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Birchwood Health and Rehabilitation Center

3250 12th St., Sarasota, FL 34237 · Sarasota County · (941) 365-4185

87 certified beds, about 75 residents a day · For profit - Corporation · Medicare and Medicaid since 1981

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105389 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 4 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 17 health citations since October 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.44 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

43.8% of nursing staff left within the year CMS measured (Florida average 41.4%).

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.

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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
8E
1F
Potential for minimal harm
0A
0B
0C
May 4, 2026Complaint inspection · 1 citation
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 26, 2026
    Inspectors wroteBased on observation, review of the grievance log, review of facility's policy and procedure, residents and staff interviews, the facility failed to ensure sufficient nursing staffing to meet the needs of 10 (Residents #1, #2, #3, #4,#5, #6, #7, #8, #9 and #10) of 10 dependents residents reviewed.
February 12, 2026Complaint inspection · 1 citation
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2026
    Inspectors wroteBased on observation, interview and facility policy the facility failed to ensure the safe storage of medications for 3 (Residents #1, #2, and #3) of 3 residents observed with unsecured medications at bedside.
August 7, 2025Standard inspection · 4 citations
  1. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide appropriate treatment and services to prevent the decline in range of motion for 1 (Resident #31) of 2 residents reviewed with limited range of motion.
  2. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on record review and staff interviews the facility failed to ensure a Registered Nurse (RN) provided services for 8 consecutive hours for 2 of 14 days of staffing reviewed (7/20/25 and 7/27/25).
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on observations, interviews and records review the facility failed to ensure expired medications were removed from 2 (Colonial 1 and Heritage) of 4 medication carts reviewed for medication storage.
  4. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure a medication error rate below 5%. The facility medication error rate was 8% out of 25 opportunities. Review of facility Standards and Guidelines: Medication Administration policy (last revised 1/2024) states medications are administered in accordance with prescriber orders, including any required time limit. The policy further states if a dosage is believed to be inappropriate or excessive for a resident, or a medication has been identified as having potential adverse consequences for the resident or is suspected of being associated with adverse consequences, the person preparing or administering the medication will contact the prescriber, the resident's Attending Physician or the facility's Medical Director to discuss the concerns. Review of facility Standards and Guidelines: [...]
May 6, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 27, 2025
    Inspectors wroteBased on record review, review of facility's policies and procedures, and staff interviews, the facility failed to provide adequate supervision and assistance to prevent falls for 1 (Resident #850) 3 residents reviewed with history of falls, including a fall with major injury requiring a transfer to a higher level of care.
March 6, 2025Complaint inspection · 1 citation
  1. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation and interview, the facility failed to provide housekeeping and maintenance services to ensure a clean, sanitary and comfortable environment for 4 ( Rooms #210, #214, #115, #110) of 13 rooms observed, 1(200 hall) of 4 halls observed, and 1 (Resident #1) of 3 residents interviewed.
August 17, 2023Standard inspection · 8 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) September 17, 2023
    Inspectors wroteBased on observation, record review, resident representative and staff interview, the facility failed to assess, and implement individualized, appropriate interventions to prevent the development and worsening of pressure ulcers for 1 (Resident #28) of 2 sampled residents with in-house acquired pressure ulcers.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 17, 2023
    Inspectors wroteBased on observations, staff interviews, and facility policy and record review, the facility failed to store food in a manner to prevent possible contamination from dirty ceiling tiles and air vents and to monitor refrigeration logs and three compartment sink sanitizer check logs.
  3. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on observation, record review, review of policy and procedures, staff and residents interviews, the facility failed to honor the right to choose preferred method and frequency of bathing for 3 (Residents #48, #39 and #28) of 4 sampled residents dependent on staff for activities of living.
  4. E
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 17, 2023
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure completion of the Quarterly Minimum Data Set (MDS) within the required timeframe for 13 (Resident #1, #2, #8, #11, #25, #27, #28, #36, #45, #46, #48, #52 and #54) of 15 residents sampled. This had the potential to delay assessment and revision of the plan of care.
  5. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 17, 2023
    Inspectors wroteBased on observation interview and record review the facility failed to provide care and services to maintain and prevent avoidable decline in range of motion for 1 (Resident #48) of 2 sampled residents with limited range of motion.
  6. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on observations, record review, resident, family and staff interviews, the facility failed to ensure the availability of sufficient nursing staffing to meet the needs of 4 (Residents #48, #39, #28, #119, and #7) of 22 sampled residents. The failure to ensure sufficient nursing staffing to provide timely care and services could prevent residents from attaining, or maintaining their highest practicable physical, mental, and psychosocial well-being.
  7. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 12, 2023
    Inspectors wroteBased on observations, record reviews, and interview, the facility failed to follow the physician's orders repeatedly and regularly for 4 (Residents #902, #12, #905 and #906) of 4 residents reviewed for blood pressure medications with parameters.
  8. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2023
    Inspectors wroteBased on observations, record reviews, interviews, and facility policy review, the facility failed to ensure the medication error rate was less than 5%. This was evidenced by three medication errors out of 27 opportunities, resulting in a medication error rate of 11.11%.
October 21, 2021Standard inspection · 1 citation
  1. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2021
    Inspectors wroteBased on observation, record review, policy review and resident and staff interviews, the facility failed to complete and document an assessment for entrapment, alternatives attempted, discuss risks versus benefits and obtain informed consent prior to the installation of bed rails for 1 resident (Resident # 63) of 1 resident reviewed for use of bed rails. This has the potential to lead to serious negative consequences for the resident.

Fire safety inspections

19 fire safety citations on file: 1 on August 7, 2025, 7 on August 17, 2023, 11 on October 21, 2021.

Every fire safety citation19 citations
  1. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 7, 2025 · Corrected (the home has a date of correction)
  2. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · August 17, 2023 · Corrected (the home has a date of correction)
  3. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 17, 2023 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 17, 2023 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 17, 2023 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 17, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 17, 2023 · Corrected (the home has a date of correction)
  8. D
    Provide properly protected cooking facilities.
    K 324 · August 17, 2023 · Corrected (the home has a date of correction)
  9. F
    Create arrangements with other facilities to receive patients.
    E 25 · October 21, 2021 · Corrected (the home has a date of correction)
  10. F
    Provide a means of sharing information on occupancy/needs.
    E 34 · October 21, 2021 · Corrected (the home has a date of correction)
  11. F
    Provide family notifications of emergency plan.
    E 35 · October 21, 2021 · Corrected (the home has a date of correction)
  12. F
    Install corridor and hallway doors that block smoke.
    K 363 · October 21, 2021 · Corrected (the home has a date of correction)
  13. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 21, 2021 · Corrected (the home has a date of correction)
  14. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 21, 2021 · Corrected (the home has a date of correction)
  15. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 21, 2021 · Corrected (the home has a date of correction)
  16. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 21, 2021 · Corrected (the home has a date of correction)
  17. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 21, 2021 · Corrected (the home has a date of correction)
  18. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · October 21, 2021 · Corrected (the home has a date of correction)
  19. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 21, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.443.823.86
Registered nurses0.550.730.69
All nursing staff on weekends3.113.493.42
Nurse aides2.11
Licensed practical nurses0.77
Nursing staff turnover (share who left in a year)43.8%41.4%45.8%
Registered nurse turnover42.9%46.0%42.9%
Administrators who left0

CMS expects 3.55 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 3.57 on weekdays and 3.11 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.440.553.573.11 0.2%0 of 9075
Oct to Dec 20253.360.503.463.09 0.0%0 of 9273
Jul to Sep 20253.310.493.423.03 0.0%0 of 9263
Apr to Jun 20253.780.853.993.26 8.0%0 of 9169
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.68.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.82.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
7.31.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.69.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.94.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.28.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.49.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.11.8

Owners and operators

Legal business name: BIRCHWOOD OPERATIONS LLC.

NameRoleTypeShareSince
Birchwood Rehab Holdings LLC5% or greater direct ownership interestOrganization100%01/04/2023
Bp Birchwood Trust5% or greater indirect ownership interestOrganization50%05/05/2023
Lf Birchwood Trust5% or greater indirect ownership interestOrganization50%05/05/2023
Wildes, DonnaCorporate officerIndividual08/28/2025
Davis, ElijahOperational/managerial controlIndividual11/12/2024
Johnson, BrendaOperational/managerial controlIndividual11/11/2024
Martinez Irizarry, AxelOperational/managerial controlIndividual11/01/2023
Wildes, DonnaOperational/managerial controlIndividual08/28/2025
Williams, TammaraOperational/managerial controlIndividual10/01/2024
Aston Healthcare LLCAdp of the SNFOrganization05/05/2023
Davis, ElijahAdp of the SNFIndividual12/11/2025
Martinez Irizarry, AxelAdp of the SNFIndividual07/10/2025
Wildes, DonnaAdp of the SNFIndividual08/28/2025

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on February 12, 2026: "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."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 7, 2025: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on May 4, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 6, 2025: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Birchwood Health and Rehabilitation Center's Medicare star rating?
CMS rates Birchwood Health and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Birchwood Health and Rehabilitation Center get at its last inspection?
4 health deficiencies at the standard inspection on August 7, 2025. The Florida average is 7.1.
Has Birchwood Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Birchwood Health and Rehabilitation 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 Birchwood Health and Rehabilitation Center?
CMS lists 13 owners and managers. Legal business name: BIRCHWOOD OPERATIONS LLC.

Sources

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