Nursing home · Top rated by CMS
Birchwood Nursing and Rehabilitation
110 W Hwy 64, Cooper, TX 75432 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 100 certified beds
Birchwood Nursing and Rehabilitation is a Medicare-certified nursing home in Cooper, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.03 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jun 18, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Birchwood Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.03 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.33 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.86 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 35.9% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 18, 2025 inspection was corrected by June 19, 2025
What inspectors found at Birchwood Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jun 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 12, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 12, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 110 W Hwy 64
Cooper, TX 75432 - CMS certification #
- 675838
- Ownership
- For profit - Corporation
- Certified beds
- 100
- Avg residents/day
- 55.0
- Provider type
- Medicare and Medicaid
- First certified
- 2000-08-16
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Rural
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Birchwood Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Christus Mother Frances Hospital Sulphur Springs, Sulphur Springs. 16.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Oak Manor of Commerce Nursing and Rehabilitation, Commerce. 15.2 miles away, straight line.
- Nearest home health agency office
- Tender Care Inc, Cooper. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 15.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75432 as micropolitan (micropolitan high commuting).
- Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 75432.
On Call Hospice, office in Paris, 20.6 miles away, straight line
Elara Caring, office in Paris, 21.0 miles away, straight line
Platinum Palliative & Hospice Care Inc, office in Paris, 22.1 miles away, straight line - Nearest geriatric medicine practice
- Century Integrated Partners, Inc, Mckinney. 57.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Area not mapped by FEMA. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Birchwood Nursing and Rehabilitation a good nursing home?
CMS gives Birchwood Nursing and Rehabilitation an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Birchwood Nursing and Rehabilitation staffed?
Birchwood Nursing and Rehabilitation reports 3.03 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Birchwood Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Birchwood Nursing and Rehabilitation have?
Birchwood Nursing and Rehabilitation is certified for 100 beds.