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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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 50th out of 57 homes in New Hampshire. 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.
| 35m per day | ▼ 22% State avg: 45m 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.
| 37m per day | ▼ 20% State avg: 46m 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.
| 2h 19m per day | ▼ 3% State avg: 2h 23m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 3h 7m per day | ▼ 9% State avg: 3h 26m 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 | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 20m per day | ▼ 35% State avg: 31m per day · National avg: 29m per day |
Lower than the New Hampshire average: 81.1%Birch Healthcare Center is administrated by Katelyn J Suazo.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 17 | This facility has 35% fewer total deficiencies than a typical New Hampshire nursing home (11 vs. NH avg 17).↓ 35% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 3.7 | 5.7 | This facility has 35% fewer deficiencies per year than a typical New Hampshire nursing home (3.7 vs. NH avg 5.7).↓ 35% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 18, 2025, identified deficiencies related to medication documentation, abuse reporting, and medication administration on dialysis days. Earlier inspections showed a pattern of issues including medication labeling, infection control practices, equipment use during resident transfers, and environmental sanitation. Inspectors cited failures to report alleged abuse incidents timely, improper use of transfer equipment leading to a resident fall with fractures, and lapses in following physician orders for blood sugar notifications. Complaint investigations were substantiated in several cases, particularly regarding the fall incident and medication-related concerns, while fines or enforcement actions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges with medication management and resident safety, with no clear trend of improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Hampshire average 3.5
Last Health inspection on Sep 2025
New Hampshire average 14.4
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.
100% better than New Hampshire averageNew Hampshire average: 0.2
900% worse than New Hampshire averageNew Hampshire average: 0.1
Corrected
Corrected
Corrected
Corrected
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
71% better than New Hampshire average
0% compared with New Hampshire average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
3,189 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 37 | 63 | 100 | 10,853 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 13 | 10 | 23 | 4,062 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,998 | 91 | 100% | 8.6 |
| Registered Nurse | 9 | 19 | 28 | 1,980 | 90 | 99% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 525 | 67 | 74% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 519 | 66 | 73% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 498 | 64 | 70% | 7.8 |
| Dietitian | 1 | 0 | 1 | 483 | 60 | 66% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 475 | 57 | 63% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 399 | 50 | 55% | 8 |
| Administrator | 1 | 0 | 1 | 327 | 41 | 45% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 298 | 58 | 64% | 5.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 211 | 49 | 54% | 4.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 162 | 36 | 40% | 4.5 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 144 | 40 | 44% | 3.6 |
| Nurse Aide in Training | 1 | 0 | 1 | 15 | 2 | 2% | 7.6 |
Includes penalties issued in 2024
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)
68% lower than New Hampshire averageNew Hampshire average: $33K
48% fewer fines than New Hampshire averageNew Hampshire average: 1.9
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 averageNew Hampshire average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 16, 2024 · $11K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 16, 2024Last 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.
7.8
32% better than New Hampshire averageNew Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
6% better than New Hampshire averageNew Hampshire average: 23.2
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
8.5%
61% better than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
15.4%
24% better than New Hampshire averageNew Hampshire average: 20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
41.1%
52% worse than New Hampshire averageNew Hampshire average: 27.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
35% worse than New Hampshire averageNew Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
2.3%
50% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
3.0%
18% worse than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
6.4%
14% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
18.7%
126% worse than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
12.4%
29% better than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with New Hampshire averageNew Hampshire average: 96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 98.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
15% worse than New Hampshire averageNew Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.37
77% worse than New Hampshire averageNew Hampshire average: 1.90
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
88.6%
6% better than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
21% better than New Hampshire averageNew Hampshire average: 1.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
14% better than New Hampshire averageNew Hampshire average: 83.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.7%
7% worse than New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.5%
In line with New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
56% worse than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.1%
In line with New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.6%
20% better than New Hampshire averageNew Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
49% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents 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 Birch Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 57Payroll — State benchmarkedThis home is ranked 51st out of 57 homes in New Hampshire. Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 79
Building Type: Two-story
Most residents typically stay for a few weeks or months before returning home or moving on.
1.7 miles from city center
Estimated distance in miles from Rochester's city center to Birch Healthcare Center's address, calculated via Google Maps.
— 0.4 miles to nearest hospital (Frisbie Memorial Hospital)
Add your location
Birch Healthcare Center is located in Rochester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
| Covered Bridge Manor |
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).
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. | Dover | 215 | 71.6% | -12% | 5.56 | +15% | +30% | $0 | 6 | 2.0 | - | 160 | 8 | County Of Strafford | $15.6M | $16.5M | 105.9% | 305047 | ||||
| Birch Healthcare 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.
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. | Rochester | 79 | 75.6% | -7% | 3.13 | +26% | -27% | $10.7k | 10 | 2.5 | 1 | 66 | 15 | - | $8.8M | $4.1M | 47.1% | 305081 |
Birch Healthcare Center has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NH state health department records, Birch Healthcare Center's license number is 4459.
According to NH state health department records, Birch Healthcare Center's license expires on March 31, 2027.
Birch Healthcare Center's occupancy is 76%.
Katelyn J Suazo is the administrator of Birch Healthcare Center.
Birch Healthcare Center has 79 beds.
Yes — there are 10 photos of Birch Healthcare Center in the photo gallery on this page.
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