facebook tracking Birchwood Nursing and Rehabilitation, Cooper TX: CMS Ratings
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Birchwood Nursing and Rehabilitation

All states › Texas › Cooper › Birchwood Nursing and Rehabilitation

110 W Hwy 64 Cooper, TX 75432 · Delta County

(903) 395-2125

Accepts Medicare Accepts Medicaid 100 certified beds For profit

CMS certification number 675838 · 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 Birchwood Nursing and Rehabilitation 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 Birchwood Nursing and Rehabilitation as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 17 citations in the last three years. CMS reports no fines or payment denials in that time.

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 3.11 hours per resident per day at Birchwood Nursing and Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 2.73 hours, 12% below its all-week average. 42.5% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.11 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.73 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — 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 beds100
Residents per day 56 About 56% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 2000
Part of a chainCreative Solutions In Healthcare
Legal business nameCOOPER I ENTERPRISES, LLC

Paying for care at Birchwood Nursing and Rehabilitation: Medicare and Medicaid

Birchwood Nursing and Rehabilitation 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 Texas'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 August 13, 2026 and found 7 deficiencies. In total, inspectors issued 17 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 17 citations at Birchwood Nursing and Rehabilitation across 3 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 17 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (3) and nutrition and dietary (3). The most serious was cited under the CMS rule to "have the Quality Assessment and Assurance group have the required members and meet at least quarterly" (tag F0868, level E, August 13, 2026).

August 13, 2026 · 7 citations

EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (Aug 14, 2026)

EProvide 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 (Aug 14, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Sep 15, 2026)

DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Aug 14, 2026)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Aug 14, 2026)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Aug 14, 2026)

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 14, 2026)

June 18, 2025 · 5 citations

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jun 19, 2025)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jun 19, 2025)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jun 19, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jun 19, 2025)

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 (Jun 19, 2025)

May 8, 2024 · 5 citations · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (May 22, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (May 22, 2024)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (May 22, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (May 22, 2024)

DHave policies on smoking.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0926 · Deficient, Provider has date of correction (May 22, 2024)

Questions to ask on a tour of Birchwood Nursing and Rehabilitation

  1. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. The home averages about 56% of its beds filled. Are any units closed?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

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

Hospitals near Birchwood Nursing and Rehabilitation

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

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

Nearby nursing homes

Avir at Commerce Commerce · 15.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 116 beds · Medicaid
Sulphur Springs Health and Rehabilitation Sulphur Springs · 16.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 128 beds · Medicaid
Carriage House Manor Sulphur Springs · 16.2 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 144 beds · Medicaid
Sunny Springs Nursing & Rehab Sulphur Springs · 16.4 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 95 beds · Medicaid
Rock Creek Health and Rehabilitation Sulphur Springs · 18.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 120 beds · Medicaid

More nursing homes near Birchwood Nursing and Rehabilitation ›   All nursing homes in Cooper ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

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/texas/cooper/birchwood-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.