Birchwood Nursing and Rehabilitation in Cooper, TX has a 4-star overall rating, with a 5-star health inspection score but a 1-star staffing rating. Reported nurse staffing is 3.08 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: June 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.078.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
0.93
Nurse aides
1.85
Weekend nursing
2.86
Hours per resident per day.
Total staff turnover: 93%
Registered nurse turnover: 80%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.5%Worsening
Residents with a fall causing major injury
4.8%Improving
Residents with pressure ulcers (bedsores)
3.5%Improving
Residents with a urinary tract infection
3.4%Worsening
Residents who lost too much weight
3.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25.6%Worsening
Residents whose ability to walk got worse
17.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.7%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited April 2023 — limited pattern, potential for harm.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 582 — 42 CFR §483.10 — S/S: D
The home failed to properly assess a resident after a major change in condition. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 637 — 42 CFR §483.20(b)(2) — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — 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 5 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
54.2 residents on an average day (54% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 25 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.