Total health inspections
2
Massachusetts average 4.5
Last Health inspection on Sep 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Plymouth
CMS overall rating
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.
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.
The Birches at Trillium Woods
Nursing Home in Plymouth
CMS overall rating
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.
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.
The Birches at Trillium Woods
The Birches at Trillium Woods specializes in short-term care and senior rehabilitation services that significantly enhance the quality of seniors’ lives. With a solid reputation for credibility, this center employs the latest treatments and technology, instilling trust in families seeking reliable care. The friendly staff is committed to personalized plans and restorative rehabilitation services, utilizing effective therapies to promote seniors’ well-being. Additionally, the center offers medication management, 24/7 on-site licensed nursing associates, outdoor sitting areas, a salon and day spa, private family rooms, and 24-hour security.
At The Birches, the state-of-the-art rehab equipment and innovative techniques underline its commitment to providing a spectrum of care that seniors can confidently rely on. Beyond conventional services, this center ensures a comprehensive and trustworthy approach to care, aligning with the needs of those seeking homes with memory care and skilled nursing homes. The Birches at Trillium Woods sets a standard for excellence in senior health and rehabilitation services.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
44
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.2%
Residents per day (avg)
41
Occupancy rate
87.2%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
39% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
60% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
19 days
Finances and operations
Voluntary non-profit community
Home revenue
$24.7M
Operating deficit
-$7.9M
Voluntary non-profit community
Home revenue
$24.7M
Operating deficit
-$7.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$25.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$32.6M
Types of Care at The Birches at Trillium Woods
Skilled Nursing
Memory Care
Health Inspection History
Inspections
Total health citations
4
Massachusetts average 32.7
Citations per inspection
2
Massachusetts average 7.24
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 1.5
0 critical citations
0 serious citations
3 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 02, 2022
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 02, 2022
Corrected
Nursing Services minor citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 02, 2022
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 02, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Plymouth The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
The Birches at Trillium Woods
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N
Nursing
Plymouth
44
87.2%
+9%
6.18
+30%
0
4
2.0
0
41
-
4
Lcs Trillium Woods Jv Llc
$6.8M
$7.3M
106.6%
245627
Trillium Woods
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N
Nursing
Plymouth
44
87.2%
+9%
6.18
+30%
0
4
2.0
0
41
A+
4
Lcs Trillium Woods Jv Llc
$6.8M
$7.3M
106.6%
245627
Interlude Restorative Suites
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
N
Nursing
Plymouth
50
83.1%
+4%
5.01
+5%
1
19
3.2
2
46
-
34
Allina Health System
$14.0M
$6.7M
47.8%
245624
Mission Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Plymouth
65
83.8%
+5%
4.91
+3%
0
27
3.9
1
56
A+
6
Missions, Inc Programs
$8.4M
$4.2M
49.6%
245546
The Waters of Plymouth
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N
Nursing
Plymouth
-
-
-
-
-
0
0
0.0
0
-
-
47
-
-
-
-
-
Places of interest near The Birches at Trillium Woods
4.9 miles from city center — 7.67 miles to nearest hospital (North Memorial Health - Robbinsdale Hospital)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
110
Employees
92
Contractors
18
Staff to resident ratio
2.56:1
50% better than Massachusetts averageMassachusetts average ratio: 1.70:1
Avg staff/day
35
Average shift
7.3 hours
8% worse than Massachusetts averageMassachusetts average: 7.9 hours
Total staff hours (quarter)
23,349
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.5%
1,991 contractor hours this quarter
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
Certified Nursing Assistant: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 43 | 1 | 44 | 10,788 | 91 | 100% | 8 |
| Registered Nurse | 21 | 0 | 21 | 3,077 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,934 | 91 | 100% | 7.7 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,704 | 90 | 99% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 864 | 59 | 65% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 726 | 62 | 68% | 7.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 666 | 67 | 74% | 5.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 607 | 69 | 76% | 4.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Occupational Therapy Aide | 1 | 2 | 3 | 303 | 53 | 58% | 5.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 240 | 56 | 62% | 3.9 |
| Qualified Social Worker | 0 | 3 | 3 | 188 | 47 | 52% | 3.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 102 | 20 | 22% | 5.1 |
| Medication Aide/Technician | 4 | 0 | 4 | 90 | 13 | 14% | 6.4 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 13 | 24 | 26% | 0.5 |
44 Certified Nursing Assistant
% of Days
100%
21 Registered Nurse
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
6 Other Dietary Services Staff
% of Days
99%
2 Clinical Nurse Specialist
% of Days
65%
2 Dental Services Staff
% of Days
68%
3 Physical Therapy Assistant
% of Days
74%
2 Speech Language Pathologist
% of Days
76%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
3 Occupational Therapy Aide
% of Days
58%
3 Respiratory Therapy Technician
% of Days
62%
3 Qualified Social Worker
% of Days
52%
1 Physical Therapy Aide
% of Days
22%
4 Medication Aide/Technician
% of Days
14%
1 Medical Director
% of Days
3%
2 Occupational Therapy Assistant
% of Days
26%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
43 residents
Residents by payment source
Medicare
7 residents (16.3%)
Private pay or other
36 residents (83.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.3
In line with Massachusetts averageMassachusetts average: 11.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
14% worse than Massachusetts averageMassachusetts average: 22.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.8%
Percent of long-stay residents whose need for help with daily activities has increased
26.8%
41% worse than Massachusetts averageMassachusetts average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.4%
Percent of long-stay residents whose ability to move independently worsened
18.4%
23% better than Massachusetts averageMassachusetts average: 23.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.0%
28% worse than Massachusetts averageMassachusetts average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
9.5%
Percent of long-stay residents experiencing one or more falls with major injury
9.5%
153% worse than Massachusetts averageMassachusetts average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Massachusetts averageMassachusetts average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
23% better than Massachusetts averageMassachusetts average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.8%
Percent of long-stay residents who lose too much weight
1.8%
56% better than Massachusetts averageMassachusetts average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.2%
Percent of long-stay residents who have depressive symptoms
12.2%
181% worse than Massachusetts averageMassachusetts average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.0%
Percent of long-stay residents who received an antipsychotic medication
25.0%
45% worse than Massachusetts averageMassachusetts average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Massachusetts averageMassachusetts average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Massachusetts averageMassachusetts average: 96.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.27
Number of hospitalizations per 1,000 long-stay resident days.
3.27
96% worse than Massachusetts averageMassachusetts average: 1.67
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.51
26% worse than Massachusetts averageMassachusetts average: 1.99
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than Massachusetts averageMassachusetts average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Massachusetts averageMassachusetts average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
14% better than Massachusetts averageMassachusetts average: 82.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.9%
53% better than Massachusetts averageMassachusetts average: 23.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.3%
12% better than Massachusetts averageMassachusetts average: 14.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Massachusetts averageMassachusetts average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than Massachusetts averageMassachusetts average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
71.0%
Rate of successful return to home or community from a skilled nursing facility.
71.0%
40% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for The Birches at Trillium Woods based on CMS SNF Cost Reports.
Occupancy Rate
87.2%
↑ 9.5pp vs 2022
Net Income
-$7.9M
↓ ~$1.3M vs 2022
Total Payroll
$8.9M
↑ ~$842.1K vs 2022
Profit Margin
-116.0%
↓ 84.9pp vs 2022
Loading trend charts...
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