Birchwood Rehabilitation & Healthcare CenterCMS ratings, inspections and fines
- Address
- 395 Middle Road, Nanticoke, PA 18634
- CCN
- 395651
- Ownership type
- For-profit, limited liability company
- Certified beds
- 121
- Chain
- Century Healthcare
- Residents per day
- 116
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Birchwood Rehabilitation & Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 31 Mar 2026. The latest survey cycle has 17 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 2 fines with a total of $123,390 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Luzerne County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 22 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 31 Mar 2026 | 17 | 8 |
| Cycle 2 | 4 Apr 2025 | 17 | 8 |
| Cycle 3 | No date | 18 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 2 Feb 2026 |
| 31 Mar 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 23 Apr 2026 |
| 31 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 23 Apr 2026 |
| 31 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 23 Apr 2026 |
| 31 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Apr 2026 |
| 17 Sep 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 26 Sep 2025 |
| 17 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Sep 2025 |
| 17 Sep 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 26 Sep 2025 |
| 20 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 26 Sep 2025 |
| 20 Aug 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 26 Sep 2025 |
| 20 Aug 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 17 Sep 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 27 Jun 2025 |
| 4 Apr 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 17 Jun 2025 |
| 4 Apr 2025 | F0761 | 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. | D | Standard survey | 17 Jun 2025 |
| 2 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Jan 2025 |
| 2 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 30 Jan 2025 |
| 10 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Jan 2025 |
| 24 Oct 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 10 Dec 2024 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 2 Jan 2025 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 25 Jun 2024 |
| 7 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 25 Jun 2024 |
| 7 Jun 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 25 Jun 2024 |
| 7 Jun 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 25 Jun 2024 |
| 7 Jun 2024 | F0761 | 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. | D | Standard survey | 25 Jun 2024 |
| 17 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Jun 2024 |
| 17 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Jun 2024 |
| 17 May 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Complaint investigation | 25 Jun 2024 |
| 28 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 17 May 2024 |
| 28 Mar 2024 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Complaint investigation | 17 May 2024 |
| 28 Mar 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 17 May 2024 |
| 28 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 May 2024 |
| 28 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 May 2024 |
| 28 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 May 2024 |
| 8 Aug 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Complaint investigation | 6 Sep 2023 |
| 8 Aug 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 6 Sep 2023 |
| 8 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 6 Sep 2023 |
| 8 Aug 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 6 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Aug 2025 | Fine | $115,372 | |
| 24 Oct 2024 | Fine | $8,018 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.34 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.42 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.77 | 0.91 | |
| Nurse aides | 2.15 | 2.19 | |
| All nurse staff, weekends | 3.07 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 53.9%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 62.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.3% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.3% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Setting
- Continuing care retirement community
- Legal business name
- Birchwood Rehabilitation and Healthcare LLC
- Chain
- Century Healthcare (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ralley LLC | Operational/managerial control | 1 May 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Luzerne County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lakewood Rehabilitation & Healthcare Center | Nanticoke | 1 of 5 | 18 | $291,613 | 24 Apr 2026 | |
| Edenbrook at Hampton | Wilkes Barre | 3 of 5 | 9 | $0 | 10 Apr 2026 | |
| Mountain Top Rehabilitation & Healthcare Center | Mountain Top | 2 of 5 | 19 | $0 | 20 Feb 2026 | |
| Allied Services Meade Street Skilled Nursing | Wilkes Barre | 4 of 5 | 2 | $0 | 16 Jan 2026 | |
| Allied Services Center City Skilled Nursing | Wilkes Barre | 3 of 5 | 7 | $0 | 14 Nov 2025 | |
| Embassy of Wyoming Valley | Wilkes Barre | 2 of 5 | 25 | $20,496 | 30 Jan 2026 | |
| Edenbrook on Second Ave | Kingston | 1 of 5 | 14 | $0 | 8 May 2026 | |
| Riverstreet Manor | Wilkes-Barre | 2 of 5 | 17 | $8,278 | 17 Apr 2026 | |
| Third Avenue Health & Rehab Center | Kingston | 4 of 5 | 8 | $0 | 27 Mar 2026 | |
| Maple Ridge Rehabilitation & Healthcare Center | Kingston | 3 of 5 | 8 | $8,278 | 24 Apr 2026 | |
| Heinz Transitional Rehabilitation Unit | Wilkes-Barre | 5 of 5 | 2 | $0 | 25 Sep 2025 | |
| Meadows Nursing and Rehabilitation Center | Dallas | 2 of 5 | 10 | $52,135 | 31 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Birchwood Rehabilitation & Healthcare Center (CCN 395651). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/birchwood-rehabilitation-healthcare-center-nanticoke-pa-395651/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Birchwood Rehabilitation & Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 31 Mar 2026. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 4 Apr 2025.
- Who operates Birchwood Rehabilitation & Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Century Healthcare. The CMS ownership file names Ralley LLC for operational or managerial control. This site does not show the names of persons.
- Is Birchwood Rehabilitation & Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.