Nursing home
Birch Creek Post Acute & Rehabilitation
5601 S Orchard Street, Tacoma, WA 98409 · Map
For profit - Limited Liability company · Part of Hill Valley Healthcare (40 facilities) · 124 certified beds
Birch Creek Post Acute & Rehabilitation is a Medicare-certified nursing home in Tacoma, Washington. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.69 hours per resident per day, below the Washington average of 4.39. Its most recent inspection on Mar 14, 2025 cited 30 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Birch Creek Post Acute & Rehabilitation compares
This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.69 | 4.39 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.88 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.15 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 51.3% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 30.0 | 17.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Birch Creek Post Acute & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
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 · Mar 13, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
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 · Mar 13, 2026 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
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 · Mar 13, 2026 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 13, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5601 S Orchard Street
Tacoma, WA 98409 - CMS certification #
- 505289
- Ownership
- For profit - Limited Liability company
- Certified beds
- 124
- Avg residents/day
- 113.5
- Provider type
- Medicare and Medicaid
- First certified
- 1984-07-01
- Chain
- Hill Valley Healthcare (40 facilities)
- Setting
- Urban
Part of Hill Valley Healthcare
Hill Valley Healthcare operates 40 nursing facilities across the United States. View all Hill Valley Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Birch Creek Post Acute & Rehabilitation using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2024, 2 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 29, 2024: programmed (planned) inspection, complete (health). Case closed Oct 16, 2024. 2 violations cited (1 serious, 1 other). Penalties: $2,400 proposed, $2,400 now. OSHA record. OSHA recorded the employer as Wa317980412 - Tacoma SNF Operations LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Cited rule 296-800-15030. Penalty $2,400 proposed, $2,400 now. To be fixed by Sep 24, 2024.
- Other than serious: Cited rule 296-800-15035. Penalty $0 proposed, $0 now. To be fixed by May 29, 2024.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St Clare Hospital, Lakewood. 3.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Orchard Park Health Care & Rehab Center, Tacoma. 0.5 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Tacoma. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Fred Meyer Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98409 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care South Tacoma, Tacoma, 1.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Greater Tacoma Home Training, Tacoma, 1.7 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Kidney Care Mt Rainier, Fircrest, 2.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 98409.
Accentcare Hospice & Palliative Care Of Pierce County, office in Tacoma, 1.5 miles away, straight line
Puget Sound Hospice, office in Tacoma, 1.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Franciscan Hospice, office in University Place, 2.5 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Post Acute Medical PLLC, Tacoma. 1.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively moderate, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Birch Creek Post Acute & Rehabilitation a good nursing home?
CMS gives Birch Creek Post Acute & Rehabilitation an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Birch Creek Post Acute & Rehabilitation staffed?
Birch Creek Post Acute & Rehabilitation reports 3.69 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Birch Creek Post Acute & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 30 deficiencies.
How many beds does Birch Creek Post Acute & Rehabilitation have?
Birch Creek Post Acute & Rehabilitation is certified for 124 beds.