Birch Hill Health Services
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (13 vs median 7)
Below average in WI · Below recommended RN staffing · Below chain average · No penalties on record
What this means for your family
The facility's greatest asset is its compassionate staff, particularly in social services and direct care. While there have been isolated mentions of being short-staffed, the overall trend of staff quality remains high.
Google Reviews
Google Reviews
23 reviews on Google“Families can expect a caring environment with staff members who are noted for their patience and empathy during difficult transitions. While some reviewers have noted periods of being short-staffed, the facility is frequently praised for its friendly and excellent employees.”
Quality Themes
Strengths
- Caring and empathetic staff
- Supportive social services
- Friendly employees
- Pleasant physical setting
Concerns
- Staffing shortages
Rating Trends
Tap a year to see what changed
Distribution · 29 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1It's wonderful to see how much the staff is praised for being so caring and empathetic; how do you foster that culture of kindness among the team?
- 2We noticed the facility has a very pleasant physical setting; could you tell us more about the common areas where residents gather for social activities?
- 3With the recent state inspections, what specific steps is Birch Hill taking to address the identified deficiencies and improve overall care?
- 4How do you ensure there is always enough staff available to provide attentive care, especially during busy shifts or overnight?
- 5In the event of a medical emergency or a sudden change in a resident's health, what is the protocol for notifying the family and coordinating care?
- 6How does the social services team work with residents to ensure they stay engaged and connected with others in the community?
Personalized based on this facility's data
Key Review Excerpts
“My mother-in law is currently here and I must certainly say there is family drama however the social shawna has been so helpful on helping my wife through this next step in life. With grace and pateince.”
“Excellent staff, Sarah really knows how to take care of people.”
“Very caring staff”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
8
measures
2
measures
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Birch Hill has concerning recent complaint-triggered deficiencies including failure to properly report suspected abuse and neglect, with families filing reports about resident safety issues. The facility shows recurring problems across multiple surveys with fire safety systems, medication management, and infection control, though all violations have correction dates. Persistent issues with emergency power systems and smoke barriers appearing across three years suggest ongoing infrastructure challenges.
Feb 11, 2026Routine7
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Nov 10, 2025Complaint4
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 20, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Sep 25, 2024Routine10
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 25, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Aug 30, 2023Routine11
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Ownership & Operations
Who Operates This Facility
Birch Hill Health Services
for profit
Chain Affiliation
North Shore Healthcare
59 facilities nationwide
Chain avg rating: 2.8/5 · Rank 35 of 58
Ownership & Management
Owners
Nshr Operations LLC
Owner · Organization
Arrowhead 123 LLC
Owner (parent company) · Organization
The Lane Morrell Bowen Trust
Owner (parent company) · Organization
Mills, David
Owner (parent company)
Bowen, Lane
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit birchhillhs.com
Medicare data downloads
Original nursing home datasets
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