HomeWisconsinShawano CountyBIRCH HILL HEALTH SERVICES
C
Below Standard

BIRCH HILL HEALTH SERVICES

1475 BIRCH HILL LANE · SHAWANO, WI 54166

7155263161 · For profit - Limited Liability company

50 beds42.9 residents80 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BIRCH HILL HEALTH SERVICES receives an overall staffing grade of C (Below Standard). With 3.3964 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5215 HPRD, below the recommended 0.75. It is 0.50 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.24% compared to weekdays. The facility has low agency staff usage (4.71% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3964 HPRD — needs 0.08 more hours per resident per day.
⚠️RN staffing (0.5215 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (1)

Low agency staff usage (4.71%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3964hrs/resident/day 0.50
CMS benchmark: 3.48
RN HPRD
0.5215hrs/resident/day 0.16
Recommended: 0.75
Weekend Drop-off
10.24%
3.4976 weekday → 3.1395 weekend
Agency Staff
4.71%
1.29% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.1756hrs/resident/day
Direct care aides
LPN HPRD
0.6993hrs/resident/day
Licensed practical nurses
Consistency
0.3418std 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. Shawano County Average-0.01 HPRD
3.40
03.40 HPRD
vs. Wisconsin State Average-0.80 HPRD
4.20
03.40 HPRD
vs. National Average-0.50 HPRD
3.90
03.40 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 HILL HEALTH SERVICES
SHAWANO · This facility
C
3.39640.5215★★☆☆☆
EVERGREEN HEALTH SERVICES
SHAWANO
0.5 mi
C
3.40260.7586★★☆☆☆
SHAWANO HEALTH SERVICES
SHAWANO
0.8 mi
C
3.41330.7491★★★★★
THE PINES POST ACUTE AND MEMORY CARE
CLINTONVILLE
7.6 mi
B
3.65730.6541★★★★
GREENTREE HEALTH AND REHABILITATION CENTER
CLINTONVILLE
12.3 mi
B
3.63210.5672★★☆☆☆
SURING HEALTH AND REHAB CENTER
SURING
19.6 mi
C
3.20720.5067★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
16
Total Deficiencies
$0
Fines Assessed
Nov 10, 2025Health
4 deficiencies cited
May 20, 2025Health
2 deficiencies cited
Sep 25, 2024Health
7 deficiencies cited
Aug 30, 2023Health
2 deficiencies cited
Sep 22, 2022Health
1 deficiency cited
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.