CareSentinel

Federal Nursing-Home Survey Record

ORCHARD PARK HEALTH CARE & REHAB CENTER

CCN 505093 · 4755 SOUTH 48TH, TACOMA, WA, 98409 · Operated within the GENESIS HEALTHCARE chain

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does ORCHARD PARK HEALTH CARE & REHAB CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ORCHARD PARK HEALTH CARE & REHAB CENTER (CCN 505093), in TACOMA, WA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 25 deficiencies; the most serious carries scope/severity H on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-06-12. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $154,724 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$154,724

CMS has $154,724 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.3

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-26
CURRENT CYCLE
F609S/S D

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

2026-03-19
CURRENT CYCLE
F688S/S D

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.

2026-01-12
CURRENT CYCLE
F686S/S D

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

2026-01-12
CURRENT CYCLE
F656S/S D

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

2025-08-25
CURRENT CYCLE
F825S/S D

Provide or get specialized rehabilitative services as required for a resident.

2025-08-08
CURRENT CYCLE
F921S/S F

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2025-07-30
CURRENT CYCLE
F691S/S D

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

2025-06-12
CURRENT CYCLE
F689S/S H

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

2025-06-12
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-06-12
CURRENT CYCLE
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2025-06-12
CURRENT CYCLE
F641S/S E

Ensure each resident receives an accurate assessment.

2025-06-12
CURRENT CYCLE
F806S/S E

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

2025-06-12
CURRENT CYCLE
F761S/S E

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.

2025-06-12
CURRENT CYCLE
F695S/S E

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

2025-06-12
CURRENT CYCLE
F610S/S E

Respond appropriately to all alleged violations.

2025-06-12
CURRENT CYCLE
F684S/S D

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

2025-06-12
CURRENT CYCLE
F561S/S D

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

2025-06-12
CURRENT CYCLE
F605S/S D

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

2025-06-12
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-06-12
CURRENT CYCLE
F656S/S D

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

2025-06-12
CURRENT CYCLE
F658S/S D

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

2025-06-12
CURRENT CYCLE
F679S/S D

Provide activities to meet all resident's needs.

2025-06-12
CURRENT CYCLE
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2025-06-12
CURRENT CYCLE
F790S/S D

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

2025-06-12
CURRENT CYCLE
F791S/S D

Provide or obtain dental services for each resident.

2025-04-23
HISTORICAL
F677S/S D

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

2024-09-19
HISTORICAL
F609S/S D

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

2024-09-19
HISTORICAL
F697S/S D

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

2024-09-09
HISTORICAL
F688S/S G

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.

2024-09-09
HISTORICAL
F850S/S F

Hire a qualified full-time social worker in a facility with more than 120 beds.

2024-09-09
HISTORICAL
F843S/S F

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.

2024-09-09
HISTORICAL
F641S/S E

Ensure each resident receives an accurate assessment.

2024-09-09
HISTORICAL
F584S/S E

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.

2024-09-09
HISTORICAL
F645S/S E

PASARR screening for Mental disorders or Intellectual Disabilities

2024-09-09
HISTORICAL
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-09-09
HISTORICAL
F757S/S E

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

2024-09-09
HISTORICAL
F758S/S E

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.

2024-09-09
HISTORICAL
F803S/S E

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.

2024-09-09
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-09-09
HISTORICAL
F812S/S E

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

2024-09-09
HISTORICAL
F865S/S E

Have a plan that describes the process for conducting QAPI and QAA activities.

2024-09-09
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-09-09
HISTORICAL
F610S/S E

Respond appropriately to all alleged violations.

2024-09-09
HISTORICAL
F657S/S E

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

2024-09-09
HISTORICAL
F684S/S E

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

2024-09-09
HISTORICAL
F625S/S D

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.

2024-09-09
HISTORICAL
F585S/S D

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.

2024-09-09
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-09-09
HISTORICAL
F552S/S D

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

2024-09-09
HISTORICAL
F790S/S D

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

2024-09-09
HISTORICAL
F791S/S D

Provide or obtain dental services for each resident.

2024-09-09
HISTORICAL
F692S/S D

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

2024-09-09
HISTORICAL
F695S/S D

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

2024-09-09
HISTORICAL
F806S/S D

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

2024-09-09
HISTORICAL
F689S/S D

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

2024-09-09
HISTORICAL
F825S/S D

Provide or get specialized rehabilitative services as required for a resident.

2024-09-09
HISTORICAL
F658S/S D

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

2024-09-09
HISTORICAL
F655S/S D

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

2024-09-09
HISTORICAL
F756S/S D

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

2024-09-09
HISTORICAL
F623S/S D

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at ORCHARD PARK HEALTH CARE & REHAB CENTER?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…