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

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

3.52

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.18

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,554

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9831

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.61

Baseline 23.20% · Performance 20.05% · Measure score 4.61 · Achievement 2.98 · Improvement 4.61

Healthcare-associated infections

4

Baseline 8.39% · Performance 6.87% · Measure score 4 · Achievement 3.24 · Improvement 4

Total nurse turnover

0.72

Baseline 72.46% · Performance 66.67% · Measure score 0.72 · Achievement 0 · Improvement 0.72

Adjusted total nurse staffing

0

Baseline 3.13 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.86%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 132 · Observed rate 11.36% · Lower 95% interval 8.17%
Discharge to community 60.61%
50.57%
10 pts better
Better than the National Rate · Eligible stays 112 · Observed rate 53.57% · Lower 95% interval 50.58%
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up 98.8%
95.27%
3.5 pts better
Numerator 82 · Denominator 83
Falls with major injury 1.2%
0.77%
0.4 pts worse
Numerator 1 · Denominator 83
Discharge self-care score 53.06%
53.69%
0.6 pts worse
Numerator 26 · Denominator 49
Discharge mobility score 51.02%
50.94%
0.1 pts better
Numerator 25 · Denominator 49
Pressure ulcers or injuries, new or worsened 1.2%
2.29%
1.1 pts better
Numerator 1 · Denominator 83 · Adjusted rate 1.14%
Healthcare-associated infections requiring hospitalization 6.87%
7.12%
0.2 pts better
No Different than the National Rate · Eligible stays 74 · Observed rate 6.76% · Lower 95% interval 4.09%
Staff COVID-19 vaccination coverage 74.29%
8.2%
66.1 pts better
Numerator 52 · Denominator 70
Staff flu vaccination coverage 37.8%
42%
4.2 pts worse
Numerator 31 · Denominator 82
Discharge function score 59.18%
56.45%
2.7 pts better
Numerator 29 · Denominator 49
Transfer of health information to provider 97.87%
95.95%
1.9 pts better
Numerator 46 · Denominator 47
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 20.93%
25.2%
4.3 pts worse
Numerator 9 · Denominator 43

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 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star
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 · Adjusted 3.4 · Observed 3.0 · Expected 1.5 · Used in QM five-star
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 · Q1 98.1% · Q2 96.3% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7%
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 · 4Q avg 100.0%
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 · Q1 7.7% · Q2 5.6% · Q3 3.6% · Q4 4.8% · 4Q avg 5.3% · Used in QM five-star
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 · Q1 18.0% · Q2 8.2% · Q3 15.7% · Q4 5.7% · 4Q avg 11.8%
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 · Q1 2.4% · Q2 11.6% · Q3 6.4% · Q4 2.0% · 4Q avg 5.5%
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 · Q1 11.6% · Q2 10.9% · Q3 4.1% · Q4 4.0% · 4Q avg 7.4%
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 · Q1 9.4% · Q2 6.9% · Q3 9.4% · Q4 12.8% · 4Q avg 9.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · 4Q avg 13.8% · Used in QM five-star
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 · Q1 7.1% · Q2 8.9% · Q3 8.2% · Q4 10.0% · 4Q avg 8.6% · Used in QM five-star
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 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
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 · Q1 3.9% · Q2 2.0% · Q3 1.9% · Q4 6.3% · 4Q avg 3.7% · Used in QM five-star
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 · Q1 30.5% · Q2 47.6% · Q3 35.1% · Q4 21.8% · 4Q avg 33.0%
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 · Q1 1.6% · Q2 1.5% · Q3 5.6% · Q4 3.9% · 4Q avg 3.2% · Used in QM five-star
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 · Q1 78.1% · Q2 86.6% · Q3 100.0% · Q4 96.4% · 4Q avg 90.1%
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 · Adjusted 14.5% · Observed 15.7% · Expected 12.1% · Used in QM five-star
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 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
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 · 4Q avg 94.3%
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 · Adjusted 23.7% · Observed 24.3% · Expected 24.5% · Used in QM five-star

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

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Rochester Manor

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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
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#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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