nursing home in Tacoma, WA
Orchard Park Health Care & Rehab Center
4755 South 48th, Tacoma, WA 98409 · (253) 475-4611
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Orchard Park Health Care & Rehab Center at a glance
Orchard Park Health Care & Rehab Center is a 147-bed for-profit nursing home in Tacoma, Washington (Pierce County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Washington average of 3.3.
Residents receive about 3.7 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.4 hours.
Its most recent standard health inspection (June 1, 2026) found 47 health citations. The Washington average is 15.8.
Federal regulators fined it 3 times in the past three years, totaling $301,370.
Nursing staff turnover is 45.6% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 147
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Genesis Healthcare
- Medicare-certified since
- November 1, 1970
- Resident/family council
- Resident
- County
- Pierce County
- CMS Certification Number
- 505093
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.9 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.66 hrs | 4.36 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.70 hrs | 0.94 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.82 hrs | 2.66 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.25 hrs | 3.80 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 45.6% | 45.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 42.1% | 45.4% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 47 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 22 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 303 | 116.6 | 80.6 | Worse |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $301,370 | $52,633 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 147 | 97 | 107 | |
| Average residents per day | 129 | 76 | 86 | |
| Occupancy | 87.4% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 2.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.4% | 15.1% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.7% | 14.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 21% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.3% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.2% | 17.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.2% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.4% | 22.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 70.7% | 93.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.5% | 96% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 72.7% | 82% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.8% | 88.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 125 health deficiencies and 45 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 15, 2026 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0620 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 14, 2026 |
| July 15, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 14, 2026 |
| June 1, 2026 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 1, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 19, 2026 |
| June 1, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 14, 2026 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | G Actual harm, isolated | Corrected June 1, 2026 |
| May 1, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 22, 2026 |
| May 1, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 22, 2026 |
| March 26, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 15, 2026 |
| March 19, 2026 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 8, 2026 |
| January 12, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 30, 2026 |
| January 12, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 30, 2026 |
| August 25, 2025 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected August 30, 2025 |
| August 8, 2025 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected August 11, 2025 |
| August 8, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 11, 2025 |
| August 8, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected August 9, 2025 |
| July 30, 2025 Complaint | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected July 31, 2025 |
| June 12, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 11, 2025 |
| June 12, 2025 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected August 11, 2025 |
| June 12, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | H Actual harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected July 3, 2025 |
| June 12, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected July 3, 2025 |
| June 12, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 3, 2025 |
| April 23, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 7, 2025 |
| September 19, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 19, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected September 20, 2024 |
| September 9, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected September 20, 2024 |
| September 9, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected December 3, 2024 |
| September 9, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 9, 2024 |
| September 9, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected November 9, 2024 |
| September 9, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 20, 2024 |
| September 9, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected November 9, 2024 |
| September 9, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected September 20, 2024 |
| September 9, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | F Potential harm, widespread | Corrected October 14, 2024 |
| September 9, 2024 Standard | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · Tag F0843 | F Potential harm, widespread | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Implement 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 9, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Notify 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 9, 2024 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected October 14, 2024 |
Showing the 150 most recent of 170 citations.
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $301,370 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 1, 2026 | Fine | $165,315 |
| June 12, 2025 | Fine | $34,671 |
| September 9, 2024 | Fine | $101,384 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 4755 SOUTH 48TH STREET PROPERTY LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| BQ MASTER TENANT LLC Organization | adp of the snf | NOT APPLICABLE | 07/13/2026 |
| BRADBURN, KASEY Individual | adp of the snf | NOT APPLICABLE | 07/08/2024 |
| CHHEDA, NEEL Individual | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| CRUZ, CORAZON Individual | adp of the snf | NOT APPLICABLE | 10/21/2024 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| ROBIN, AARON Individual | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| TRESS, AVROHOM Individual | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| BQ OPERATIONS HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2020 |
| 9560 PICO LLC Organization | indirect ownership interest | NOT APPLICABLE | 04/20/2026 |
| BOLD QUAIL HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2020 |
| NEWGEN LLC Organization | indirect ownership interest | NOT APPLICABLE | 04/20/2026 |
| PICO AR LLC Organization | indirect ownership interest | NOT APPLICABLE | 04/20/2026 |
| ROBIN, AARON Individual | indirect ownership interest | NOT APPLICABLE | 04/20/2026 |
| TRESS, AVROHOM Individual | indirect ownership interest | NOT APPLICABLE | 04/20/2026 |
| ROBIN, AARON Individual | managing control - governing body | NOT APPLICABLE | 11/03/2025 |
| TRESS, AVROHOM Individual | managing control - governing body | NOT APPLICABLE | 11/03/2025 |
| BRADBURN, KASEY Individual | operational/managerial control | NOT APPLICABLE | 07/08/2024 |
| CHHEDA, NEEL Individual | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| CRUZ, CORAZON Individual | operational/managerial control | NOT APPLICABLE | 10/21/2024 |
| ROBIN, AARON Individual | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
| TRESS, AVROHOM Individual | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
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★★★★★1Much below averageAvamere Transitional Care of Puget Sound
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Frequently asked questions
What is Orchard Park Health Care & Rehab Center's rating?
Orchard Park Health Care & Rehab Center has 1 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.
How many inspection citations did Orchard Park Health Care & Rehab Center receive?
Its most recent standard health inspection found 47 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Orchard Park Health Care & Rehab Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Orchard Park Health Care & Rehab Center?
It is for profit - limited liability company and part of Genesis Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Orchard Park Health Care & Rehab Center and how do I contact it?
Orchard Park Health Care & Rehab Center is at 4755 South 48th, Tacoma, WA 98409. Phone: (253) 475-4611.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.