Hamilton, OH

Birchwood Care Center

5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

4070 Hamilton Mason Road, Hamilton, OH

(513) 868-3300

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

75

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carespring

Operator or chain grouping

Approved since

1998-06-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars

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

0.69

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.30

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.76

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.27

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.09

CMS adjusted total nurse staffing hours

Case-mix index

1.66

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,947

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

Performance score

34.50

Composite VBP score used to determine payment impact.

Payment multiplier

0.9884

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.16

Baseline 44.64% · Performance 46.67% · Measure score 4.16 · Achievement 4.16 · Improvement 0

Adjusted total nurse staffing

2.74

Baseline 3.08 hours · Performance 3.86 hours · Measure score 2.74 · Achievement 2.74 · Improvement 2.38

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 22 · Denominator 22
Falls with major injury	4.55%	0.77% 3.8 pts worse	Numerator 1 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.55%	2.29% 2.3 pts worse	Numerator 1 · Denominator 22 · Adjusted rate 3.25%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 96
Staff flu vaccination coverage	22.48%	42% 19.5 pts worse	Numerator 29 · Denominator 129
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.1%	94.5% 2.6 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	3.3% 1.3 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 4.8% · Q3 3.1% · Q4 3.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	52.2%	26.1% 26.1 pts worse	11.4% 40.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 57.4% · Q2 61.3% · Q3 49.2% · Q4 41.0% · 4Q avg 52.2%
Percentage of long-stay residents who lose too much weight	4.5%	6.2% 1.7 pts better	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 1.8% · Q4 11.7% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.3%	25.4% 11.1 pts better	19.6% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 9.4% · Q3 19.3% · Q4 21.7% · 4Q avg 14.3%
Percentage of long-stay residents who received an antipsychotic medication	5.4%	11.5% 6.1 pts better	16.7% 11.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.5% · Q3 4.0% · Q4 4.5% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 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	1.4%	7.7% 6.3 pts better	16.3% 14.9 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.6%	6.2% 4.6 pts better	14.9% 13.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 0.0% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.2% 0.2 pts worse	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.6%	21.7% 5.9 pts worse	19.8% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 29.6% · Q3 21.4% · Q4 20.6% · 4Q avg 27.6%
Percentage of long-stay residents with pressure ulcers	2.1%	3.7% 1.6 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.0% · Q3 1.9% · Q4 2.6% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	78.1% 21.9 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	16.3%	12.5% 3.8 pts worse	12.0% 4.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 21.7% · Expected 14.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.1%	75.6% 18.5 pts better	79.7% 14.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.4%	25.1% 2.3 pts worse	23.9% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 39.1% · Expected 34.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-02-14 · Fire 2022-02-14

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-10-03 · Fire 2019-10-03

13 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

8 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-03-06

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 2025-03-26

F · Potential for more than minimal harm 2022-02-14

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-02-28

F · Potential for more than minimal harm 2022-02-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-02-28

F · Potential for more than minimal harm 2022-02-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-02-28

F · Potential for more than minimal harm 2022-02-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-02-28

E · Potential for more than minimal harm 2022-02-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-02-28

F · Potential for more than minimal harm 2019-10-03

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-11-12

F · Potential for more than minimal harm 2019-10-03

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-11-12

F · Potential for more than minimal harm 2019-10-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-11-12

F · Potential for more than minimal harm 2019-10-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-12

F · Potential for more than minimal harm 2019-10-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-11-12

E · Potential for more than minimal harm 2019-10-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-11-12

E · Potential for more than minimal harm 2019-10-03

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2019-11-12

E · Potential for more than minimal harm 2019-10-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-11-12

Inspection history

Recent health citations

F · Potential for more than minimal harm 2022-02-14

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 2022-02-28

D · Potential for more than minimal harm 2022-02-14

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-02-28

D · Potential for more than minimal harm 2022-02-14

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-02-28

D · Potential for more than minimal harm 2022-02-14

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-02-28

F · Potential for more than minimal harm 2019-10-03

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 2019-11-12

F · Potential for more than minimal harm 2019-10-03

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 2019-11-12

E · Potential for more than minimal harm 2019-10-03

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 2019-11-12

E · Potential for more than minimal harm 2019-10-03