nursing home in Virginia Beach, VA
Birchwood Park Rehabilitation
340 Lynn Shores Drive, Virginia Beach, VA 23452 · (757) 340-6611
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★2
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Birchwood Park Rehabilitation at a glance
Birchwood Park Rehabilitation is a 150-bed for-profit nursing home in Virginia Beach, Virginia (Virginia Beach City County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Virginia average of 3.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (December 19, 2024) found 46 health citations. The Virginia average is 14.4.
Federal regulators fined it 1 time in the past three years, totaling $131,178.
Nursing staff turnover is 63.6% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 150
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Eastern Healthcare Group
- Medicare-certified since
- December 1, 1984
- Resident/family council
- Resident
- CMS Certification Number
- 495150
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.9 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.06 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.51 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.45 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 63.6% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55% | 48.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 46 | 14 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 21 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 601.5 | 122.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Virginia 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) | $131,178 | $23,688 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 150 | 113 | 107 | |
| Average residents per day | 136 | 99 | 86 | |
| Occupancy | 90.7% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.9% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.8% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.7% | 14.2% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.4% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.1% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.9% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 38.3% | 18.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.6% | 20.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.7% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 75.8% | 94% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.4% | 90.9% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 58.6% | 73.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 27.4% | 73.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 114 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 4, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 4, 2025 Complaint | 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 May 14, 2025 |
| April 4, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 4, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 4, 2025 Complaint | 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 May 14, 2025 |
| April 4, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | F Potential harm, widespread | Corrected February 20, 2025 |
| December 19, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected February 20, 2025 |
| December 19, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected February 20, 2025 |
| December 19, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected February 20, 2025 |
| December 19, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected February 20, 2025 |
| December 19, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected February 20, 2025 |
| December 19, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected February 20, 2025 |
| December 19, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | 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 February 15, 2025 |
| December 19, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | G Actual harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | F Potential harm, widespread | Corrected February 15, 2025 |
| December 19, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | F Potential harm, widespread | Corrected May 14, 2025 |
| December 19, 2024 Standard | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | F Potential harm, widespread | Corrected February 15, 2025 |
| December 19, 2024 Standard | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | F Potential harm, widespread | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 14, 2025 |
| December 19, 2024 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | F Potential harm, widespread | Corrected February 15, 2025 |
| December 19, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 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 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected May 14, 2025 |
| December 19, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected February 15, 2025 |
| December 19, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | 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 February 15, 2025 |
| December 19, 2024 Complaint | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. Resident Rights Deficiencies · Tag F0560 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | 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 February 15, 2025 |
| December 19, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Complaint | 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 May 14, 2025 |
| December 19, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Standard | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. Resident Rights Deficiencies · Tag F0586 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | 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. Administration Deficiencies · Tag F0840 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 14, 2025 |
| December 19, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 15, 2025 |
| December 19, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 15, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected May 30, 2024 |
| April 15, 2024 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected April 2, 2024 |
| November 3, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected November 28, 2023 |
| September 30, 2021 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | C No harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | L Immediate jeopardy, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | L Immediate jeopardy, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Administration Deficiencies · Tag F0837 | F Potential harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Administration Deficiencies · Tag F0840 | F Potential harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0622 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | Report COVID19 data to residents and families. Infection Control Deficiencies · Tag F0885 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 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 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected November 5, 2021 |
| September 30, 2021 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected November 5, 2021 |
| September 30, 2021 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected November 5, 2021 |
| March 5, 2020 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected March 25, 2020 |
| March 5, 2020 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | C No harm, widespread | Corrected April 10, 2020 |
| March 5, 2020 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 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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. Resident Rights Deficiencies · Tag F0622 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 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 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | 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 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 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 April 10, 2020 |
| March 5, 2020 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 10, 2020 |
| March 5, 2020 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected April 10, 2020 |
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 $131,178 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 19, 2024 | Fine | $131,178 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| VA SNF OPERATIONS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 01/31/2024 |
| JJ UNITED TR Organization | 5% or greater indirect ownership interest | 50% | 01/31/2024 |
| SHAPIRO, AKIVA Individual | corporate officer | NOT APPLICABLE | 03/01/2022 |
| SHAPIRO, AKIVA Individual | w-2 managing employee | NOT APPLICABLE | 03/01/2022 |
| WHITLEY, NAKIA Individual | w-2 managing employee | NOT APPLICABLE | 03/27/2023 |
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Frequently asked questions
What is Birchwood Park Rehabilitation's rating?
Birchwood Park Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Birchwood Park Rehabilitation receive?
Its most recent standard health inspection found 46 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Birchwood Park Rehabilitation 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 Birchwood Park Rehabilitation?
It is for profit - limited liability company and part of Eastern Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Birchwood Park Rehabilitation and how do I contact it?
Birchwood Park Rehabilitation is at 340 Lynn Shores Drive, Virginia Beach, VA 23452. Phone: (757) 340-6611.
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.