Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BIRCHWOOD HEALTH AND REHABILITATION CENTER

SARASOTA, FL · 87 certified beds · Last Life Safety survey August 7, 2025

CMS Certification Number 105389 · first certified August 1981

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

  • Ownership changed May 5, 2023 (change of ownership)from KENSINGTON MANOR - SARASOTA FL, LLC
19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within FL

19 citations — more than 96% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was August 2025. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility19FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
112021-1072023-0812025-08
Citations at each Life Safety survey
Survey dateCitations
October 21, 202111
August 17, 20237
August 7, 20251

Most-cited tags

Most-cited tags at this facility
K-09182K-07612K-09142K-03551E-00341K-05211K-07411E-00251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-08-17
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22023-08-17
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22023-08-17
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-08-17
E-0034Provide a means of sharing information on occupancy/needs.12021-10-21
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12021-10-21
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12025-08-07
E-0025Create arrangements with other facilities to receive patients.12021-10-21

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Emergency Preparedness Deficiencies 4
  • Smoke Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Emergency Preparedness Deficiencies4
Smoke Deficiencies3
Egress Deficiencies2
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 7, 2025 — 1 citation

Citations issued on August 7, 2025
TagWhat the surveyor checksStatus
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 5, 2025)

August 17, 2023 — 7 citations

Citations issued on August 17, 2023
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (August 17, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 16, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 17, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 16, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 17, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 17, 2023)

October 21, 2021 — 11 citations

Citations issued on October 21, 2021
TagWhat the surveyor checksStatus
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (November 13, 2021)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (November 13, 2021)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (November 13, 2021)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 13, 2021)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 13, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 13, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 13, 2021)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 13, 2021)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 13, 2021)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 13, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 13, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.