Provider Name: BIRCHWOOD TERRACE REHAB & HEALTHCARE
Address: 43 STARR FARM RD, BURLINGTON, VT 05408
Phone: (802) 863-6384
County: Chittenden (030)
Ownership Type: For profit - Individual
Certified Beds: 144
Average Residents Per Day: 127. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: BIRCHWOOD OPERATIONS LLC
First Approved Date: January 1, 1969
Affiliated Entity: SALTER HEALTHCARE (462)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.00179, LPN Staff Hours Per Day: 1.0205, RN Staff Hours Per Day: 0.4903, Licensed Staff Hours Per Day: 1.5108
Total Nurse Staff Hours Per Day, per resident: 3.51265
Weekend Nurse Staff Hours: 2.97244, Weekend RN Staff Hours: 0.1933
PT Staff Hours Per Day, per resident: 0.0911
Nurse Staff Turnover: 60.2, Nurse Turnover Note:
RN Turnover: 52.6, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1869, Case Mix LPN Hours Per Day: 0.7407, Case Mix RN Hours Per Day: 0.3393
Adjusted Nurse Aide Hours Per Day, per resident: 1.86474, Adjusted LPN Hours Per Day: 1.0167, Adjusted RN Hours Per Day: 0.5445
Total Adjusted Nurse Hours Per Day, per resident: 3.38903
Adjusted Weekend Nurse Hours Per Day, per resident: 2.86784
Health Survey Dates and Scores: Cycle 1: 2023-06-14 (Score: 20), Cycle 2: 2022-07-20 (Score: 0), Cycle 3: 2021-06-24 (Score: 8)
Total Weighted Health Score: 11.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 43 STARR FARM RD,BURLINGTON,VT,05408 (44.5162, -73.260)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has no plan of correction on
Type: Health, Deficiency: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-09
Type: Health, Deficiency: 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.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-09
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-09
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-09
Type: Health, Deficiency: Observe each nurse aide's job performance and give regular training.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-09
Type: Health, Deficiency: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-09
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-23
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-23
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: