Orchard Park Health Care & Rehab Center

4755 South 48th, Tacoma, WA 98409 · (253) 475-4611
For profit - Limited Liability company · 147 certified beds

Orchard Park Health Care & Rehab Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 28 citations, 1 for actual harm or immediate jeopardy (the Washington average is 15.8). It was fined 3 times in the last three years, $301,370 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on June 1, 2026 found 28 citations. What an inspection citation means

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 1, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.June 1, 2026 · F0577 · 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.June 1, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 1, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 1, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Assure that each resident’s assessment is updated at least once every 3 months.June 1, 2026 · F0638 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 1, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 1, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.June 1, 2026 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.June 1, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Educate 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.June 1, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.June 1, 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.June 1, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.June 1, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.June 1, 2026 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident when there is a significant change in conditionJune 1, 2026 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.June 1, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesJune 1, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJune 1, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 1, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 1, 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.June 1, 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.June 1, 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.June 1, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.June 1, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.June 1, 2026 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.June 1, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide routine and 24-hour emergency dental care for each resident.June 1, 2026 · F0790 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 50 citations.

• Ensure that residents are fully informed and understand their health status, care and treatments.July 15, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 15, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.July 15, 2026 · F0620 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.July 15, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 15, 2026 · F0677 · 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.July 15, 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.July 15, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.July 15, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Post nurse staffing information every day.July 15, 2026 · F0732 · 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.July 15, 2026 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide medically-related social services to help each resident achieve the highest possible quality of life.July 15, 2026 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.July 15, 2026 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 1, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 1, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 1, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.May 14, 2026 · F0806 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 1, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 1, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 26, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 19, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 12, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 12, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.August 25, 2025 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.August 8, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.July 30, 2025 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 23, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 19, 2024 · F0609 · 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.September 19, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.September 9, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.September 9, 2024 · F0657 · 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.September 9, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.July 11, 2024 · F0658 · 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.July 11, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 11, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor 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.June 7, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.June 7, 2024 · F0677 · 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.May 20, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 2, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.April 2, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 2, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 31, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.October 27, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.October 27, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.October 27, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 27, 2023 · F0677 · 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.October 27, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 27, 2023 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 27, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident’s drug regimen must be free from unnecessary drugs.October 27, 2023 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.October 27, 2023 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $165,315May 1, 2026
• Fine of $34,671June 12, 2025
• Fine of $101,384September 9, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home