BIRCH CREEK POST ACUTE & REHABILITATION
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2026-03-26 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-03-26 — ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2024-03-22 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.36
state median 3.78
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.41
registered nurses only
Contract (agency) staff
12%
share of all nursing hours
Nursing staff turnover
52%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $30,240 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-13 | Fine | $30,240 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the HILL VALLEY HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- OAKWOOD SNF LLC (MIDDLE RIVER, MD) —
- LAURELHURST POST ACUTE & REHABILITATION (PORTLAND, OR) —
- Mt. Tabor Health & Rehabilitation (PORTLAND, OR) —
- THE MCKENDREE POST ACUTE & REHABILITATION (HERMITAGE, TN) —
- GEORGE WASHINGTON HEALTH & REHABILITATION (ALEXANDRIA, VA) —
- LAKESIDE HEALTH & REHABILITATION (RICHMOND, VA) —
- OAKWOOD HEALTH AND REHAB CENTER (BEDFORD, VA) —
- TATE SPRINGS HEALTH & REHAB (LYNCHBURG, VA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-06 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-26 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-26 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-26 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2026-03-13 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-13 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-13 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-13 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-03-13 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-03-13 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-13 | F0645 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-03-13 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-03-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-03-13 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0803 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-03-13 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-11-19 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-19 | F0744 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-10 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-30 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-06-30 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-14 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-14 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-14 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2025-03-14 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-14 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-14 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-14 | F0645 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-14 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-14 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-14 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-14 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-14 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-14 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-14 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-14 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-14 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-14 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-14 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-14 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-14 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-14 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-03-14 | F0881 | Infection Control Deficiencies | E | not recorded |
| 2025-03-14 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2025-03-14 | F0887 | Infection Control Deficiencies | E | not recorded |
| 2024-11-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-28 | F0851 | Administration Deficiencies | D | not recorded |
| 2024-07-15 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-10 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-10 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-10 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-23 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-23 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-23 | F0623 | Resident Rights Deficiencies | B | not recorded |
| 2024-05-23 | F0625 | Resident Rights Deficiencies | B | not recorded |
| 2024-05-23 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-23 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-23 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-23 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-23 | F0755 | Pharmacy Service Deficiencies | C | not recorded |
| 2024-05-23 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-23 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-23 | F0790 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-23 | F0806 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-23 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-03-22 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-22 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |