Home / New Hampshire / Rochester
Birch Healthcare Center
62 Rochester Hill Road, Rochester, NH 03867 · Strafford County · (603) 335-3955
79 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305081 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
Of 10 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,655 in the last three years; the largest was $10,655, and the latest is dated April 16, 2024.
Nurses and nurse aides worked 3.52 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
47.6% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
407/23
104/24
208/24
309/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
0E
0F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection · 3 citations
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to document that the resident and/or the resident's representative was fully informed of the risk and benefits of psychotropic medications for 1 of 5 residents reviewed for unnecessary medications in a final sample of 18 residents. (Resident identifier is #10.)
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to report an alleged violation of abuse no later than 24 hours to the State Survey Agency (SSA) for 1 of 2 residents reviewed for abuse in a final sample of 18 residents (Resident identifier is #67).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that residents received scheduled medications on days that they attended dialysis for 1 of 1 resident reviewed for dialysis in a final sample of 28 residents (Resident Identifier is #6).
August 29, 2024Standard inspection · 2 citations
- D 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.
Inspectors wroteBased on observations, interviews, and record review, it was determined that the facility failed to ensure open injectable medications were labeled in accordance with the manufacturer's instructions in 1 out of 2 medication carts observed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, interview, and policy review, it was determined that the facility failed to follow Center For Disease Control (CDC) guidance for wearing Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) for 1 of 6 residents reviewed for infection control (Resident Identifier #55) and the facility failed to perform hand hygiene during medication administration for 3 of 5 residents observed (Resident Identifiers are #21, #44 and #49). Findings Include: Resident #55: Review on 8/27/24 of Resident #55's medical record revealed they had an order for EBP for medication received through a peripheral line and an infected wound. Observation on 8/27/24 at approximately 10:00 a.m. of Resident #55 revealed an EBP sign and PPE inside the resident's room. [...]
April 16, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that staff use equipment properly during transfers, resulting in a fall with a fracture for 1 of 1 residents reviewed for accidents (Resident Identifier #1).
July 26, 2023Standard inspection · 4 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record reviews, it was determined the facility failed to follow physician orders related to notifying the provider when blood sugar level was above 400 milligram/deciliter (mg/dl) for 1 of 5 residents reviewed for unnecessary medications (Resident Identifier is #38).
- D 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to store refrigerated medications within required temperatures per manufacturer's specification for 1 of 1 medication room observed (Birch Unit, A-Wing, medication room).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review, it was determined that the facility failed to ensure food was prepared and served in a sanitary environment in 1 of 1 main kitchens observed.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and policy review, it was determined that the facility failed to ensure a safe and sanitary environment in 7 of 41 resident rooms observed on the Birch Unit.
Fire safety inspections
14 fire safety citations on file: 2 on September 18, 2025, 7 on August 29, 2024, 5 on July 26, 2023.
Every fire safety citation14 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- C Inspect, test, and maintain automatic sprinkler systems.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- C Have properly located and lighted "Exit" signs.
- C Have simulated fire drills held at unexpected times.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Provide properly protected cooking facilities.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
- C Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 16, 2024 | Fine | $10,655 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.52 | 3.90 | 3.86 |
| Registered nurses | 0.57 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.28 | 3.47 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 47.6% | 44.1% | 45.8% |
| Registered nurse turnover | 55.6% | 40.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.45 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.62 on weekdays and 3.28 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.52 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.52 | 0.57 | 3.62 | 3.28 | 9.5% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.54 | 0.61 | 3.65 | 3.24 | 10.7% | 0 of 92 | 68 |
| Jul to Sep 2025 | 3.52 | 0.58 | 3.69 | 3.06 | 12.2% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.51 | 0.51 | 3.67 | 3.12 | 9.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.7 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.4 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.2 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.1 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.8 |
Owners and operators
Legal business name: PEAK HEALTHCARE AT ROCHESTER LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| White Mountain Peak Healthcare LLC | 5% or greater direct ownership interest | Organization | 100% | 11/19/2020 |
| Nhoc LLC | Direct ownership interest | Organization | 11/19/2020 | |
| Black Mountain II LLC | 5% or greater indirect ownership interest | Organization | 01/20/2026 | |
| Pr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 01/20/2026 | |
| Rr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 01/20/2026 | |
| Wmp Holdco LLC | 5% or greater indirect ownership interest | Organization | 11/19/2020 | |
| Aggcp LLC | Indirect ownership interest | Organization | 01/20/2026 | |
| Kamna Holdings LLC | Indirect ownership interest | Organization | 11/19/2020 | |
| Wmp Hc LLC | Indirect ownership interest | Organization | 11/19/2020 | |
| Goldstein, Avrohom | Indirect ownership interest | Individual | 01/20/2026 | |
| Halberstam, Miriam | Indirect ownership interest | Individual | 01/20/2026 | |
| Halberstam, Moshe | Indirect ownership interest | Individual | 01/20/2026 | |
| Stevenson, Sean | Managing control - governing body | Individual | 01/20/2026 | |
| 603 Healthcare LLC | Operational/managerial control | Organization | 08/15/2025 | |
| Rizkalla Hanna, Magued | Operational/managerial control | Individual | 02/28/2025 | |
| Suazo, Katelyn | Operational/managerial control | Individual | 06/30/2025 | |
| 603 Healthcare LLC | Adp of the SNF | Organization | 06/01/2026 | |
| Aggcp LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Kansas SNF Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Mad Family Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Natr Trust | Adp of the SNF | Organization | 11/19/2020 | |
| Pr Nh Holdings LLC | Adp of the SNF | Organization | 01/20/2026 | |
| Rarmna Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Ratr Trust | Adp of the SNF | Organization | 11/19/2020 | |
| Rnr Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Rr Nh Holdings LLC | Adp of the SNF | Organization | 01/20/2026 | |
| Wetr Trust | Adp of the SNF | Organization | 11/19/2020 | |
| Rausman, Philip | Adp of the SNF | Individual | 01/20/2026 | |
| Rausman, Robert | Adp of the SNF | Individual | 01/20/2026 | |
| Rizkalla Hanna, Magued | Adp of the SNF | Individual | 04/10/2025 | |
| Suazo, Katelyn | Adp of the SNF | Individual | 11/28/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 18, 2025: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 29, 2024: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.28 hours per resident per day, below the New Hampshire average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Rochester Manor Rochester, 0.4 mi · 2 of 5 stars · 13 citations
- Riverside Rest Home Dover, 5.2 mi · 5 of 5 stars · 7 citations
- Dover Center for Health & Rehabilitation Dover, 6.4 mi · 4 of 5 stars · 13 citations
- Langdon Place of Dover Dover, 9.1 mi · 5 of 5 stars · 7 citations
- Pinnacle Health & Rehab at N Berwick North Berwick, 10.8 mi · 5 of 5 stars · 12 citations
- Saint Ann Rehabilitation and Nursing Center Dover, 11.3 mi · 4 of 5 stars · 6 citations
- Pinnacle Health & Rehab at Sanford Sanford, 13.3 mi · 5 of 5 stars · 12 citations
- Summer Commons Sanford, 14.2 mi · 5 of 5 stars · 18 citations
Common questions
- What is Birch Healthcare Center's Medicare star rating?
- CMS rates Birch Healthcare Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Birch Healthcare Center get at its last inspection?
- 3 health deficiencies at the standard inspection on September 18, 2025. The New Hampshire average is 4.
- Has Birch Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $10,655 in the last three years.
- Does Birch Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Birch Healthcare Center?
- CMS lists 31 owners and managers. Legal business name: PEAK HEALTHCARE AT ROCHESTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.