5%

Long-stay residents given the pneumonia vaccine

93.2%93.3%No change

Short-stay residents given the seasonal flu vaccine

75%

Short-stay residents given the pneumonia vaccine

30%60%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: L

The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: L

The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited December 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 882 — 42 CFR §483.80 — S/S: L

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 February 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited February 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: K

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $22,895 was recorded.

  3. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $130,388 in total fines · 1 payment denial.

  • Federal fine

    May 22, 2026

    $22,895
  • Medicare/Medicaid payment denial

    Dec 23, 2023

    10 days
  • Federal fine

    Dec 23, 2023

    $107,493

Operator & ownership

Recent ownership change · Apr 1, 2023

Now operated by Avir at Arden Wood, previously Arden Wood.

Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
Occupancy
134.3 residents on an average day (77% of 174 beds)
Resident voice
Resident council
Medicare history
Certified for 27 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.