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Nursing home report

BIRCHWOOD NURSING AND REHABILITATION

COOPER, TX · Medicare-certified · 100 beds

In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

Birchwood Nursing and Rehabilitation has an overall rating of 4 out of 5 stars, with a 5-star health inspection rating but a 1-star staffing rating; reported nurse staffing is 3.11 hours per resident per day, below the 4.1 federal benchmark. It had $0 in fines in the last 24 months, and recent inspection citations included safe daily living support, dialysis care, and Medicaid/Medicare notice issues.

Facility ratings

Health inspections

Staffing

3.1078 hrs/resident/day

Quality measures

Last inspection: May 8, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1078.

Staffing detail

Registered nurses
0.40
Licensed practical nurses
0.98
Nurse aides
1.73
Weekend nursing
2.75

Hours per resident per day.

Total staff turnover: 94%
Registered nurse turnover: 80%

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

12.5%10.8%Improving

Residents with a fall causing major injury

5.8%3.6%Improving

Residents with pressure ulcers (bedsores)

4.1%4.5%No change

Residents with a urinary tract infection

3.8%3.7%No change

Residents who lost too much weight

4.5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

20%41%Worsening

Residents whose ability to walk got worse

18.2%33.4%Worsening

Long-stay residents on antianxiety or sleep medication

15.9%11.6%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

17.7%18.1%No change

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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

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

  2. STAFFING

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

  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Jan 1, 2021

Now operated by Cooper I Enterprises, LLC, previously Birchwood Nursing and Rehabilitation LP.

Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
Occupancy
56.1 residents on an average day (56% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 26 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.