Washington › Pierce County › Tacoma
Birch Creek Post Acute & Rehabilitation
5601 S Orchard Street, Tacoma, WA 98409
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Birch Creek Post Acute & Rehabilitation, in Tacoma, Washington, is certified for 124 beds under for-profit, limited liability company ownership and belongs to the Hill Valley Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Washington median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 78 health deficiencies across the three most recent survey cycles (29, 29, 20 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 62.9 per 100 beds, more than the state median of 50.0.
CMS lists 1 penalty in the period covered: fines totalling $30K.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Washington median of 4.1; nursing staff turnover is 51.7%.
78health deficiencies, 3 survey cycles3 at actual harm or worse
$30Kfines listed by CMS1 penalty in period
3.7nurse hours per resident per daystate median 4.1
93%occupancy (residents ÷ beds)116 residents a day
Compared with county, state and nation
| Measure | This facility | Pierce Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 78 | 53 | 46 | 28.7 |
| Citations per 100 beds | 62.9 | 54.0 | 50.0 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.3 | 4.1 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 51.7% | 43.2% | 43.2% | 45.8% |
| Fines listed | $30,240 | $24,814 | $17,388 | — |
County and state figures are medians across facilities (21 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2026, 14 Mar 2025.
Severity mix: G ×3 D ×42 E ×27 F ×3 B ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | E | Complaint investigation | 23 Jul 2026 |
| 18 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Jul 2026 |
| 18 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Jul 2026 |
| 6 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 17 Jul 2026 |
| 26 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 21 Apr 2026 |
| 26 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 21 Apr 2026 |
| 26 Mar 2026 | F0726 | 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. | E | Complaint investigation | 21 Apr 2026 |
| 13 Mar 2026 | F0803 | 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. | F | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 5 Apr 2026 |
| 13 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0578 | 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. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0584 | 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. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0693 | 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. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 21 Apr 2026 |
| 13 Mar 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 21 Apr 2026 |
| 19 Nov 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint investigation | 22 Dec 2025 |
| 19 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Dec 2025 |
| 11 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Aug 2025 |
| 10 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 29 Aug 2025 |
| 30 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 12 Aug 2025 |
| 30 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Aug 2025 |
| 14 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0578 | 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. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0887 | 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. | E | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0584 | 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. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0688 | 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. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0693 | 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. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Apr 2025 |
| 14 Mar 2025 | F0758 | 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. | D | Standard survey | 21 Apr 2025 |
| 1 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Dec 2024 |
| 28 Oct 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Complaint investigation | 6 Nov 2024 |
| 15 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Aug 2024 |
| 10 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 6 Aug 2024 |
| 10 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 Aug 2024 |
| 10 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 6 Aug 2024 |
| 23 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | C | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 2 Jul 2024 |
| 23 May 2024 | F0625 | 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. | B | Standard survey | 2 Jul 2024 |
| 22 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 30 Apr 2024 |
| 22 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Mar 2026 | Fine | $30,240 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 51.7%, RNs 38.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.1% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.6% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.5% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Tacoma Snf Operations Llc. Chain: Hill Valley Healthcare (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Wash 6 SNF Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 02/08/2023 |
| Gig Harbor SNF Operations Manager LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pierce County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heron'S Key | Gig Harbor | 30 | 5 | 5 | 5 | 19 | 63.3 | $15K | 13 Feb 2026 |
| Life Care Center of South Hill | Puyallup | 100 | 5 | 4 | 4 | 29 | 29.0 | $17K | 21 Nov 2025 |
| Rainier Rehabilitation | Puyallup | 117 | 5 | 5 | 3 | 5 | 4.3 | — | 12 Aug 2025 |
| Tacoma Nursing and Rehabilitation Center | Tacoma | 150 | 5 | 4 | 3 | 19 | 12.7 | $36K | 22 Jun 2026 |
| The Oaks At Lakewood | Tacoma | 80 | 5 | 5 | 4 | 28 | 35.0 | — | 29 Jan 2026 |
| Avamere Transitional Care of Puget Sound | Tacoma | 60 | 4 | 3 | 5 | 45 | 75.0 | $23K | 19 Mar 2026 |
| Cottesmore of Life Care | Gig Harbor | 108 | 4 | 3 | 4 | 38 | 35.2 | $30K | 27 Feb 2026 |
| Agility Health and Rehabilitation | University Place | 120 | 3 | 3 | 3 | 41 | 34.2 | — | 9 Jun 2026 |
All 21 facilities in Pierce County
Questions and answers
How many deficiencies has Birch Creek Post Acute & Rehabilitation been cited for?
78 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Birch Creek Post Acute & Rehabilitation been fined?
Yes. CMS lists fines totalling $30K in the period covered.
How does staffing at Birch Creek Post Acute & Rehabilitation compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Birch Creek Post Acute & Rehabilitation?
It is part of the Hill Valley Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Wash 6 SNF Operations Holdings LLC and Gig Harbor SNF Operations Manager LLC. Individual owners and managers are not listed on this site.
When was Birch Creek Post Acute & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 13 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.