Birchwood Nursing and Rehabilitation
110 W Hwy 64 · Cooper, TX · 75432 · 9033952125
100 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
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.
Red flags
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
93% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 93% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (13 in the current record)
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Potential for harm · D June 18, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 19, 2025 · Resident Rights
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Potential for harm · D June 18, 2025
Assess the resident when there is a significant change in condition
Corrected June 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 18, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 19, 2025 · Pharmacy Service
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Potential for harm · D June 18, 2025
Provide and implement an infection prevention and control program.
Corrected June 19, 2025 · Infection Control
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Potential for harm · D May 8, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 22, 2024 · Nutrition and Dietary
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Potential for harm · D May 8, 2024
Have policies on smoking.
Corrected May 22, 2024 · Environmental
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Potential for harm · E May 8, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 22, 2024 · Resident Rights
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Potential for harm · D May 8, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 22, 2024 · Infection Control
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Potential for harm · D April 12, 2023
Ensure each resident receives an accurate assessment.
Corrected April 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 12, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 14, 2023 · Quality of Life and Care
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Potential for harm · D April 12, 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 April 14, 2023 · Pharmacy Service
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675838 · certified since August 16, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.