Birchwood Nursing And Rehabilitation
110 W Hwy 64, Cooper, TX 75432 · Delta County
For-profit · 100 certified beds · 56% occupancy · (903) 395-2125
Birchwood Nursing And Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Birchwood Nursing And Rehabilitation 4 out of 5 stars overall, above average. Its nurse staffing is 5% below the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.11 hrs/resident/day (-5% vs TX median)
- Antipsychotic drug use
- 11.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 13 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓No federal fines on record in roughly the last three years.
Concerns
- !Nurse staffing of 3.11 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Birchwood Nursing And Rehabilitation
Is Birchwood Nursing And Rehabilitation a good nursing home?
Birchwood Nursing And Rehabilitation in Cooper, Texas holds a 4 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is Birchwood Nursing And Rehabilitation staffed?
Birchwood Nursing And Rehabilitation reports 3.11 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Birchwood Nursing And Rehabilitation been fined or flagged for abuse?
Birchwood Nursing And Rehabilitation has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.
Nursing staff turnover: 93.6% · RN turnover: 80%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0582 · Jun 18, 2025Corrected Jun 19, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
- Potential for harmTag F0637 · Jun 18, 2025Corrected Jun 19, 2025
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0644 · Jun 18, 2025Corrected Jun 19, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0759 · Jun 18, 2025Corrected Jun 19, 2025
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Jun 18, 2025Corrected Jun 19, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0584 · May 8, 2024ComplaintCorrected May 22, 2024
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.
Resident Rights Deficiencies
- Potential for harmTag F0690 · May 8, 2024ComplaintCorrected May 22, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0806 · May 8, 2024Corrected May 22, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · May 8, 2024ComplaintCorrected May 22, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0926 · May 8, 2024Corrected May 22, 2024
Have policies on smoking.
Environmental Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.