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Medicare-certifiedSkilled Nursing

Birch Creek Post Acute & Rehabilitation

Tacoma, WashingtonMedicare inspection record
(253) 474-8421

About Birch Creek Post Acute & Rehabilitation

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.

Community at a glance

Capacity

124 residents

Location

Tacoma, WA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

5601 S ORCHARD STREET, Tacoma, Washington 98409

(253) 474-8421

Medicare inspection record

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 45 minutesBelow the Washington average
Registered nurse time per resident, per day39 minutesBelow the Washington average
Nursing staff who left in the past year52%Above the Washington average

Inspections

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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 23, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 23, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 23, 2026

May 6, 2026 · Complaint investigation · 1 citation

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 17, 2026
March 26, 2026 · Complaint investigation · 3 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 21, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 21, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Apr 21, 2026
March 13, 2026 · Standard inspection · 19 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 21, 2026
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 21, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 21, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 21, 2026
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 21, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 5, 2026
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 21, 2026
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2026
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2026
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 21, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 21, 2026
November 19, 2025 · Complaint investigation · 2 citations+
  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Dec 22, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 22, 2025
August 11, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 25, 2025
July 10, 2025 · Complaint investigation · 1 citation+
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 29, 2025
June 30, 2025 · Complaint investigation · 2 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 12, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 12, 2025
March 14, 2025 · Standard inspection · 24 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 21, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 21, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 21, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 21, 2025
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 21, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 21, 2025
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 21, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 21, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 21, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 21, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 21, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 21, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 21, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2025
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 21, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 21, 2025
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2025
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2025
November 1, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 10, 2024
October 28, 2024 · Complaint investigation · 1 citation+
  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Nov 6, 2024
July 15, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 6, 2024
July 10, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 6, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

1 fine totaling $19,656 in the last three years.

  • March 13, 2026Fine: $19,656

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Tacoma SNF Operations LLC
Medicare-certified beds
124
Average residents per day
116
Accepts
Medicare and Medicaid
First certified
July 1, 1984
Part of a chain
Hill Valley Healthcare, 43 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
505289

Location

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5601 S ORCHARD STREETTacoma, WA 98409

12 other communities within 10 miles

Senior living near Tacoma

Questions about Birch Creek Post Acute & Rehabilitation

How did Birch Creek Post Acute & Rehabilitation do on its last inspection?+

State inspectors visited on March 13, 2026 and cited 27 health deficiencies, 9 of them from complaint investigations. The Washington average is 15.8.

How much nursing care does each resident get at Birch Creek Post Acute & Rehabilitation?+

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.

Has Birch Creek Post Acute & Rehabilitation been fined by Medicare?+

Yes. Medicare fined Birch Creek Post Acute & Rehabilitation once in the last three years, totaling $19,656.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Tacoma Skilled Nursing in Washington Skilled Nursing guide Information last updated October 2026