Birch Healthcare Center

    62 Rochester Hill Rd, Rochester, NH, 03867
    3.1 · 50 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    1.0

    Unsafe unclean disorganized poor care

    I had a mixed but mostly negative experience. Some nurses and therapists were caring and PT helped, but management was disorganized and often unresponsive. I witnessed safety hazards (broken bed/TV/phone, no bed alarms/rails), hygiene neglect (soiled bedding, urine/feces exposure), delayed meds and aide response, awful cold food, and poor communication - I would avoid this facility except as a last-resort for short rehab.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    3.08 · 50 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.9
    • Meals

      2.1
    • Amenities

      1.5
    • Value

      1.0

    Pros

    • Caring and compassionate nurses
    • Some very attentive and supportive frontline staff
    • Effective physical and occupational therapy / strong rehab services
    • Quick aide response reported by some families
    • Supportive end-of-life and hospice care in certain cases
    • Clean and sanitary areas according to some reviewers
    • Pleasant garden and outdoor seating area in spring
    • Hands-on or committed management reported by some
    • Clear home program instructions and diabetes diet guidance
    • Rooms close to nurse's station noted positively
    • Visitor-friendly atmosphere reported by some families
    • Well-maintained older building (basic amenities intact)
    • Warm, happy, or fun atmosphere described by some residents
    • New management improvements noted in recent reviews
    • Recommended by some for short-term rehab

    Cons

    • Staff shortages / chronically understaffed
    • Long waits for assistance and bed-pan delays
    • Rough handling and physical mishandling of patients
    • Rude, insulting, or unprofessional staff behavior
    • Overmedication / concerns about sedating patients
    • Poor communication with families / no meet-and-greet
    • Management unresponsive and no callbacks
    • Safety and fall risks (no bed alarms, rails, broken equipment)
    • Hygiene neglect (soiled bedding, urine/feces exposure)
    • Delayed or withheld pain medication
    • Poor food quality; meals served cold or disgusting
    • Theft of personal items (credit cards, cash) reported
    • Disorganized administration and unclear supervision
    • State deficiencies and health department concerns / investigations
    • Infection control problems / COVID transmission reported
    • Discharge decisions tied to insurance/funding pressures
    • Medication not in stock when needed
    • No hot water / heat regulation issues
    • Broken equipment (beds, phones, TVs) creating safety risks
    • Visitation restrictions or no posted visiting hours
    • Poor dementia care reported
    • Last-minute cancelled agency shifts and staffing instability
    • Inconsistent care quality across staff members
    • Allegations of neglect: dehydration, aspiration, lack of oxygen
    • End-of-life care delays (pain management, medication timing)

    Summary review

    The reviews for Birch Healthcare Center present a strongly mixed and polarized picture, with a high volume of both very positive and very negative experiences. A recurring pattern is that some families and patients encountered compassionate, effective care—especially in rehabilitation and therapy services—while others reported significant neglect, safety issues, and administrative failures. The divergence suggests inconsistency in staffing, training, oversight, or leadership that produces widely varying resident experiences.

    Care quality and direct nursing: Several reviews praise individual nurses and aides as caring, compassionate, responsive, and not rushed. Multiple reports highlight successful short-term rehab stays with effective physical therapy, clear home exercise programs, diabetes diet guidance, and meaningful progress after procedures such as amputation. Conversely, many reviews describe long waits for help (notably bed-pan delays and long waits to be helped off the bed), rough handling of patients in pain, rude interactions (sometimes in front of family), overmedication or sedation concerns, and instances of neglect (patient left in wet clothes, reports of dehydration, aspiration, or lack of oxygen). Reported medication issues include delayed pain meds, missing medications, and medicines not being in stock.

    Staffing and behavior: A dominant theme is understaffing—reviewers repeatedly mention staff shortages, canceled agency shifts with no compensation or backup, and nursing stretched thin. This understaffing is tied in many reviews to slow response times, poor bedside care, and inconsistent staff quality: some staff are described as wonderful and dedicated, while others are called rude, unprofessional, or uncaring. There are also alarming allegations of mistreatment, rough handling, and possible overmedication. Several reviews note a handful of exemplary staff but suggest they are exceptions rather than the rule.

    Management, communication, and administration: Communication and administrative responsiveness are frequent pain points. Families report poor information sharing, no initial meet-and-greet, and management that does not return calls. Multiple reviews accuse administration of being driven by cost or Medicare funding pressures—linking discharge decisions to payment rather than patient need—and at least one review alleges suspicious handling of arrangements and intentions to report to regulatory agencies or law enforcement. There are repeated statements about disorganized management, unclear supervisors on duty, and recommendations that the facility be investigated or that residents be removed. A few reviewers, however, mention committed or hands-on management and recent improvements under new leadership.

    Safety, regulation, and facility issues: Safety concerns are prominent. Reviewers cite missing bed alarms or rails, broken beds and equipment, loud nursing stations at night, and potential fall risks. Hygiene and cleanliness complaints include soiled bedding, urine and feces exposure, unresolved spills, and reports of used toiletries. More serious allegations include theft of credit cards and cash, infection control problems including contracted COVID, and state review findings/deficiencies that some reviewers referenced. Some reviews urge health department intervention; others state the facility should be shut down. Contrasting these issues, some reviewers found the facility clean, sanitary, and well-maintained, indicating inconsistency by area or shift.

    Facilities, dining, and amenities: The building is described as older and basic—some praise its maintenance and the pleasant garden/outdoor seating, while others note equipment failures (broken phones, TVs), lack of hot water, heat regulation problems, and cracked or broken supplies. Dining impressions are mixed: a number of reviewers criticized the food as cold, disgusting, or inadequate, while others reported good meals and adequate nutrition. Overall, amenities appear functional but dated, and experiences vary widely.

    Rehabilitation and specialty services: The facility receives some of its strongest praise for rehab services—physical and occupational therapy are repeatedly mentioned as effective, with staff providing useful home programs and progressive improvement. Some families explicitly recommend Birch for short-term rehabilitation. There are also positive notes about attentive end-of-life/hospice support from particular staff, though other reviewers report delayed pain relief and poor end-of-life responsiveness.

    Patterns and overall assessment: The prevailing pattern is inconsistency. Many reviewers describe exceptional individual staff and positive rehab outcomes, yet an equal or larger number report systemic problems: staffing shortages, rough or negligent care, poor communication, administrative neglect, safety hazards, hygiene lapses, and potential regulatory deficiencies. Several reports contain serious allegations (theft, neglect, potential medical emergencies such as patients turning blue) that warrant attention. These recurring, specific complaints—bed-pan delays, being left in soiled clothes, delayed pain meds, unclear discharge motives tied to insurance, and unresponsive management—point to operational weaknesses that affect resident safety and family trust.

    Recommendation based on reviews: Families considering Birch Healthcare Center should be aware of the facility's uneven track record. If short-term rehab is the primary need, some reviewers had very positive outcomes and praised therapy services. However, prospective residents and families should inquire directly about current staffing levels, nurse-to-patient ratios, medication management and pain control protocols, infection-control history, state inspection results, and how the facility handles communication and family involvement. If possible, on-site visits at different times of day (including nights/weekends), direct interviews with nursing leadership, and verification of recent state surveys or corrective actions would be prudent steps to assess whether the positive aspects are consistent and whether the significant concerns raised in multiple reviews have been addressed.

    Location

    Map showing location of Birch Healthcare Center

    About Birch Healthcare Center

    Birch Healthcare Center sits at 62 Rochester Hill Road in Rochester, NH, and serves seniors needing nursing care and rehabilitation in a two-story building with a total of 79 certified beds, usually caring for about 60 residents each day, and you'll find both short-term rehab and long-term care here, and you'll notice a mix of services like dental, vision, podiatry, and mental health care alongside support from on-site dieticians who help create special diets for each resident, and you'll see staff giving daily help with things like bathing and eating, always aiming for comfort and recovery. The nurses at Birch Healthcare Center work an average of 3.85 hours per resident per day, which is slightly higher than the state average, but the nurse turnover rate sits at 66.7%, above the state's 48.8% average, and you'll hear both good things from residents about the staff's warmth and dedication and see staff who are friendly and helpful around the halls, but there have been issues, too, like a pharmacy service deficiency where drugs weren't always labeled or locked up as they're supposed to be, and there's a citation about not fully following infection control programs. The building is newly renovated and modern, and everything feels clean and in order, which families often mention, with a housekeeping team that keeps things tidy and helps other staff. Medicaid is accepted, and there are mental health services as well as respite and palliative care, so people can come for a short stay or get help for longer periods, and insurance options have some flexibility. Birch Healthcare Center offers activities to keep people social and engaged, and there's a general feeling of teamwork. You can get a tour either live in person or online to see the building for yourself. They've also got an easy-to-use website with sections where you can learn about the center, see the calendar, or check job listings. While the center focuses strongly on nursing and medical care, they've had to address citations for medication storage and infection control, but many residents and families praise the daily care and attention from staff.

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