Orchard Park Health Care & Rehab Center
4755 South 48th · Tacoma, WA · 98409 · 2534754611
147 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $154,724 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
$154,724 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 2 · $154,724 |
Inspection citations (102 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 19, 2026 · found via complaint
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.
Corrected March 8, 2026 · Quality of Life and Care
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Potential for harm · D January 12, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 12, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · D August 25, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · F August 8, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 9, 2025 · Environmental
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Potential for harm · D July 30, 2025 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected July 31, 2025 · Quality of Life and Care
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Actual harm · H June 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 12, 2025
Respond appropriately to all alleged violations.
Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 12, 2025
Ensure each resident receives an accurate assessment.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
Provide activities to meet all resident's needs.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · E June 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · E June 12, 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.
Corrected July 3, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Provide or obtain dental services for each resident.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · E June 12, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · E June 12, 2025
Provide and implement an infection prevention and control program.
Corrected July 3, 2025 · Infection Control
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Potential for harm · E June 12, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected July 3, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 12, 2025 | Fine | $53,340 |
| September 9, 2024 | Fine | $101,384 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505093 · certified since November 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.