Birch Creek Post Acute & Rehabilitation
Birch Creek Post Acute & Rehabilitation is a 124-bed nursing home in TACOMA, Washington. CMS has certified it for Medicare and Medicaid since 1984-07-01. It averages 115.6 residents a day.
What harm was found in the violations cited at Birch Creek Post Acute & Rehabilitation?
CMS lists 78 health-inspection deficiencies for Birch Creek Post Acute & Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-18 | F0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | E |
| 2026-06-18 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-05-06 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2026-03-26 | F0689, F0690 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 |
| 2026-03-26 | 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 |
| 2026-03-13 | F0803, F0812 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-03-13 | F0605, F0610, F0645, F0656, F0695 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2026-03-13 | F0578, F0582, F0584, F0641, F0657, F0684, F0686, F0689, F0692, F0693, F0697, F0791 | 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / Provide or obtain dental services for each resident. | D |
| 2025-11-19 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E |
| 2025-11-19 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-08-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-07-10 | F0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2025-06-30 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2025-06-30 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-03-14 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-03-14 | F0578, F0645, F0655, F0656, F0657, F0689, F0881, F0883, F0887 | 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |
| 2025-03-14 | F0552, F0561, F0584, F0607, F0609, F0658, F0677, F0684, F0688, F0692, F0693, F0695, F0757, F0758 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 |
| 2024-11-01 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-10-28 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2024-07-15 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-07-10 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2024-07-10 | F0610, F0657 | Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-05-23 | F0677, F0695, F0756, F0757, F0790, F0806, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide routine and 24-hour emergency dental care for each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. | E |
| 2024-05-23 | F0565, F0609, F0658, F0676 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2024-05-23 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | C |
| 2024-05-23 | F0623, F0625 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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 |
| 2024-03-22 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-03-22 | F0610 | Respond appropriately to all alleged violations. | D |
Why was Birch Creek Post Acute & Rehabilitation fined?
| Date | Type | Amount |
|---|---|---|
| 2026-03-13 | Fine | $30,240 |
How is Birch Creek Post Acute & Rehabilitation staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.74458 | 4.36934 |
| Total nursing staff turnover (%) | 51.7 | 45.1 |
| Average number of residents per day | 115.6 | 76.0 |
Who owns Birch Creek Post Acute & Rehabilitation, and what chain is it in?
Birch Creek Post Acute & Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name TACOMA SNF OPERATIONS LLC and belongs to the HILL VALLEY HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | WASH 6 SNF OPERATIONS HOLDINGS LLC | since 02/08/2023 |
| CORPORATE OFFICER | IDELS, SHIMON, SCHWARTZ, STEVEN | since 04/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | GIG HARBOR SNF OPERATIONS MANAGER LLC, IDELS, SHIMON, SCHWARTZ, STEVEN | since 04/01/2023 |
Were you or a family member harmed at Birch Creek Post Acute & Rehabilitation?