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Nursing HomeMedicaid

Birchwood Nursing & Rehabilitation

Strong Medicare quality ratings; families often praise compassionate and caring nursing staff. Still worth an in-person visit.

110 Highway 64 West, Cooper, TX 75432100 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 55 Google reviews

5
4
3
2
1
Birchwood Nursing & Rehabilitation Nursing Home in Cooper, TX — Street View
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What this means for your family

This facility offers a highly compassionate staff and a clean environment that many families find comforting. However, you must be extremely vigilant regarding hygiene and responsiveness, as multiple recent reviews report serious instances of neglect and slow response to call lights.

Google Reviews

Google Reviews

55 reviews analyzed
Families often praise the facility for its exceptionally compassionate nursing staff and its clean, welcoming environment. However, there are serious, recurring allegations of neglect regarding hygiene and responsiveness to call lights, alongside concerns about staffing shortages and maintenance issues.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean7.0Activities5.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Clean and well-maintained building
  • Effective rehabilitation and therapy team
  • Welcoming and friendly atmosphere

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 2 reviewers)
  • Staffing shortages and slow response to call lights (mentioned by 2 reviewers)
  • Poor food quality and maintenance issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02021(2)5.02022(6)5.02023(5)4.62024(33)4.02025(8)4.02026(4)

Distribution

5
45
4
1
3
0
2
0
1
6
16 reviews posted between May 30, 2024May 31, 2024 · 16 were 5-star

How They Respond to Reviews

13%response rate
Generic

The owner uses highly standardized, template-based responses that follow a nearly identical structure for every review. While they acknowledge the reviewer by name, they fail to address the specific details of the complaints, such as food quality, maintenance, or hygiene issues.

Questions for Your Tour

  • 1With such a high CMS health inspection rating, how do you ensure that the high standard of clinical care is maintained during shift changes?
  • 2What specific steps does your team take to ensure that call lights are answered promptly and that residents' personal hygiene needs are met throughout the day?
  • 3Since many visitors mention how friendly and welcoming the atmosphere is, what kind of social activities or group outings do you have planned for the residents this month?
  • 4We noticed the facility is very well-maintained; how often are the dining areas and resident rooms updated to ensure everything stays in top shape?
  • 5How does your rehabilitation and therapy team work with residents to help them reach their specific physical recovery goals?
  • 6Could you tell us more about the meal service, specifically how the menu is planned to ensure it is both nutritious and enjoyable for the residents?

Personalized based on this facility's data


Key Review Excerpts

The staff at Birchwood Nursing and Rehab Center have been truly exceptional. The level of care, professionalism, and genuine compassion shown to residents is outstanding.

Long-term resident's family · 2025★★★★★

Left my dad in his feces for multiple hours several times. Call button is in a string strapped to a light switch and they literally never come to help.

Long-term resident's family · 2026☆☆☆☆

The staff and administrator are very caring and make you feel like family. The building is always clean. My family has never had an issue with their care.

Long-term resident's family · 2024★★★★★
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
39%
Registered nurses for medical care
Total Nursing
3.08hrs
75%
All nurses + aides combined
Staff Turnover
93%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.5%
Mixed vs Avgs
Here
11.5%
US
15.4%
TX
9.4%
Delta
23.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Delta
4.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
14.4%
TX
16.1%
Delta
16.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Delta
98.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.7%
Mixed vs Avgs
Here
19.7%
US
19.4%
TX
14.2%
Delta
22.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Delta
98.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Delta
85.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Delta
91.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Delta
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (9.1)
3 complaint-triggered

Families filed reports that triggered inspections, raising concerns about infection control and care quality at this facility. The most recurring issues involve fire safety and building systems, resident assessments and care planning, and medication management. While all deficiencies show correction dates, the pattern of repeated problems with heating/ventilation systems and fire safety barriers suggests ongoing facility maintenance challenges that families should discuss during visits.

Jun 18, 2025Routine
9
0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0582MinorCorrected

Resident Rights Deficiencies

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

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 8, 2024Complaint
3
0584ModerateCorrected

Resident Rights Deficiencies

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.

0690MinorCorrected

Quality of Life and Care Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 8, 2024Routine
4
0806MinorCorrected

Nutrition and Dietary Deficiencies

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

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Apr 12, 2023Routine
4
0698ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0761MinorCorrected

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.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cooper I Enterprises, LLC

Organization Type

for profit

Management Company

CREATIVE SOLUTIONS IN HEALTHCARE, INC

Administrator

TERRY W LANDERS

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 4 of 148 (Best)

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeCreative Solutions in Healthcare INCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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