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Medicare-certifiedSkilled Nursing

Orchard Park Health Care & Rehab Center

Tacoma, WashingtonMedicare inspection record
(253) 475-4611

About Orchard Park Health Care & Rehab Center

Orchard Park Health Care & Rehab Center serves Tacoma, Washington residents requiring skilled nursing and rehabilitation with compassionate, personalized care. Our experienced team focuses on recovery and regaining independence through evidence-based treatment and therapeutic services designed for each patient's unique needs.

Community at a glance

Capacity

147 residents

Location

Tacoma, WA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

4755 SOUTH 48TH, Tacoma, Washington 98409

(253) 475-4611

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

  • Medicare flags Orchard Park Health Care & Rehab Center for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on June 1, 2026, state inspectors cited 47 health deficiencies (the Washington average is 15.8).

Nurses and nurse aides spend 3 hours 40 minutes with each resident a day, below the Washington average of 4 hours 22 minutes.

Medicare fined Orchard Park Health Care & Rehab Center 3 times in the last three years, $301,370 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 40 minutesBelow the Washington average
Registered nurse time per resident, per day42 minutesBelow the Washington average
Nursing staff who left in the past year46%

Inspections

115 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 15, 2026 · Complaint investigation · 12 citations

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

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintPlan to fix it accepted
  • 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 CareFrom a complaintPlan to fix it accepted
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintPlan to fix it accepted
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintPlan to fix it accepted
  • Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintPlan to fix it accepted
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
  • 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 complaintPlan to fix it accepted
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it accepted
  • Post nurse staffing information every day.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
  • 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 complaintPlan to fix it accepted

June 1, 2026 · Standard inspection · 28 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 19, 2026
  • 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 Jun 19, 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 pattern (level E)Resident RightsCorrected Jun 19, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 19, 2026
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 19, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 19, 2026
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 19, 2026
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 19, 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 pattern (level E)Resident Assessment and Care PlanningCorrected Jun 19, 2026
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 19, 2026
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 19, 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 Jun 19, 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 Jun 19, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 2026
  • 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 few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 2026
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 19, 2026
  • 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 Jun 19, 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 Jun 19, 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 Jun 19, 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 Jun 19, 2026
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 19, 2026
  • Assess the resident when there is a significant change in condition

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 2026
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 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 few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 2026
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 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 few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 19, 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 Jun 19, 2026
  • Provide routine and 24-hour emergency dental care for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 19, 2026
May 14, 2026 · Complaint investigation · 1 citation+
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Residents were harmed, a few residents (level G)Nutrition and DietaryFrom a complaintCorrected Jun 1, 2026
May 1, 2026 · Complaint investigation · 2 citations+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 22, 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 May 22, 2026
March 26, 2026 · Complaint investigation · 1 citation+
  • 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 ExploitationFrom a complaintCorrected Apr 15, 2026
March 19, 2026 · Complaint investigation · 1 citation+
  • 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 CareFrom a complaintAlready fixed by Mar 8, 2026
January 12, 2026 · Complaint investigation · 2 citations+
  • 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 Jan 30, 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 few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 30, 2026
August 25, 2025 · Complaint investigation · 1 citation+
  • Provide or get specialized rehabilitative services as required for a resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 30, 2025
August 8, 2025 · Complaint investigation · 1 citation+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Aug 9, 2025
July 30, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 31, 2025
June 12, 2025 · Standard inspection · 10 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a pattern (level H)Quality of Life and CareCorrected Jul 3, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 3, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 3, 2025
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 3, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 3, 2025
  • 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 Jul 3, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 3, 2025
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 3, 2025
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 3, 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 Jul 3, 2025

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

Fines and payment denials

3 fines totaling $301,370 in the last three years.

  • May 1, 2026Fine: $165,315
  • June 12, 2025Fine: $34,671
  • September 9, 2024Fine: $101,384

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
4755 South 48th Street Operations LLC
Medicare-certified beds
147
Average residents per day
129
Accepts
Medicare and Medicaid
First certified
November 1, 1970
Part of a chain
Genesis Healthcare, 184 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
505093

Location

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4755 SOUTH 48THTacoma, WA 98409

12 other communities within 10 miles

Senior living near Tacoma

Questions about Orchard Park Health Care & Rehab Center

How did Orchard Park Health Care & Rehab Center do on its last inspection?+

State inspectors visited on June 1, 2026 and cited 47 health deficiencies, 22 of them from complaint investigations. The Washington average is 15.8.

How much nursing care does each resident get at Orchard Park Health Care & Rehab Center?+

Nurses and aides spend 3 hours 40 minutes with each resident per day, including 42 minutes from registered nurses. 46% of nursing staff left over the past year.

Has Orchard Park Health Care & Rehab Center been fined by Medicare?+

Yes. Medicare fined Orchard Park Health Care & Rehab Center 3 times in the last three years, totaling $301,370.

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