01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-09 | 18 | 2025-01-09 | 8 |
| Cycle 2 | 2022-11-07 | 6 | 2022-11-07 | 6 |
| Cycle 3 | 2019-12-18 | 5 | 2019-12-18 | 2 |
CMS CCN 3659732026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Birchaven Retirement Village
15100 Birchaven Lane · Findlay, OH 45840 · Hancock County
Certified beds118CMS provider file
Recent citation rows45current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
45 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-19 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · complaint2026-04-09 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-05-11 · complaint2026-04-09 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-05-11 · complaint2026-04-09 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-05-11 · complaint2026-04-09 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-05-11 · complaint2025-01-09 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-02-10 · complaint2025-01-09 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-10 · complaint2025-01-09 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · HEALTHF0887Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-09 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-02-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BLANCHARD VALLEY HEALTH SYSTEMOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/17/2008
- BROUGH, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- COSIANO, FRANKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2015
- DOWLING, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- EDGINGTON, ANNETTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- HOPKINS, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- JONES, GINGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2015
- KENNARD, DANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- KROETZ, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- LAUSE, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- LEWIS, MYRONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- LONGO, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- MALARKY, DONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- OVERTON, KIRBYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- POLDER, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- REINEKE, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- SHRADER, JEFFERYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- WEBB, ADELEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.53per resident day
RN hours1.38per resident day
Weekend nurse hours5.24per resident day
Staff turnover42.9%CMS reported field
06 / LOCAL RECORDS
Open the Findlay ledger →