nursing home in Rochester, NH
Birch Healthcare Center
62 Rochester Hill Road, Rochester, NH 03867 · (603) 335-3955
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Birch Healthcare Center at a glance
Birch Healthcare Center is a 79-bed for-profit nursing home in Rochester, New Hampshire (Strafford County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the New Hampshire average of 3.
Residents receive about 3.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (September 18, 2025) found 3 health citations. The New Hampshire average is 4.
Federal regulators fined it 1 time in the past three years, totaling $10,655.
Nursing staff turnover is 47.6% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 79
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- February 12, 1997
- Resident/family council
- Resident
- County
- Strafford County
- CMS Certification Number
- 305081
Ratings
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.52 hrs | 3.90 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.78 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.38 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.28 hrs | 3.47 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 47.6% | 44.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 40.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 0 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 24.6 | 80.6 | Better |
Penalties
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,655 | $7,928 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 79 | 100 | 107 | |
| Average residents per day | 69 | 81 | 86 | |
| Occupancy | 87.7% | 81.4% | 80.9% |
Long-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 12.2% | 17.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.7% | 2.1% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.7% | 22.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.4% | 17.5% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11.9% | 13.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 6.3% | 19% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.5% | 25.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.4% | 97.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.3% | 83% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.6% | 86.8% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 18, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected October 14, 2025 |
| September 18, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | C No harm, widespread | Corrected October 14, 2025 |
| September 18, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected October 30, 2025 |
| September 18, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected October 30, 2025 |
| September 18, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 30, 2025 |
| August 29, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected September 26, 2024 |
| August 29, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 29, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 29, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 29, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | C No harm, widespread | Corrected September 26, 2024 |
| August 29, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected September 26, 2024 |
| August 29, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | C No harm, widespread | Corrected September 26, 2024 |
| August 29, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 13, 2024 |
| August 29, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 13, 2024 |
| April 16, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 8, 2024 |
| July 26, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 23, 2023 |
| July 26, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected August 23, 2023 |
| July 26, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected August 23, 2023 |
| July 26, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | C No harm, widespread | Corrected August 23, 2023 |
| July 26, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected August 23, 2023 |
| July 26, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 26, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 16, 2023 |
| July 26, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 16, 2023 |
| July 26, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 16, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $10,655 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 16, 2024 | Fine | $10,655 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WHITE MOUNTAIN PEAK HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 100% | 11/19/2020 |
| BLACK MOUNTAIN II LLC Organization | 5% or greater indirect ownership interest | — | 01/20/2026 |
| PR NH HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/20/2026 |
| RR NH HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/20/2026 |
| WMP HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 11/19/2020 |
| 603 HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2026 |
| AGGCP LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| KANSAS SNF HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| MAD FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| NATR TRUST Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| PR NH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RARMNA HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| RATR TRUST Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| RAUSMAN, PHILIP Individual | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RAUSMAN, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RIZKALLA HANNA, MAGUED Individual | adp of the snf | NOT APPLICABLE | 04/10/2025 |
| RNR HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| RR NH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| SUAZO, KATELYN Individual | adp of the snf | NOT APPLICABLE | 11/28/2025 |
| WETR TRUST Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| NHOC LLC Organization | direct ownership interest | NOT APPLICABLE | 11/19/2020 |
| AGGCP LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| GOLDSTEIN, AVROHOM Individual | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| HALBERSTAM, MIRIAM Individual | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| HALBERSTAM, MOSHE Individual | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| KAMNA HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/19/2020 |
| WMP HC LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/19/2020 |
| STEVENSON, SEAN Individual | managing control - governing body | NOT APPLICABLE | 01/20/2026 |
| 603 HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 08/15/2025 |
| RIZKALLA HANNA, MAGUED Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| SUAZO, KATELYN Individual | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
Other nursing homes near Birch Healthcare Center
Rochester Manor
40 Whitehall Road, Rochester, NH 03867 · under 1 mi
For-profit · 108 beds · Part of Genesis Healthcare
★★★★★2Below averageRiverside Rest Home
276 County Farm Road, Dover, NH 03820 · 5.2 mi
Government · 215 beds
- CMS high performer
★★★★★5Much above averageDover Center for Health & Rehabilitation
307 Plaza Drive, Dover, NH 03820 · 6.4 mi
For-profit · 112 beds · Part of National Health Care Associates
★★★★★4Above averageLangdon Place of Dover
60 Middle Road, Dover, NH 03820 · 9.1 mi
For-profit · 30 beds · Part of 603 Healthcare
★★★★★5Much above averagePinnacle Health & Rehab at N Berwick
47 Elm St, North Berwick, ME 03906 · 10.8 mi
For-profit · 64 beds
★★★★★5Much above averageSaint Ann Rehabilitation and Nursing Center
195 Dover Point Road, Dover, NH 03820 · 11.3 mi
Non-profit · 54 beds · Part of Catholic Charities New Hampshire
★★★★★4Above average
Frequently asked questions
What is Birch Healthcare Center's rating?
Birch Healthcare Center has 2 out of 5 stars on the CMS overall star rating. The average for New Hampshire nursing homes is 3 stars.
How many inspection citations did Birch Healthcare Center receive?
Its most recent standard health inspection found 3 citations, compared with a New Hampshire average of 4. Every citation is listed on this page with its severity.
Does Birch Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Birch Healthcare Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Birch Healthcare Center and how do I contact it?
Birch Healthcare Center is at 62 Rochester Hill Road, Rochester, NH 03867. Phone: (603) 335-3955.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.