Birch Creek Post Acute & Rehabilitation

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 17, 2026

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 21, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 21, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 21, 2026

• Ensure that testing and maintenance of electrical equipment is performed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 7, 2026

• Have proper power supply for life support equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 7, 2026

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 7, 2026

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 7, 2026

• List the names and contact information of those in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 7, 2026

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 21, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 21, 2026

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 7, 2026

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2026

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2026

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2026

• Respond appropriately to all alleged violations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 5, 2026

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 7, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Provide or obtain dental services for each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2026

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 7, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 7, 2026

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 22, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 22, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 25, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 29, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 12, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 12, 2025

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 21, 2025

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2025

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2025

• Have properly installed electrical wiring and gas equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Implement a program that monitors antibiotic use.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Ensure that testing and maintenance of electrical equipment is performed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 23, 2025

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 21, 2025

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 23, 2025

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2025

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 21, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 10, 2024

• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 6, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 6, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 6, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 6, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 6, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Have properly located and lighted "Exit" signs.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Address subsistence needs for staff and patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 24, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Provide routine and 24-hour emergency dental care for each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 2, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 2, 2024

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 2, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 2, 2024

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 2, 2024

• List the names and contact information of those in the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

• Meet other general requirements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

• Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 2, 2024

• 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.

  Severity B of L: potential for minimal harm, patternCorrected Jul 2, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Jul 2, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 30, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 30, 2024

Birch Creek Post Acute & Rehabilitation offers Memory Care and Skilled Nursing / Long Term Care.

Birch Creek Post Acute & Rehabilitation is located at 5601 S Orchard Street in Tacoma, Washington.

Birch Creek Post Acute & Rehabilitation had 14 government inspection visits in the last three years, with 106 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Birch Creek Post Acute & Rehabilitation and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.