The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BIRCH HEALTHCARE CENTER
ROCHESTER, NH · Medicare-certified · 79 beds
In good standing
For-profit
3 of 5 overall
Birch Healthcare Center in Rochester, NH has a 3 out of 5 star overall rating, with average health inspection results, stronger quality measures, but weaker staffing at 2 stars and reported nurse staffing below the federal benchmark (3.54 vs 4.1 hours per resident per day). There were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5372 hrs/resident/day
Quality measures
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5372.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.34
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10%Worsening
Residents with a fall causing major injury
4.6%Improving
Residents with pressure ulcers (bedsores)
4.3%Worsening
Residents with a urinary tract infection
3.5%Worsening
Residents who lost too much weight
5.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.3%Worsening
Residents whose ability to walk got worse
14.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
26.4%Improving
Residents with depressive symptoms
11.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97.9%Worsening
Short-stay residents given the seasonal flu vaccine
94.3%Steady
Short-stay residents given the pneumonia vaccine
93.6%Improving
What the inspectors found
The home failed to make sure residents fully understood their health status, care, and treatments. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,655 in total fines.
- $10,655
Federal fine
Apr 16, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 68.3 residents on an average day (86% of 79 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.