Rochester, NH

Birch Healthcare Center

2-star overall rating with 3-star inspections with $10,655 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

62 Rochester Hill Road, Rochester, NH

(603) 335-3955

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

79

Certified beds

Average residents

69

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-02-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing

LPN hours / resident day

0.62

Licensed practical nurse staffing

Aide hours / resident day

2.32

Nurse aide staffing

Weekend hours

3.06

Weekend nurse staffing

RN turnover

70%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
1.6
0.3 pts worse
1.9
About the same
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.4
1.9
1.5 pts worse
1.8
1.6 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
96.4%
2.3 pts better
93.4%
5.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.0%
2 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.3%
4.5%
0.8 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 11.8%
9.7%
2.1 pts worse
11.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.5%
5.5%
About the same
5.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.4%
18.9%
11.5 pts better
19.6%
12.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.8%
18.7%
8.9 pts better
16.7%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 13.8%
19.2%
5.4 pts better
16.3%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.6%
21.9%
13.3 pts better
14.9%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.3%
0.8 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.7%
2.4%
1.3 pts worse
1.7%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.0%
26.7%
6.3 pts worse
19.8%
13.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
4.4%
1.2 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.1%
85.6%
4.5 pts better
81.7%
8.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 14.5%
14.1%
0.4 pts worse
12.0%
2.5 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.7%
1 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.3%
83.0%
11.3 pts better
79.7%
14.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.7%
22.1%
1.6 pts worse
23.9%
0.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-18 · Fire 2025-09-18

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-08-29 · Fire 2024-08-29

3 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-07-26 · Fire 2023-07-26

4 health deficiencies

Top issue: Environmental (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-14

C · Minimal harm 2025-09-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-14

E · Potential for more than minimal harm 2024-08-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-29

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-26

C · Minimal harm 2024-08-29

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-09-26

C · Minimal harm 2024-08-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-26

C · Minimal harm 2024-08-29

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-09-26

D · Potential for more than minimal harm 2023-07-26

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-26

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-23

C · Minimal harm 2023-07-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-23

C · Minimal harm 2023-07-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-08-23

C · Minimal harm 2023-07-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-18

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-09-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-09-18

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-10-30

D · Potential for more than minimal harm 2024-08-29

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-13

G · Actual harm 2024-04-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-08

D · Potential for more than minimal harm 2023-07-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-08-16

D · Potential for more than minimal harm 2023-07-26

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-08-16

D · Potential for more than minimal harm 2023-07-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-08-16

D · Potential for more than minimal harm 2023-07-26

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-08-15

Penalties and ownership

What sits behind the stars

$10,655 2024-04-16

Fine

Fine · fine $10,655

Fine

Ownership

White Mountain Peak Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2020-11-19
Aggcp LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-05-01
Eakins, John

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-01
Goldstein, Avrohom

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2023-05-01
Kansas SNF Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2023-05-01
Mad Family Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2023-05-01
Margulies, Zisha

5% Or Greater Indirect Ownership Interest · Individual

0% 28 facilities 2023-05-01
Natr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2023-05-01
Nzm Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2023-05-01
Phc SNF Management LLC

Operational/Managerial Control · Organization

0% 2 facilities 2020-11-01
Rarmna Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2023-05-01
Ratr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2023-05-01
Recover-Care Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2023-05-01
Rizkalla Hanna, Magued

Operational/Managerial Control · Individual

0% 3 facilities 2025-02-28
Rnr Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2023-05-01
Wetr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2023-05-01
Wmp Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2020-11-19

Nearby options

Other facilities in reach

#1

Rochester Manor

Rochester, NH

2-star overall rating with 2-star inspections with $7,901 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$7,901
#2

Riverside Rest Home

Dover, NH

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#3

Dover Center For Health & Rehabilitation

Dover, NH

2-star overall rating with 2-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0

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