Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Birches At Trillium Woods during CMS and state inspections, most recent first.
The facility failed to ensure proper orthostatic blood pressure monitoring for two residents on psychotropic medications. One resident, with a history of falls and on medications like Seroquel, lacked documented monitoring despite weekly orders. Another resident, also on Seroquel, had missing documentation for monthly monitoring. Interviews confirmed the absence of records, and the facility's policy required such monitoring to prevent adverse effects.
A resident with severe cognitive impairment and diabetes received insulin contrary to physician orders, which specified holding insulin if blood glucose was below 200. Insulin was administered twice when levels were 194 and 191. Staff interviews confirmed the errors, and the consultant pharmacist noted a mild risk to the resident.
Failure to Monitor Orthostatic Blood Pressure in Residents on Psychotropic Medications
Penalty
Summary
The facility failed to ensure proper orthostatic blood pressure monitoring for two residents who were receiving psychotropic medications. Resident R27, who had a history of falls and was on medications such as Seroquel, citalopram, and buspirone, did not have documented orthostatic blood pressure monitoring despite orders for weekly assessments. The resident's care plan indicated a need for such monitoring due to the risk of falls, yet the electronic health record lacked documentation for the required dates. Interviews with nursing staff confirmed the absence of documentation and highlighted a change in the resident's transfer status, which could have impacted the ability to perform standing blood pressure measurements. Resident R30, who was also on Seroquel for dementia and sleep issues, had orders for monthly orthostatic blood pressure monitoring. However, the electronic health record lacked documentation for several months, with only one instance of recorded measurements. Interviews with nursing staff revealed that orthostatic blood pressures should be assessed monthly for residents on antipsychotic medications, but documentation was missing for multiple months. The facility's director of nursing acknowledged the importance of monitoring for side effects of psychotropic medications, including orthostatic blood pressures, to prevent missing critical information. The facility's policy on antipsychotic medication use required monitoring for side effects such as orthostatic hypotension, yet the documentation was not consistently maintained. The lack of proper monitoring and documentation for residents on psychotropic medications represents a deficiency in the facility's adherence to its own policies and procedures, potentially increasing the risk of adverse effects and falls among residents.
Failure to Follow Insulin Administration Orders
Penalty
Summary
The facility failed to adhere to physician orders regarding the administration of insulin for a resident with severe cognitive impairment and multiple health conditions, including diabetes mellitus. The resident's medication administration record (MAR) indicated that insulin was administered on two occasions when the resident's blood glucose levels were below the threshold of 200, as specified in the physician's orders. Specifically, insulin was given on the morning of September 8th and the evening of September 11th, despite blood glucose readings of 194 and 191, respectively. These actions were contrary to the physician's directive to hold insulin if blood glucose levels were less than 200. Interviews with facility staff, including an LPN, an RN, the director of nursing, and a consultant pharmacist, confirmed the medication errors. The LPN and RN acknowledged that insulin was administered incorrectly, and the director of nursing emphasized the expectation for staff to follow physician orders. The consultant pharmacist highlighted the importance of adhering to insulin administration parameters to maintain appropriate blood glucose levels and noted that the errors posed a mild risk to the resident. The facility's policy on insulin administration required staff to verify insulin orders and blood glucose levels before administration, which was not followed in these instances.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Plymouth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allina Health Restorative Suites | 3.6 mi | — | 0 | 0 |
| North Ridge Health And Rehab | 3.8 mi | — | 3 | 0 |
| Mission Nursing Home | 3.8 mi | — | 4 | 0 |
| Woodlake Healthcare And Rehabilitation Center | 4.2 mi | — | 10 | 0 |
| The Villas At Osseo Llc | 5.1 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.