Nursing HomeInspections

Birch Healthcare Center

Nursing home in Rochester, NH

Medicare & Medicaid certified2★ overall (CMS)

Call (603) 335-3955Send a messageMap ↗

Public-record details

Address
62 Rochester Hill Road, Rochester, NH 03867
Phone
(603) 335-3955
Listed under
For-profit
Medicare CCN
305081
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
79
Average residents per day
69
Ownership
For-profit, limited Liability company
Legal business name
Peak Healthcare at Rochester LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 12, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 305081. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 18, 2025. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 26, 2023 to Sep 18, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 18, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 18, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Sep 18, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 29, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 29, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 16, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jul 26, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 26, 2023Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 26, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 26, 2023Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,655 in the last three years.

Apr 16, 2024Fine: $10,655

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.52 hours
Registered nurse (RN) time per resident per day
0.57 hours
Nurse aide time per resident per day
2.38 hours
Total nurse staffing on weekends
3.28 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
56%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Rochester

Rochester Manor40 Whitehall Road · Rochester, NH 03867 · (603) 332-7711 · For-profit15 health citations in 3 inspection cycles · last standard inspection Jun 6, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

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