Birchwood Nursing & Rehabilitation
110 HIGHWAY 64 WEST, Cooper, TX, 75432
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 100 · avg 55 residents/day
- Total nursing staff turnover
- 35.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308029
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 26 Medicare-only · 74 Medicaid/Medicare
- Current license effective
- January 1, 2025
- Current license expires
- January 1, 2028
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Cooper I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Terry W Landers
Texas HHS licensing registry · as of April 16, 2026
About this community
Birchwood Nursing & Rehabilitation is a 100-bed Medicare/Medicaid nursing home in Cooper, TX, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall with a 5-star health inspection score — but staffing sits at 3 stars and quality-of-care outcomes rate 2 stars. The facility is running at about 55% of licensed capacity, well below typical occupancy.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about 182 minutes of nursing care per resident per day, roughly 59 minutes less than at a 4-star-staffing facility in Texas. RN coverage is 20 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas. Around 19% of Texas nursing homes share this staffing rating.
About 4 in 10 nursing staff left in the past year — below the 25th-percentile cutoff for Texas, meaning turnover is better than roughly three-quarters of nursing homes in the state. That kind of stability tends to mean residents see familiar faces more consistently.
Despite the 5-star overall and health inspection ratings, CMS rates quality-of-care outcomes at 2 stars — both for residents who live here long-term and those recovering from a hospital stay. High inspection scores mean fewer deficiencies were cited during regulatory visits; the 2-star outcome scores reflect separately measured clinical results such as hospitalization rates, pain management, and functional decline.
Birchwood is operating at roughly 55% of its 100 licensed beds — about 55 residents on an average day. That figure is low relative to peers; the reasons behind it are not captured in this data.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing during nights and weekends
With 182 total nursing minutes per resident per day and weekend hours logged at roughly 2.9 hours, ask specifically how many nurses and aides are on duty during nights and weekends.
Gap between inspection and outcome scores
CMS rates health inspections at 5 stars but quality outcomes at 2 stars — ask which specific outcome measures are below average and what steps are underway to address them.
Why occupancy is around 55%
The facility averages about 55 residents against 100 licensed beds; ask whether that reflects a deliberate staffing model, referral patterns, or recent discharges.
RN coverage on a typical day
Reported RN hours work out to about 20 minutes per resident per day — ask how many registered nurses are on-site during a standard day shift and overnight.
Resident Council activity
A Resident Council is listed but no Family Council; ask how family members currently raise concerns or receive updates about their loved one's care.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.