Birch Healthcare Center

62 Rochester Hill Road · Rochester, NH · 03867 · 6033353955

79 certified beds For profit - Limited Liability company

  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 77
Serious harm & abuse 20% 94
Staffing 20% 66
Federal penalties 15% 76
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.543.48 min · 4.1 strong
RN hours / resident-day0.610.55–0.75
Weekend hours / resident-day3.24≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $10,655

Inspection citations (10 in the current record)

  • Potential for harm · D September 18, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected October 30, 2025 · Resident Rights

  • Potential for harm · D September 18, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 18, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected October 30, 2025 · Quality of Life and Care

  • Potential for harm · D August 29, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected September 13, 2024 · Pharmacy Service

  • Potential for harm · D August 29, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 13, 2024 · Infection Control

  • Actual harm · G April 16, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 8, 2024 · Quality of Life and Care

  • Potential for harm · D July 26, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 26, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected August 16, 2023 · Pharmacy Service

  • Potential for harm · D July 26, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 16, 2023 · Nutrition and Dietary

  • Potential for harm · D July 26, 2023

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 15, 2023 · Environmental

Federal penalties

DateTypeAmount / length
April 16, 2024Fine$10,655

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305081 · certified since February 12, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.