Birchwood Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Birchwood Nursing and Rehabilitation is a 100-bed for-profit nursing home in Cooper, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.73 nurse aide hours per resident per day, 13% below the Texas average of 2.00, and 93.6% nursing staff turnover (Texas average 55.3%).
Birchwood Nursing and Rehabilitation
110 W Hwy 64Cooper, TX 75432
Delta County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Birchwood Nursing and Rehabilitation, nurse aides logged 1.73 hours per resident per day, 13% below the Texas average. With about 56 residents a day, that works out to roughly 97 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.73 | 2.00 | 2.32 |
| Licensed practical nurses | 0.98 | 0.95 | 0.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff | 3.11 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.75 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
93.6% of nursing staff at Birchwood Nursing and Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Birchwood Nursing and Rehabilitation holds 4 of 5 overall; the Texas average is 2.6.
About Birchwood Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Cooper I Enterprises, LLC
- Medicare and Medicaid certified since: Aug 16, 2000
- Councils: resident council
- Area: rural
Nursing homes near Birchwood Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Commerce Commerce | 15.2 | 116 | 1.58 | 3.31 | 69.2% | 2 | None |
| Sulphur Springs Health and Rehabilitation Sulphur Springs | 16.0 | 128 | 2.05 | 3.38 | 44.9% | 3 | $44,044 |
| Carriage House Manor Sulphur Springs | 16.2 | 144 | 2.87 | 4.29 | 46.9% | 4 | None |
| Sunny Springs Nursing & Rehab Sulphur Springs | 16.4 | 95 | 2.21 | 3.36 | 44.9% | 2 | None |
| Rock Creek Health and Rehabilitation Sulphur Springs | 18.1 | 120 | 1.69 | 2.84 | 90.3% | 1 | $58,807 |
| Honey Grove Nursing Center Honey Grove | 18.5 | 102 | 1.72 | 3.50 | — | 2 | $80,698 |
| Legend Healthcare and Rehabilitation - Paris Paris | 21.4 | 120 | 1.85 | 3.19 | — | 3 | $16,149 |
| Brentwood Terrace Healthcare and Rehabilitation Paris | 23.0 | 119 | 1.73 | 3.04 | 92.9% | 1 | $234,447 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.