facebook tracking Birch Healthcare Center, Rochester NH: CMS Ratings
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Birch Healthcare Center

All states › New Hampshire › Rochester › Birch Healthcare Center

62 Rochester Hill Road Rochester, NH 03867 · Strafford County

(603) 335-3955

All 2 nursing homes in Rochester, NH (2 take Medicaid)

Accepts Medicare Accepts Medicaid 79 certified beds For profit

CMS certification number 305081 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Birch Healthcare Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Birch Healthcare Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the New Hampshire average of 3.0. Inspectors issued 12 citations in the last three years. CMS imposed 1 penalty, including $10,655 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.48 hours per resident per day at Birch Healthcare Center, below the New Hampshire median of 3.66 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 8% below its all-week average. 47.5% of nursing staff left within a year (New Hampshire median 43%).

Nursing care per resident per day 3.48 hours
Below the New Hampshire median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.60 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.20 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 47.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 60% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds79
Residents per day 71 About 90% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1997
Legal business namePEAK HEALTHCARE AT ROCHESTER LLC

Paying for care at Birch Healthcare Center: Medicare and Medicaid

Birch Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Hampshire's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 18, 2025 and found 3 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 12 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 12 citations at Birch Healthcare Center across 5 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on April 16, 2024. The most common areas cited were freedom from abuse, neglect, and exploitation (3) and pharmacy service (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, April 16, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.

August 13, 2026 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has plan of correction (Sep 4, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has plan of correction (Sep 4, 2026)

September 18, 2025 · 3 citations

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Oct 30, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Oct 30, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Oct 30, 2025)

August 29, 2024 · 2 citations

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 13, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 13, 2024)

April 16, 2024 · 1 citation, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 8, 2024)

July 26, 2023 · 4 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Aug 16, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 16, 2023)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 16, 2023)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Aug 15, 2023)

Questions to ask on a tour of Birch Healthcare Center

  1. Inspectors cited the home at the actual-harm level on April 16, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 13, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $10,655 in fines.

DateTypeAmount or length
Apr 16, 2024 Fine $10,655

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 2/5 3/5
August 2026 2/5 3/5 1/5 4/5
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Location

Hospitals near Birch Healthcare Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.4 mi
    Frisbie Memorial Hospital Rochester
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 12m for patients treated and sent home
  • 6.9 mi
    Wentworth-Douglass Hospital Dover
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 4h 2m for patients treated and sent home
  • 17.8 mi
    Portsmouth Regional Hospital Portsmouth
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 12m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Rochester Manor Rochester · 0.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 108 beds · Medicaid
Riverside Rest Home Dover · 5.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 215 beds · Medicaid
Dover Center for Health & Rehabilitation Dover · 6.4 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 112 beds · Medicaid
Langdon Place of Dover Dover · 9.1 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 30 beds · Medicaid
Saint Ann Rehabilitation and Nursing Center Dover · 11.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 54 beds · Medicaid

More nursing homes near Birch Healthcare Center ›   All nursing homes in Rochester ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/new-hampshire/rochester/birch-healthcare-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.