Starfile / Washington

BIRCH CREEK POST ACUTE & REHABILITATION

5601 S ORCHARD STREET, TACOMA, WA 98409 · CCN 505289

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

HILL VALLEY HEALTHCARE

Facilities in chain

40

Chain avg overall

2.20 / 5

Inspection citations (67)1 actual harm

1. DF0610Respond appropriately to all alleged violations.2025-11-19 · Health · corrected 2025-12-22

   Potential for more than minimal harm

2. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-11-19 · Health · corrected 2025-12-22

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-11 · Health · corrected 2025-08-25

   Potential for more than minimal harm

4. EF0692Provide enough food/fluids to maintain a resident's health.2025-07-10 · Health · corrected 2025-08-29

   Potential for more than minimal harm

5. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-30 · Health · corrected 2025-08-12

   Potential for more than minimal harm

6. DF0610Respond appropriately to all alleged violations.2025-06-30 · Health · corrected 2025-08-12

   Potential for more than minimal harm

7. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-14 · Health · corrected 2025-04-21

   Potential for more than minimal harm

8. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-03-14 · Health · corrected 2025-04-21

   Potential for more than minimal harm

9. EF0578Honor 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.2025-03-14 · Health · corrected 2025-04-21

   Potential for more than minimal harm

10. DF0584Honor 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.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

11. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

12. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

13. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

14. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

15. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

16. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

17. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

18. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

20. DF0688Provide 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.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

21. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

22. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

23. DF0693Ensure 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.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

25. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

26. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

28. EF0881Implement a program that monitors antibiotic use.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

29. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

30. EF0887Educate 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.2025-03-14 · Health · corrected 2025-04-21

    Potential for more than minimal harm

31. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-01 · Health · corrected 2024-12-10

    Potential for more than minimal harm

32. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-10-28 · Health · corrected 2024-11-06

    Potential for more than minimal harm

33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-15 · Health · corrected 2024-08-06

    Potential for more than minimal harm

34. DF0610Respond appropriately to all alleged violations.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

35. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

36. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

37. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

38. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

39. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-23 · Health · corrected 2024-07-02

    Potential for minimal harm

40. BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-05-23 · Health · corrected 2024-07-02

    Potential for minimal harm

41. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

42. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

43. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

44. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

45. CF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-23 · Health · corrected 2024-07-02

    Potential for minimal harm

46. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

47. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

48. EF0790Provide routine and 24-hour emergency dental care for each resident.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

49. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

50. EF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-07-02

    Potential for more than minimal harm

51. DF0610Respond appropriately to all alleged violations.2024-03-22 · Health · corrected 2024-04-30

    Potential for more than minimal harm

52. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-22 · Health · corrected 2024-04-30

    Actual harm

53. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

54. EF0578Honor 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.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

55. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

56. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

57. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

58. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

59. DF0641Ensure each resident receives an accurate assessment.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

60. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

61. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

62. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

63. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

64. FF0880Provide and implement an infection prevention and control program.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

65. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

66. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

67. EF0887Educate 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.2023-04-26 · Health · corrected 2023-06-06

    Potential for more than minimal harm

Ownership

Other facilities in TACOMA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.