Birchaven Retirement Village

15100 Birchaven Lane · Findlay, OH · 45840 · 4194243000

118 certified beds Non profit - Corporation Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 93
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day5.433.48 min · 4.1 strong
RN hours / resident-day1.280.55–0.75
Weekend hours / resident-day5.09≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)none

Inspection citations (28 in the current record)

  • Potential for harm · D April 9, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 11, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 11, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026 · found via complaint

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

    Corrected May 11, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 11, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 9, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 10, 2025 · Resident Rights

  • Potential for harm · D January 9, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected February 10, 2025 · Resident Rights

  • Potential for harm · D January 9, 2025

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

    Corrected February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 9, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected February 10, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 10, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected February 10, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 10, 2025 · Quality of Life and Care

  • Potential for harm · E January 9, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected February 10, 2025 · Nutrition and Dietary

  • Potential for harm · E January 9, 2025

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

    Corrected February 10, 2025 · Nutrition and Dietary

  • Potential for harm · D January 9, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected February 10, 2025 · Infection Control

  • Potential for harm · E January 9, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected February 10, 2025 · Infection Control

  • Potential for harm · D January 9, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 9, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 10, 2025 · Infection Control

  • Potential for harm · D November 7, 2022

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 9, 2022 · Resident Rights

  • Potential for harm · D November 7, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 9, 2022 · Quality of Life and Care

  • Potential for harm · D November 7, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 9, 2022 · Quality of Life and Care

  • Potential for harm · D November 7, 2022

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 9, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2022

    Provide and implement an infection prevention and control program.

    Corrected December 9, 2022 · Infection Control

  • No harm found · C November 7, 2022

    Post nurse staffing information every day.

    Corrected December 9, 2022 · Nursing and Physician Services

  • Potential for harm · D December 18, 2019

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected February 3, 2020 · Pharmacy Service

  • Potential for harm · E December 18, 2019

    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 February 3, 2020 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365973 · certified since September 15, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.