Birch Creek Post Acute & Rehabilitation

Nursing home in Tacoma, WA

Medicare & Medicaid certified1★ overall (CMS)

Call (253) 474-8421 Send a message Map ↗

Public-record details

Address: 5601 S Orchard Street, Tacoma, WA 98409
Phone: (253) 474-8421
Listed under: For-profit
Medicare CCN: 505289
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 3 of 5
Quality measures rating: 3 of 5
Certified beds: 124
Average residents per day: 116
Ownership: For-profit, limited Liability company
Legal business name: Tacoma SNF Operations LLC
Chain: Hill Valley Healthcare (43 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jul 1, 1984
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 505289. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 13, 2026. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 22, 2024 to Jun 18, 2026): 21 from complaint inspections, 3 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 18, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jun 18, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jun 18, 2026	Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
May 6, 2026	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Mar 26, 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. Nursing and Physician Services · complaint inspection	E Potential for more than minimal harm, pattern
Mar 26, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Mar 26, 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. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Mar 13, 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… Resident Rights	D Potential for more than minimal harm, isolated
Mar 13, 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
Mar 13, 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
Mar 13, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Mar 13, 2026	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 78. 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 1 fine totalling $30,240 in the last three years.

Mar 13, 2026

Fine: $30,240

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: 3.74 hours
Registered nurse (RN) time per resident per day: 0.65 hours
Nurse aide time per resident per day: 2.14 hours
Total nurse staffing on weekends: 3.32 hours
Nursing staff turnover (yearly): 52%
RN turnover (yearly): 39%
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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