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Nursing HomeMedicaid Investigative

The Birch at Sutherland

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

333 Maple Street, Sutherland, NE 6916560 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.5/5

based on 17 Google reviews

5
4
3
2
1
The Birch at Sutherland Nursing Home in Sutherland, NE — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 5)
  • High staff turnover (77%)
  • High RN turnover (57%)

Bottom 25% in NE · Below recommended RN staffing · Very high staff turnover · Worst in AVID HEALTHCARE GROUP chain · $50,025 in fines

Source: Medicare data

What this means for your family

Given the recent reports of staff mistreating residents and ignoring communication needs, we strongly recommend conducting unannounced visits and speaking directly with current residents' families. While some staff are described as caring, the systemic issues regarding professional conduct and facility maintenance are significant red flags that require careful investigation before choosing this facility.

Google Reviews

Google Reviews

17 reviews on Google
The Birch at Sutherland receives highly polarized feedback, with recent reviews highlighting significant concerns regarding staff professionalism and the treatment of vulnerable residents. While some reviewers acknowledge the presence of a few dedicated employees, others describe a facility in need of major renovations and better staff training. Families should be aware of serious allegations regarding neglect and poor communication, particularly concerning residents with disabilities.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean2.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Presence of some dedicated individual staff members
  • Administrator noted as trying to support floor staff
  • Occasional instances of compassionate patient interaction

Concerns

  • Poor staff professionalism and abusive behavior toward residents (mentioned by 3 reviewers)
  • Neglect or poor treatment of residents with disabilities or communication challenges (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02021(3)3.02022(2)1.72023(6)2.22024(5)1.02025(1)2.32026(3)

Distribution · 20 analyzed

5
7
4
0
3
1
2
0
1
12

How They Respond to Reviews

12%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on improving team culture, what specific training or oversight programs are currently in place to ensure all staff members consistently provide compassionate and professional care?
  • 2I noticed the facility has had some challenges with communication; what is the best way for our family to stay updated on our loved one's daily well-being and any changes in their health?
  • 3How does your team ensure that residents who may have difficulty communicating their needs receive the same level of attentive care and advocacy as others?
  • 4With the current staffing levels, how do you ensure that residents receive timely assistance with daily hygiene and dining needs throughout the day?
  • 5Could you walk me through your protocols for medical emergencies and how you coordinate with local hospitals to ensure continuity of care?
  • 6What steps are you taking to improve the dining experience and ensure that meal times are both nutritious and enjoyable for the residents?

Personalized based on this facility's data


Key Review Excerpts

I had a nurse wake me up at 4 in the morning, yelling and screaming at me,claiming I had alcohol in my room I'm 73 ye

Rehab patient · 2024☆☆☆☆

They ignored her as much as they could And called her disability a bad behavior.one nurse with super short hair took my moms soft blanket which she got from her therapist and kept it taking much joy from my mom when she got released.

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

This care home staff truly cares about patients and their safety. I was so impressed with how the staff dealt with a difficult situation and took the time to sit down and speak to the patient and get to know him and didnt just wash their hands of him.

Healthcare professional · 2021★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
75%
Lower is better (< 30% = good)
RN Turnover
50%
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
2/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility39.6%
Worse than Avg
Here
39.6%
US
15.5%
NE
20.8%
Lincoln
16.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
14.4%
NE
19.5%
Lincoln
19.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
19.4%
NE
26.3%
Lincoln
21.1%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility12.7%
Worse than Avg
Here
12.7%
US
3.2%
NE
4.4%
Lincoln
4.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
19.5%
NE
19.3%
Lincoln
21.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.6%
Worse than Avg
Here
88.6%
US
95.5%
NE
96.1%
Lincoln
96.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility71.0%
Worse than Avg
Here
71.0%
US
79.8%
NE
75.9%
Lincoln
83.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.7%
Better than Avg
Here
83.7%
US
81.8%
NE
80.5%
Lincoln
83.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NE
2.3%
Lincoln
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
3penalties
Above state avg (6.7)
21 complaint-triggered
$50,025 in fines

The Birch at Sutherland has generated 21 complaint-triggered deficiencies from families filing reports about safety, pain management, and care planning issues. Recurring problems include accident hazards and supervision, pain management, care planning, infection control, and medication errors. While all deficiencies show correction dates, the facility has faced multiple complaint surveys suggesting ongoing care concerns that families should investigate thoroughly during visits.

Mar 5, 2026Routine
10
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0745Minimal · PatternCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Sep 24, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Apr 9, 2025Complaint
4
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0580Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0758Potential for harm · IsolatedCorrected

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.

Dec 19, 2024Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Dec 19, 2024Complaint
4
0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Sep 26, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Mar 5, 2026

$19,120

Fine

Sep 24, 2025

$32,517

Payment Denial

Apr 9, 2025

45-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Birch at Sutherland

Organization Type

for profit

Chain Affiliation

Chain Name

Avid Healthcare Group

Chain Size

11 facilities nationwide

Chain avg rating: 1.5/5 · Rank 10 of 10 (Worst)

Ownership & Management

Owners

Ne 11 Holdings Opco LLC

Owner · Organization

100%

Brass Ne Trust

Owner (parent company) · Organization

Bsd Beis Health Trust

Owner (parent company) · Organization

Copper Ne Trust

Owner (parent company) · Organization

Douro Valley Investment, LLC

Owner (parent company) · Organization

Gold Ne Trust

Owner (parent company) · Organization

Ne Snf Holdings LLC

Owner (parent company) · Organization

Sf 4140 Olde Washington Boulevard Real Property LLC

Owner (parent company) · Organization

Silver Ne Trust

Owner (parent company) · Organization

Tulip Investments Ne LLC

Owner (parent company) · Organization

Key personnel

Pucylowski, TedW-2 Managing EmployeeSilberstein, AriOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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