For profit - Corporation · 100 certified beds · CMS number 675838

Birchwood Nursing and Rehabilitation, Cooper, TX

CMS records 13 health deficiencies at Birchwood Nursing and Rehabilitation in Cooper, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 18, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Birchwood Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Birchwood Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Jun 18, 2025. CMS counts 5 health deficiencies and 5 fire safety deficiencies in this cycle.

Jun 18, 2025 · Standard inspection

5 deficiencies, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2025

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2025

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2025

F637 · Reassessment after a significant change

Requirement cited (CMS): Assess the resident when there is a significant change in condition

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2025

F582 · Notice of covered and extra charges

Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2025
Previous cycle: 5 deficiencies (standard inspection May 8, 2024)

Standard inspection May 8, 2024. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.

May 8, 2024 · Standard + complaint inspection

5 deficiencies, highest E

F926 · Smoking policies

Requirement cited (CMS): Have policies on smoking.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 22, 2024

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 22, 2024

F806 · Allergies, preferences, and meal substitutes

Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 22, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 22, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 22, 2024
Earlier cycle: 3 deficiencies (standard inspection Apr 12, 2023)

Standard inspection Apr 12, 2023. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.

Apr 12, 2023 · Standard inspection

3 deficiencies, highest E

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 14, 2023

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 14, 2023

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 14, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Birchwood Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F880 Infection prevention and control program2Jun 18, 2025; May 8, 2024

Fines and payment denials

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

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.11 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.40 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.75 h
Nursing staff turnover
93.6% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
4 of 5
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5

CMS figures for Birchwood Nursing and Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
110 W Hwy 64, Cooper, TX 75432
Phone
(903) 395-2125
County
Delta
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
100
Average residents per day
56.1
In Medicare/Medicaid since
Aug 16, 2000
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How do staff track and report infections among residents? (F880, cited 2 times)
  • Which services and supplies are included in the daily rate, and which are billed separately? (F582, cited 1 time)
  • How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
  • How does the care team decide when a change in condition calls for a full reassessment? (F637, cited 1 time)

Other nursing homes in Cooper and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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