Birchwood Plaza

In the surveyor’s words

From the most serious findings on record at Birchwood Plaza, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 28, 2023

  Based on interview and record review the facility failed to properly transfer a resident (R2) who is totally dependent on staff for transfers; and failed to ensure that R2 was free from injuries of unknown origin for one of four residents (R2) reviewed for Injury of Unknown Origin on the sample list of four. These failures resulted in R2 sustaining a left tibia comminuted fracture involving the tibia with multiple fracture clefts, pain and swelling to the left leg. Finding include: R2's face sheet shows that R2 has a diagnosis which includes but not limited to: Nondisplaced comminuted fracture of shaft of the left tibia subsequent encounter for closed fracture with routine healing. […]

• No harm, potential for more than minimal, widespreadF812Feb 10, 2026

  Based on observation, interview and record review, the facility failed to follow their policies by a) not ensuring all food items in the kitchen were labeled/dated, b) having expired food items in the kitchen, c) not recording temperatures for the refrigerators, freezers, dishwasher, and d) not following manufacturer instructions to use the three-compartment sink. This failure has the potential to effect 135 residents that eat food from the kitchen.Findings include:2/4/26 at 10:07 AM, toured facility kitchen with V18 (Food Service Supervisor) and observed:-a pan in the refrigerator labeled gelatine with prep date 1/27/26 and use by date 2/2/26-bucket of corn flake crumbs labeled with no prep date or opened date and use by date 12/30-bucket with rice inside labeled breadcrumbs with prep… […]

• No harm, potential for more than minimal, widespreadF812Mar 8, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure food items were labeled, discard expired food items, label dry storage items with a delivery date to ensure first-in-first-out policy is followed and store scoops outside of food bins. These failures have the potential to affect all 142 residents receiving food prepared in the facility's kitchen. Findings include: On [DATE] at 9:32 AM, started initial kitchen tour with V4 (Dietary Aide) because V5 (Food Service Supervisor) was not in the building yet. V4 stated everything in the walk-in refrigerator should be labeled and dated with a prepared date and use by date. V4 stated prepared food items should be discarded after seven days. […]

• No harm, potential for more than minimal, widespreadF814Mar 8, 2024

  Based on observation, interview and record review, the facility failed to ensure dumpster was covered to prevent the harborage and feeding of pests, insects, and rodents. This deficient sanitation practice has the potential to affect all 144 residents who reside in the facility. Findings include: On 03/05/24 at 11:05 AM, during observation of the outside garbage dumpster with V5 (Food Service Supervisor) observed large dumpster with 2 of the 6 lids wide open with garbage bags bulging out of the opened lids. V5 stated the lids should always be closed to prevent garbage from blowing out and to prevent rodents from getting inside. V5 stated this is important because we don't want rodents near the building. […]

• No harm, potential for more than minimal, widespreadF812Jun 2, 2023

  Based on observations, interviews, and record reviews the facility failed to follow their policy and procedure for food and supply storage to ensure foods in the main cooler were discarded after the expiration dates. This failure has the potential to affect 128 residents in the facility who are receiving oral diet. Findings Include: On [DATE] at 9:42 AM, during the initial kitchen tour with V5 (Food Service Supervisor), the following were found in the main cooler: cooked rice dated ,d+[DATE] with used by date of ,d+[DATE] and salmon patties with cooked date labeled as ,d+[DATE] with no used by date. V5 stated that these foods need to be discarded because they are passed the 7 days. V5 stated facility store leftover foods, prepared foods, dairies, vegetables, and meat in the main cooler. […]