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Nursing Home

Birch Healthcare Center

Nursing Home

Birch Healthcare Center

62 Rochester Hill Rd, Rochester, NH 03867 View map
Overview of Birch Healthcare Center

Overlooking the serene neighborhood of Rochester, NH, Birch Healthcare Center is a dedicated senior care provider that offers an array of clinical services for seniors’ varying needs. Residents here enjoy access to short-term and long-term care, as well as rehabilitation therapy, medical care, mental health services, and palliative care. The community’s care team also offers personal care assistance to ensure residents are always looking good and feeling good as they go through their recovery process.

A team of on-site dieticians and nutritionists are also available to curate a personalized diet plan for each resident to make sure they are getting the proper nourishment. Additional services, such as dental, vision and podiatry care are also offered to further enhance residents’ comfort and convenience and improve their quality of life. Here, residents and their families can enjoy their peace of mind, knowing that their loved ones are well-cared for and thriving.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
New Hampshire average: 3.0/5
Health Inspection Info 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.
3/5
New Hampshire average: 2.9/5
Staffing Info 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.
1/5
New Hampshire average: 3.1/5
Quality Measures Info 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.
4/5
New Hampshire average: 3.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 8m per day

This home provides 25% less nursing time per resident than the New Hampshire average.

New Hampshire average: 4h 11m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 35m per day 45m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 19m per day 2h 23m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 4m per day 3h 26m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 3m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 20m per day 31m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 79

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the New Hampshire average
Occupancy rate 75.6%
Residents per day (avg) 66
Occupancy rate
75.6%
Residents per day (avg)
66

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

49% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

32% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Home revenue
$8.8M
Profit
$332.3K
Privately-owned community
Home revenue
$8,764,358.00
Profit
$332,252.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
29.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.9M
Total costs $8.4M
Bed community size
79-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 15 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
76%
In line with New Hampshire average
Occupied beds
60 / 79
Average residents 80 per day

License details

Facility type
Nursing Home
Status Active
Issuance January 4, 2026
Expiration March 31, 2027
County: Strafford

Additional licensing details

License number: 4459

Ownership & operating entity

Birch Healthcare Center is administrated by KATELYN J SUAZO.

Care Services

Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs

All Levels of Care

Short & Long Term Care
Medical Care
Rehabilitation therapy
Personal Care
Mental Health and Recovery
Palliative & Hospice Care
Respite Care
Total Parenteral Nutrition (TPN)
Discharge Planning

Programs & Activities

Specific Programs
About, Our Center, Calendars, Services, Amenities, Careers, Talk to Our Care Team

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 79

Building type icon
Building type icon

Building Type: Two-story

Types of Care at Birch Healthcare Center

Nursing Home Respite Care Nursing Care
Contact Birch Healthcare Center

Inspection History

In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.

4 visits/inspections

3 visits/inspections triggered by complaints

1 routine inspections

Results

4 with issues

0 without issues

Latest inspection

Date:September 18, 2025
Type:Complaint Investigation

11 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 4

New Hampshire average 3.5


Last Health inspection on Sep 2025

Total health citations 10

New Hampshire average 14.4

Citations per inspection
2.5

New Hampshire average 3.99


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 10 citations resulted from standard inspections; and 1 of 10 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than New Hampshire average

New Hampshire average: 0.2


Serious Health citations More info 1
900% worse than New Hampshire average

New Hampshire average: 0.1

0 critical citations More info New Hampshire average: 0.2

1 serious citation More info New Hampshire average: 0.1

9 moderate citations More info New Hampshire average: 12

0 minor citations More info New Hampshire average: 2
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 18, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 18, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 18, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 29, 2024
Corrected

Compare Nursing Homes around Rochester The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.

5 facilities compared · CMS & NH Dept. of Health data · Updated Mar 2026

Birch Healthcare Center
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

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).

Rochester
79
75.6%
-7%
3.13
+26%
-27%
1
10
1
66
15
$8,7M
$2,6M
29.3%
305081
Colonial Hill Center
-
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.

Rochester
-
-
-
-
-
-
-
-
-
0
0
0
-
42
-
-
-
-
Dover Center For Health and Rehabilitation
-
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.

Rochester
-
-
-
-
-
-
-
-
-
0
0
0
-
23
-
-
-
-
Lilac View Corp
-
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.

ROCHESTER
40
-
-
-
-
-
-
-
-
0
0
0
-
-
-
-
-
-
Maple St. Complex
-
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.

Rochester
-
-
-
-
-
-
-
-
-
0
0
0
-
29
-
-
-
-

Places of interest near Birch Healthcare Center

Address 1.7 miles from city center — 0.4 miles to nearest hospital (Frisbie Memorial Hospital)

Address 62 Rochester Hill Rd, Rochester, NH 03867

Calculate Travel Distance to Birch Healthcare Center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 176
Employees 75
Contractors 101
Staff to resident ratio 3.20:1
71% better than New Hampshire average

New Hampshire average ratio: 1.87:1

Avg staff/day 34
Average shift 7.7 hours
0% compared with New Hampshire average

New Hampshire average: 7.8 hours

Total staff hours (quarter) 23,947
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 100
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

13.3%

3,189 contractor hours this quarter

Certified Nursing Assistant: 63 Registered Nurse: 19 Licensed Practical Nurse: 10 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Physical Therapy Aide: 1 Speech Language Pathologist: 1
Staff by category
Certified Nursing Assistant376310010,85391100%7.6
Licensed Practical Nurse1310234,06291100%8.6
Medication Aide/Technician7072,99891100%8.6
Registered Nurse919281,9809099%8.1
Nurse Practitioner1015256774%7.8
Clinical Nurse Specialist1015196673%7.9
Qualified Social Worker0114986470%7.8
Dietitian1014836066%8
Other Dietary Services Staff2024755763%7.2
Mental Health Service Worker2023995055%8
Administrator1013274145%8
Physical Therapy Aide0112985864%5.1
Physical Therapy Assistant0442114954%4.2
Speech Language Pathologist0111623640%4.5
Respiratory Therapy Technician0221444044%3.6
Nurse Aide in Training1011522%7.6
100 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
28 Registered Nurse
% of Days 99%
1 Nurse Practitioner
% of Days 74%
1 Clinical Nurse Specialist
% of Days 73%
1 Qualified Social Worker
% of Days 70%
1 Dietitian
% of Days 66%
2 Other Dietary Services Staff
% of Days 63%
2 Mental Health Service Worker
% of Days 55%
1 Administrator
% of Days 45%
1 Physical Therapy Aide
% of Days 64%
4 Physical Therapy Assistant
% of Days 54%
1 Speech Language Pathologist
% of Days 40%
2 Respiratory Therapy Technician
% of Days 44%
1 Nurse Aide in Training
% of Days 2%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
55 residents
Residents by payment source
Medicare
6 residents (10.9%)
Medicaid
42 residents (76.4%)
Private pay or other
7 residents (12.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.8
32% better than New Hampshire average

New Hampshire average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.7
6% better than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures
Above average New Hampshire avg: 3.0 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 8.5%
61% better than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.4%
24% better than New Hampshire average

New Hampshire average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 41.1%
52% worse than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.2%
35% worse than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.3%
50% better than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
18% worse than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
14% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 18.7%
126% worse than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.4%
29% better than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.89
15% worse than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.37
77% worse than New Hampshire average

New Hampshire average: 1.90

Short-stay resident measures
Above average New Hampshire avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.6%
6% better than New Hampshire average

New Hampshire average: 83.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
21% better than New Hampshire average

New Hampshire average: 1.6%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
14% better than New Hampshire average

New Hampshire average: 83.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.7%
7% worse than New Hampshire average

New Hampshire average: 22.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.5%
In line with New Hampshire average

New Hampshire average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.2%
56% worse than New Hampshire average

New Hampshire average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 53.1%
In line with New Hampshire average

New Hampshire average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.6%
20% better than New Hampshire average

New Hampshire average: 50.6%

Penalties and fines

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)

Total fines amount $11K
68% lower than New Hampshire average

New Hampshire average: $33K

Number of fines 1
48% fewer fines than New Hampshire average

New Hampshire average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than New Hampshire average

New Hampshire average: 0.1

Fines amount comparison
Fines amount comparison
This facility $11K
New Hampshire average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 16, 2024
$11K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for New Hampshire Seniors

Get financial aid guidance

Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled, New Hampshire resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state; rural access emphasis.

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+, New Hampshire resident, or caregiver.

No strict limit; prioritizes low-income.

Not applicable.

Primarily referral-based; limited direct funding.

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+, NH resident, US citizen/eligible alien, not in public institution.

~$1,063/month (individual, net after deductions); varies by living arrangement.

$1,500 (individual), $2,000 (couple).

Automatic Medicaid eligibility; estate recovery applies.

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

13 ServiceLink locations; rural/low-income priority.

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled, NH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized, NH resident, low-income household.

~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).

Not assessed; income-focused.

Administered by 5 CAP agencies; covers oil, gas, electric, wood.

Senior Community Service Employment Program (SCSEP)

New Hampshire SCSEP

Age 55+, unemployed, low-income, NH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized, NH resident, homeowner, paid property taxes.

~$47,000/year (individual), ~$60,000/year (couple).

Not assessed; home value cap at $750,000.

Refundable relief (~$100-$500/year); annual application.

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