Orchard Park Health Care & Rehab Center

Nursing home in Tacoma, WA

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address: 4755 South 48th, Tacoma, WA 98409
Phone: (253) 475-4611
Listed under: For-profit
Medicare CCN: 505093
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 4 of 5
Quality measures rating: 3 of 5
Certified beds: 147
Average residents per day: 129
Ownership: For-profit, limited Liability company
Legal business name: 4755 South 48th Street Operations LLC
Chain: Genesis Healthcare (184 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Nov 1, 1970
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 505093. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 1, 2026. CMS lists 113 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 19, 2023 to Jun 1, 2026): 39 from complaint inspections, 4 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Jun 1, 2026	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights	D Potential for more than minimal harm, isolated
Jun 1, 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. Resident Rights	D Potential for more than minimal harm, isolated
Jun 1, 2026	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Jun 1, 2026	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jun 1, 2026	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jun 1, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jun 1, 2026	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jun 1, 2026	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jun 1, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jun 1, 2026	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 1, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 1, 2026	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 113. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $136,055 in the last three years.

Jun 12, 2025	Fine: $34,671
Sep 9, 2024	Fine: $101,384

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.66 hours
Registered nurse (RN) time per resident per day: 0.70 hours
Nurse aide time per resident per day: 1.82 hours
Total nurse staffing on weekends: 3.25 hours
Nursing staff turnover (yearly): 46%
RN turnover (yearly): 42%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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