Orchard Park Health Care & Rehab Center
Medicare-certified4755 SOUTH 48TH, Tacoma, WA 98409
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Birch Creek Post Acute & Rehabilitation brings specialized skilled nursing and rehabilitation services to Tacoma, Washington families navigating recovery and healing. Our team provides compassionate, medically-focused care designed to help residents regain independence and return home whenever possible.
Capacity
124 residents
Location
Tacoma, WA
Status
Listed in a public registry
5601 S ORCHARD STREET, Tacoma, Washington 98409
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 13, 2026, state inspectors cited 27 health deficiencies (the Washington average is 15.8).
Nurses and nurse aides spend 3 hours 45 minutes with each resident a day, below the Washington average of 4 hours 22 minutes.
Medicare fined Birch Creek Post Acute & Rehabilitation once in the last three years, $19,656 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 45 minutesBelow the Washington average |
| Registered nurse time per resident, per day | 39 minutesBelow the Washington average |
| Nursing staff who left in the past year | 52%Above the Washington average |
78 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 18, 2026 · Complaint investigation · 3 citations
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 6, 2026 · Complaint investigation · 1 citation
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Provide safe and appropriate respiratory care for a resident when needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
PASARR screening for Mental disorders or Intellectual Disabilities
Respond appropriately to all alleged violations.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide safe, appropriate pain management for a resident who requires such services.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide or obtain dental services for each resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Provide enough food/fluids to maintain a resident's health.
Ensure each resident receives an accurate assessment.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Respond appropriately to all alleged violations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
PASARR screening for Mental disorders or Intellectual Disabilities
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Implement a program that monitors antibiotic use.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide enough food/fluids to maintain a resident's health.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure services provided by the nursing facility meet professional standards of quality.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Showing the 60 most recent. The full list is on Medicare.gov.
1 fine totaling $19,656 in the last three years.
5601 S ORCHARD STREETTacoma, WA 98409
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State inspectors visited on March 13, 2026 and cited 27 health deficiencies, 9 of them from complaint investigations. The Washington average is 15.8.
Nurses and aides spend 3 hours 45 minutes with each resident per day, including 39 minutes from registered nurses. 52% of nursing staff left over the past year.
Yes. Medicare fined Birch Creek Post Acute & Rehabilitation once in the last three years, totaling $19,656.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.