Birchwood Nursing and Rehabilitation

Name: Birchwood Nursing and Rehabilitation
Address: 110 W HWY 64, Cooper, TX, 75432, US
Telephone: 9033952125

110 W Hwy 64, Cooper, TX 75432 · Delta County · 100 certified beds · avg 56 residents/day · certified since Aug 16, 2000

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.44

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 18, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jun 18, 2025	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jun 18, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jun 18, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 18, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 8, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
May 8, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 8, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
May 8, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 8, 2024	D · Potential for harm, one-off	The facility did not have policies on smoking.
Apr 12, 2023	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 12, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 12, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2023	3	E
2024	5	E
2025	5	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.44	3.46	3.95	top 40% in Texas; bottom 34% in the U.S.
Registered Nurse hours	0.44	0.44	0.69	top 37% in Texas; bottom 29% in the U.S.
Weekend total nurse staffing	3.05	3.04	3.50	top 39% in Texas; bottom 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.34	0.48	bottom 40% in Texas; bottom 23% in the U.S.
Total nursing staff turnover (%)	93.6	55.3	45.8	bottom 8% in Texas; bottom 1% in the U.S.
RN turnover (%)	80.0	54.6	42.9	bottom 21% in Texas; bottom 6% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.11, RN 0.40, weekend 2.75. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Blake, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Blake, Malisa	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Creative Solutions in Healthcare INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Huggins, Linda	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Avir at Commerce	15.2 mi	Commerce, TX	★★☆☆☆	2/5
Sulphur Springs Health and Rehabilitation	16.0 mi	Sulphur Springs, TX	★★★☆☆	2/5
Carriage House Manor	16.2 mi	Sulphur Springs, TX	★★★★☆	4/5
Sunny Springs Nursing & Rehab	16.4 mi	Sulphur Springs, TX	★★☆☆☆	2/5
Rock Creek Health and Rehabilitation	18.1 mi	Sulphur Springs, TX	★☆☆☆☆	2/5
Honey Grove Nursing Center	18.5 mi	Honey Grove, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Cooper →

Facility data as of CMS processing date 2026-08-01. CCN 675838.

The Care File

Visit checklist — Birchwood Nursing and Rehabilitation

110 W Hwy 64, Cooper, TX 75432 · 9033952125

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675838 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)