1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Birchwood of Spring Branch is a memory care, skilled nursing, and rehabilitation community that provides exceptional care. The community offers an inviting community with fine hospitality. The nursing home community houses a team of dedicated staff who are compassionately ready to attend to any need one may have. Residents are encouraged and motivated to live their life to the fullest in a nurturing home-like setting. Birchwood of Spring Branch is able to provide structure and maintain their residents’ sense of individuality while being able to enhance the quality of life for them.
The lifestyle at Birchwood of Spring Branch is built on compassion and care where residents are guaranteed to make the most of their individual day to day while receiving a great amount of hospitality and attentive assistance. Community services include 24-hour nursing care, stimulating activities, engaging social activities and programs; with therapy services that include speech, occupational, and physical; as well as orthopedic recovery, postoperative care, and discharge planning– among many others.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 68th out of 239 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ■ Avg State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▼ 3% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 34m per day | ▼ 22% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 39m per day | ▼ 11% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 15% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 23m per day | ▲ 11% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 30 | 6 | This facility has 400% more total citations than a typical Texas nursing home (30 vs. TX avg 6).↑ 400% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Mar 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 23 citations resulted from standard inspections; 8 of 23 resulted from complaint investigations; and 7 of 23 came from combined inspections (standard and complaint).
350% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
All 23 LPN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 19,826 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 23 | 0 | 23 | 9,967 | 92 | 100% | 8.7 |
| Registered Nurse | 12 | 0 | 12 | 4,411 | 92 | 100% | 8.3 |
| RN Director of Nursing | 4 | 0 | 4 | 1,673 | 64 | 70% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 956 | 64 | 70% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 809 | 62 | 67% | 7.9 |
| Qualified Social Worker | 2 | 0 | 2 | 798 | 82 | 89% | 7.1 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 714 | 87 | 95% | 5.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 482 | 65 | 71% | 7.4 |
| Speech Language Pathologist | 1 | 0 | 1 | 462 | 63 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 352 | 44 | 48% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 255 | 44 | 48% | 4.3 |
| Qualified Activities Professional | 1 | 0 | 1 | 31 | 5 | 5% | 6.1 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
34% higher than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 23, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 23, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.3
27% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
46% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.0%
69% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
7.3%
55% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.6%
13% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
10% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.9%
35% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
12.8%
269% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.0%
67% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
10.7%
35% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.92
84% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.27
39% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.5%
41% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
8.3%
475% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.0%
15% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
40.2%
55% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.2%
73% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
4.2%
442% worse than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
27% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
47% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
114Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Birchwood of Spring Branch (formerly Arden Wood) from 2011–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 03/2024.
Based on CMS SNF Cost Report for fiscal year ending in 03/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #70 / 245Payroll — State benchmarkedThis home is ranked 70th out of 245 homes in Texas for payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #14 / 245Payroll % — State benchmarkedThis home is ranked 14th out of 245 homes in Texas for payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (47% of admissions), and a typical Medicaid stay runs around 9 - 10 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
8.8 miles from city center
Estimated distance in miles from Houston's city center to Birchwood of Spring Branch (formerly Arden Wood)'s address, calculated via Google Maps.
— 9.03 miles to nearest hospital (Kindred Hospital Houston Medical Center)
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Park Manor of CyFair | NH SNF | Houston (White Oak Bend) | 120
Facility
120
TX AVG
79
Rank
#204 / 972 |
89.2%
Facility
89.2%
TX AVG
67.3
Rank
#33 / 195 | +32% | 3.27
Facility
3.27
TX AVG
3.63
Rank
#158 / 239 | +82% | -10% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 7
Facility
7
TX AVG
25.9
Rank
#11 / 241 | 2.3
Facility
2.3
TX AVG
3.7
Rank
#39 / 241 | - | 107 | - |
55
Facility
55
TX AVG
41
Rank
#385 / 1389 | Hmg Park Manor Of Cyfair, L.l.c | $9.7MFiscal year ending 08/2024
Facility
$9.7MFiscal year ending 08/2024
TX AVG
$8.4M
Rank
#127 / 245 | $4.4MFiscal year ending 08/2024
Facility
$4.4MFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#129 / 245 | 45.1%Fiscal year ending 08/2024
Facility
45.1%Fiscal year ending 08/2024
TX AVG
47%
Rank
#120 / 245 | 675818 | ||||
| Houston Transitional Care | NH HOS MC PC RC SNF | Houston (Braeburn) | 70
Facility
70
TX AVG
79
Rank
#503 / 972 |
96.0%
Facility
96.0%
TX AVG
67.3
Rank
#4 / 195 | +43% | 3.17
Facility
3.17
TX AVG
3.63
Rank
#181 / 239 | +22% | -13% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 16
Facility
16
TX AVG
25.9
Rank
#62 / 241 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#222 / 241 | - | 67 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1389 | Ahmad El-Saadi | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#30 / 245 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#116 / 245 | 41.4%Fiscal year ending 12/2023
Facility
41.4%Fiscal year ending 12/2023
TX AVG
47%
Rank
#240 / 245 | 676435 | ||||
| Caraday of Houston | NH MC RC SNF | Houston (Northside / Northline) | 150
Facility
150
TX AVG
79
Rank
#63 / 972 | - | - | 3.76
Facility
3.76
TX AVG
3.63
Rank
#77 / 239 | -32% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 15
Facility
15
TX AVG
25.9
Rank
#55 / 241 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#167 / 241 | - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#707 / 1389 | E&R Cunningham Investments, LP | $2.7MFiscal year ending 12/2023
Facility
$2.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#244 / 245 | $1.8MFiscal year ending 12/2023
Facility
$1.8MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#241 / 245 | 66.5%Fiscal year ending 12/2023
Facility
66.5%Fiscal year ending 12/2023
TX AVG
47%
Rank
#82 / 245 | 676470 | ||||
| Brazos Tower at Bayou Manor | NH AL IL MC SNF | Houston (Braeswood) | 33
Facility
33
TX AVG
79
Rank
#757 / 972 | - | - | 5.78
Facility
5.78
TX AVG
3.63
Rank
#5 / 239 | -37% | +59% | $46.6k
Facility
$46.6k
TX AVG
$81.8k
Rank
#169 / 244 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 241 | 1.7
Facility
1.7
TX AVG
3.7
Rank
#8 / 241 | - | 28 | - |
64
Facility
64
TX AVG
41
Rank
#209 / 1389 | Sharon Darden | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#25 / 245 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#49 / 245 | 151%Fiscal year ending 12/2023
Facility
151%Fiscal year ending 12/2023
TX AVG
47%
Rank
#233 / 245 | 676282 | ||||
| Birchwood of Spring Branch (formerly Arden Wood) | NH MC | Houston (Spring Branch Central) | 174
Facility
174
TX AVG
79
Rank
#32 / 972 |
78.7%
Facility
78.7%
TX AVG
67.3
Rank
#66 / 195 | +17% | 3.87
Facility
3.87
TX AVG
3.63
Rank
#68 / 239 | +49% | +7% | $107.5k
Facility
$107.5k
TX AVG
$81.8k
Rank
#208 / 244 | 23
Facility
23
TX AVG
25.9
Rank
#142 / 241 | 4.6
Facility
4.6
TX AVG
3.7
Rank
#206 / 241 | 9 | 137 | B- |
63
Facility
63
TX AVG
41
Rank
#235 / 1389 | Bw Of Spring Branch LLC | $8.7MFiscal year ending 03/2024
Facility
$8.7MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#177 / 245 | $6.5MFiscal year ending 03/2024
Facility
$6.5MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#70 / 245 | 74.5%Fiscal year ending 03/2024
Facility
74.5%Fiscal year ending 03/2024
TX AVG
47%
Rank
#14 / 245 | 675789 |
Birchwood of Spring Branch (formerly Arden Wood) is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
Birchwood of Spring Branch (formerly Arden Wood) is in the Spring Branch Central neighborhood of Houston.
Birchwood of Spring Branch (formerly Arden Wood) has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Birchwood of Spring Branch (formerly Arden Wood)'s occupancy is 80.4%.
No, Birchwood of Spring Branch (formerly Arden Wood) has a no-pet policy.
Birchwood of Spring Branch (formerly Arden Wood) is registered as a for-profit in TX.
Yes — there are 3 photos of Birchwood of Spring Branch (formerly Arden Wood) in the photo gallery on this page.
Birchwood of Spring Branch (formerly Arden Wood) is located at 8810 Long Point Rd, Houston, TX 77055.
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