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Birchwood Nursing And Rehabilitation

110 W Hwy 64, Cooper, TX 75432 · Delta County

For-profit · 100 certified beds · 56% occupancy · (903) 395-2125

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.

CMS quality ratings

Overall★★★★
Health inspections★★★★★
Staffing★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.

TX median 3.27

3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.11 hrs
RN
0.40 hrs
LPN
0.98 hrs
Aide
1.73 hrs

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.

13
total findings
0
immediate jeopardy
0
caused actual harm
3
from complaints
  • 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.

Ownership

Part of the Creative Solutions In Healthcare chain (149 facilities), chain average overall rating 2.2★.