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
Data as of July 1, 2026
2 of 5 overall
Birch Healthcare Center in Rochester, NH has an overall rating of 2 out of 5 stars. Its staffing rating is very low at 1 star, with reported nurse staffing of 3.52 hours per resident per day versus the 4.1-hour federal benchmark; health inspections are 3 stars, quality measures are 4 stars, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5195 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 3.5195.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.38
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 56%
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
6.7%11.4%Worsening
Residents with a fall causing major injury
3.6%1.6%Improving
Residents with pressure ulcers (bedsores)
5.6%4.8%Improving
Residents with a urinary tract infection
1.9%3.1%Worsening
Residents who lost too much weight
6.4%5.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.2%7.3%Improving
Residents whose ability to walk got worse
—18.8%—
Long-stay residents on antianxiety or sleep medication
4.1%7.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
35.1%20.6%Improving
Residents with depressive symptoms
15.7%11.3%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%98.4%Worsening
Short-stay residents given the seasonal flu vaccine
—94.3%—
Short-stay residents given the pneumonia vaccine
100%93.1%Worsening
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.
View the original federal record
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
Recent ownership change · Nov 19, 2020
Now operated by Birch Healthcare Center, previously Colonial Hill Center.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 69.3 residents on an average day (88% 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.