Birch Pointe Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Birch Pointe Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by staff when multiple staff members held one resident (Resident #1) down to obtain a urine sample while the resident screamed and resisted- trying to hit staff with their hands. The resident obtained bruising on his/her right pelvic area, left medial femoral area (the inner side of the thigh bone (femur) near the knee or hip), and right upper arm. The facility census was 107. The Administrator was notified on 08/03/26, at 8:57 P.M., of an Immediate Jeopardy (IJ) which began on 07/20/26. The immediacy was removed on 08/05/26, as confirmed by surveyor on-site verification. […]

• Actual harm, isolatedF684Aug 22, 2024

  Based on interview and record review, the facility failed to provide care per standards of practice when facility staff failed to assess, monitor, care plan, and provide treatment for one resident (Resident #1) related to his/her surgical incision to his/her cervical (C) spine (back of neck) resulting in the incision dehiscing (surgical incision edges separated) and greenish-white drainage. The facility census was 111. Review of the facility policy/procedure titled, Wound Care, revised October 2010, showed the following: -The purpose of the procedure was to provide guidelines for the care of wounds to promote healing; -Staff to verify there is a physician's order for the procedure; -Staff to review the resident's care plan to assess for any special needs of the resident; -Staff to document… […]

• Actual harm, isolatedF684May 20, 2022

  Based on interview and record review, the facility failed to follow physician orders for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] #10) . The facility census was 100. 1. Record review showed the facility policy did not provide a policy regarding how facility staff should enter medication or treatment orders. Record review of Resident #10's face sheet (a brief resident profile sheet) showed the following: -admitted [DATE]; -diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observations, interviews, and record review, the facility failed to ensure food items were stored in accordance with professional standards of practice for food service safety when expired foods were found in kitchen storage areas. Review of the facility's policy titled, Food Receiving and Storage, revised ,d+[DATE], showed foods shall be received and stored in a manner that complies with safe food handling practices. All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by date). 1. Observation and interview on [DATE], at 9:01 A.M., alongside the Certified Director of Food Service (CDFS), showed a refrigerator in the main kitchen had an opened five-pound container of cottage cheese with a best by date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF880Dec 1, 2023

  Based on observation, interview, and record review, the facility failed maintain an effective infection control program when staff failed to properly dispose of used Personal Protective Equipment (PPE - gloves, gowns and masks) and failed to don the appropriate PPE when entering isolation rooms with residents positive with Coronavirus Disease 2019 (COVID-19); when staff failed to implement source control when the facility had resident positive for COVID-19; and when staff failed to separate and appropriately handle hall trays and cleaning supplies removed from isolation rooms with residents positive with COVID-19. […]