HomeNew HampshireStrafford CountyBIRCH HEALTHCARE CENTER
B
Good

BIRCH HEALTHCARE CENTER

62 ROCHESTER HILL ROAD · ROCHESTER, NH 03867

6033353955 · For profit - Limited Liability company

79 beds68.7 residents195 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BIRCH HEALTHCARE CENTER receives an overall staffing grade of B (Good). With 3.5168 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5823 HPRD, below the recommended 0.75. It is 0.38 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.19% compared to weekdays. The facility uses a moderate level of agency staff (12.16% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5823 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5168hrs/resident/day 0.38
CMS benchmark: 3.48
RN HPRD
0.5823hrs/resident/day 0.10
Recommended: 0.75
Weekend Drop-off
17.19%
3.6964 weekday → 3.0611 weekend
Agency Staff
12.16%
10.55% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8476hrs/resident/day
Direct care aides
LPN HPRD
0.6162hrs/resident/day
Licensed practical nurses
Consistency
0.3494std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Strafford County Average-0.50 HPRD
4.02
03.52 HPRD
vs. New Hampshire State Average-0.44 HPRD
3.96
03.52 HPRD
vs. National Average-0.38 HPRD
3.90
03.52 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BIRCH HEALTHCARE CENTER
ROCHESTER · This facility
B
3.51680.5823★★☆☆☆
Rochester Manor
ROCHESTER
0.4 mi
C
3.00450.7169★★☆☆☆
RIVERSIDE REST HOME
DOVER
5.1 mi
A
4.31441.1502★★★★
DOVER CENTER FOR HEALTH & REHABILITATION
DOVER
6.4 mi
C
3.40650.7155★★☆☆☆
LANGDON PLACE OF DOVER
DOVER
9.1 mi
A+
5.6121.9974★★☆☆☆
SAINT ANN REHABILITATION AND NURSING CENTER
DOVER
11.3 mi
A
4.25780.8317★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
10
Total Deficiencies
$10,655
Fines Assessed
Sep 18, 2025Health
3 deficiencies cited
Aug 29, 2024Health
2 deficiencies cited
Apr 16, 2024Health
1 deficiency cited· Includes actual harm
Jul 26, 2023Health
4 deficiencies cited

Penalty History

Apr 16, 2024Fine
$10,655
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.