Birch Creek Post Acute & Rehabilitation
5601 S Orchard Street, Tacoma, WA 98409 · (253) 474-8421
For profit - Limited Liability company · 124 certified beds
Birch Creek Post Acute & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 19 citations (the Washington average is 15.8). It was fined 1 time in the last three years, $19,656 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 13, 2026 found 19 citations. What an inspection citation means
- 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.March 13, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 13, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 13, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.March 13, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- PASARR screening for Mental disorders or Intellectual DisabilitiesMarch 13, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 13, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.March 13, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 13, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.March 13, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 13, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.March 13, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 13, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 13, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 13, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 13, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 13, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 13, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.March 13, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.March 13, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 21 citations.
- Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.June 18, 2026 · F0571 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 18, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 18, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are fully informed and understand their health status, care and treatments.May 6, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 26, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 26, 2026 · F0690 · Level of harm: Actual harm · Residents affected: Few
- 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.March 26, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.November 19, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.November 19, 2025 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.July 10, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 30, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.June 30, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 1, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.October 28, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 15, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 10, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 10, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 10, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.March 22, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 22, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $19,656March 13, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Washington average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.74 | 4.36 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.94 | 0.69 |
| Licensed practical nurses (LPN) | 0.96 | 0.77 | 0.86 |
| Nurse aides | 2.14 | 2.66 | 2.32 |
| Total nursing staff turnover | 51.7% | 45.1% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 124 |
| Average residents per day | 115.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- The Oaks at Lakewood Tacoma · ★★★★★ 5 out of 5 stars
- Tacoma Nursing and Rehabilitation Center Tacoma · ★★★★★ 5 out of 5 stars
- Avamere Transitional Care of Puget Sound Tacoma · ★★★★★ 4 out of 5 stars
- Eliseo Tacoma · ★★★★★ 3 out of 5 stars
- Avalon Healthcare - Tacoma Tacoma · ★★★★★ 2 out of 5 stars
Compare every nursing home in Tacoma, WA · Nursing homes in Washington · Home health agencies in Tacoma, WA
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from Birch Creek Post Acute & Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.