BIRCHWOOD PARK REHABILITATION
BIRCHWOOD PARK REHABILITATION is a 150-bed nursing home in VIRGINIA BEACH, Virginia. CMS has certified it for Medicare and Medicaid since 1984-12-01. It averages 136.1 residents a day.
What harm was found in the violations cited at BIRCHWOOD PARK REHABILITATION?
CMS lists 114 health-inspection deficiencies for BIRCHWOOD PARK REHABILITATION since 2020-03-05, 62 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2025-04-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-04-04 | F0550, F0607, F0609, F0610, F0677, F0698 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2024-12-19 | F0603, F0686, F0689, F0697, F0684 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-12-19 | F0584, F0679, F0680, F0839, F0850, F0880 | 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. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Hire a qualified full-time social worker in a facility with more than 120 beds. / Provide and implement an infection prevention and control program. | F |
| 2024-12-19 | F0565, F0645, F0656, F0657, F0677, F0698, F0755, F0756, F0761, F0835, F0940, F0941, F0942, F0944, F0946, F0947, F0949, F0641 | Honor the resident's right to organize and participate in resident/family groups in the facility. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. / Ensure each resident receives an accurate assessment. | E |
| 2024-12-19 | F0554, F0560, F0568, F0580, F0583, F0586, F0609, F0623, F0636, F0637, F0658, F0692, F0760, F0840, F0842, F0849, F0883, F0887, F0921, F0550, F0558, F0607, F0610, F0661 | Allow residents to self-administer drugs if determined clinically appropriate. / Protect a residents' right to refuse some types of non-requested transfers within the nursing home. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough food/fluids to maintain a resident's health. / Ensure that residents are free from significant medication errors. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| 2024-04-15 | F0655, F0805 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 2023-11-03 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2021-09-30 | F0880, F0886 | Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff. | L |
| 2021-09-30 | F0837, F0838, F0840, F0867, F0925 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2021-09-30 | F0622, F0625, F0657, F0690, F0727, F0881, F0883, F0885, F0921 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Report COVID19 data to residents and families. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2021-09-30 | F0580, F0582, F0583, F0584, F0623, F0626, F0645, F0684, F0685, F0712, F0730, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Keep residents' personal and medical records private and confidential. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Observe each nurse aide's job performance and give regular training. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2020-03-05 | F0578, F0584, F0622, F0625, F0727, F0755, F0756, F0761, F0812, F0925 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / 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. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2020-03-05 | F0582, F0607, F0609, F0610, F0640, F0641, F0656, F0657, F0689, F0757, F0758, F0804, F0842, F0883 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was BIRCHWOOD PARK REHABILITATION fined?
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $131,178 |
How is BIRCHWOOD PARK REHABILITATION staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.05929 | 3.75779 |
| Total nursing staff turnover (%) | 63.6 | 48.1 |
| Average number of residents per day | 136.1 | 99.5 |
Who owns BIRCHWOOD PARK REHABILITATION, and what chain is it in?
BIRCHWOOD PARK REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name BIRCHWOOD PARK REHABILITATION AND NURSING LLC and belongs to the EASTERN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VA SNF OPERATIONS HOLDINGS LLC | since 01/31/2024 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | JJ UNITED TR | since 01/31/2024 |
| W-2 MANAGING EMPLOYEE | SHAPIRO, AKIVA, WHITLEY, NAKIA | since 03/01/2022 |
| CORPORATE OFFICER | SHAPIRO, AKIVA | since 03/01/2022 |
Were you or a family member harmed at BIRCHWOOD PARK REHABILITATION?