The Birch at Sutherland

Sutherland, NE · 60 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 14 deficiencies — 2.1x the state average
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • 77% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
14
2.1x state avg
Deficiencies
$0
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

September 23, 2025

3 deficiencyies
F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Respond appropriately to all alleged violations.

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0726 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

April 8, 2025

4 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0697 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide safe, appropriate pain management for a resident who requires such services.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

December 18, 2024

9 deficiencyies
F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe and appropriate respiratory care for a resident when needed.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

September 25, 2024

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

February 13, 2024

3 deficiencyies
F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0677 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

See full violation history →

Staffing

0.64
RN hrs/res/day
0.75
LPN hrs/res/day
2.84
CNA hrs/res/day
3.47
Weekend hrs/res/day
77%
Total nurse turnover
57%
RN turnover

A nurse checks on each resident roughly every 5.7 hours on average.

Fines & Penalties

  • Payment Denial Apr 8, 2025
    Payment Denial

Ownership

For profit - Limited Liability company Chain: AVID HEALTHCARE GROUP
  • NE 11 HOLDINGS OPCO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    100% Organization
  • BRASS NE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • BSD BEIS HEALTH TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • COPPER NE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • DOURO VALLEY INVESTMENT, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • GOLD NE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • NE SNF HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • SF 4140 OLDE WASHINGTON BLVD REAL PROPERTY LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2023

    NO PERCENTAGE PROVIDED Organization
  • SILVER NE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • TULIP INVESTMENTS NE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Organization
  • WEISZ, DAVID

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/02/2023

    NO PERCENTAGE PROVIDED Individual
  • SILBERSTEIN, ARI

    CORPORATE OFFICER

    Since since 08/02/2023

    Individual
  • PUCYLOWSKI, TED

    W-2 MANAGING EMPLOYEE

    Since since 08/02/2023

    Individual