Birch Creek Post Acute & Rehabilitation
5601 S Orchard Street · Tacoma, WA · 98409 · 2534748421
124 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (74 in the current record)
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Actual harm · G March 26, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 21, 2026 · Quality of Life and Care
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Actual harm · G March 26, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026 · found via complaint
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.
Corrected April 21, 2026 · Nursing and Physician Services
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Potential for harm · D March 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 directive.
Corrected April 21, 2026 · Resident Rights
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Potential for harm · D March 13, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 21, 2026 · Resident Rights
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Potential for harm · D March 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.
Corrected April 21, 2026 · Resident Rights
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Potential for harm · E March 13, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 21, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 13, 2026
Respond appropriately to all alleged violations.
Corrected April 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2026
Ensure each resident receives an accurate assessment.
Corrected April 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 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.
Corrected April 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 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.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · E March 13, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026
Provide or obtain dental services for each resident.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · F March 13, 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.
Corrected April 21, 2026 · Nutrition and Dietary
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Potential for harm · F March 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2026 · Nutrition and Dietary
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Potential for harm · D November 19, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 19, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D August 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505289 · certified since July 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.