ORCHARD PARK HEALTH CARE & REHAB CENTER
ORCHARD PARK HEALTH CARE & REHAB CENTER is a 147-bed nursing home in TACOMA, Washington. CMS has certified it for Medicare and Medicaid since 1970-11-01. It averages 128.5 residents a day.
What harm was found in the violations cited at ORCHARD PARK HEALTH CARE & REHAB CENTER?
CMS lists 113 health-inspection deficiencies for ORCHARD PARK HEALTH CARE & REHAB CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-06-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2026-06-01 | F0577, F0578, F0607, F0628, F0638, F0657, F0725, F0756, F0880, F0887 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assure that each resident’s assessment is updated at least once every 3 months. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program. / 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 |
| 2026-06-01 | F0582, F0584, F0605, F0636, F0637, F0641, F0645, F0655, F0656, F0686, F0689, F0692, F0693, F0698, F0745, F0757, F0790 | 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / 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. / 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 dialysis care/services for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide routine and 24-hour emergency dental care for each resident. | D |
| 2026-05-14 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | G |
| 2026-05-01 | F0684, F0760 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. | D |
| 2026-03-26 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-03-19 | 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 |
| 2026-01-12 | F0656, F0686 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-08-25 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-08-08 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2025-07-30 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D |
| 2025-06-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H |
| 2025-06-12 | F0610, F0641, F0695, F0761, F0806, F0880, F0947 | Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2025-06-12 | F0561, F0605, F0645, F0656, F0658, F0679, F0684, F0685, F0790, F0791 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide routine and 24-hour emergency dental care for each resident. / Provide or obtain dental services for each resident. | D |
| 2025-04-23 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-09-19 | F0609, F0697 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-09-09 | 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. | G |
| 2024-09-09 | F0843, F0850 | 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. / Hire a qualified full-time social worker in a facility with more than 120 beds. | F |
| 2024-09-09 | F0584, F0610, F0641, F0645, F0657, F0684, F0698, F0757, F0758, F0803, F0804, F0812, F0865, F0880 | 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. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / 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 safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. | E |
| 2024-09-09 | F0552, F0583, F0585, F0623, F0625, F0655, F0658, F0686, F0689, F0692, F0695, F0756, F0759, F0790, F0791, F0806, F0825 | Ensure that residents are fully informed and understand their health status, care and treatments. / Keep residents' personal and medical records private and confidential. / 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. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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 medication error rates are not 5 percent or greater. / Provide routine and 24-hour emergency dental care for each resident. / Provide or obtain dental services 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 or get specialized rehabilitative services as required for a resident. | D |
| 2024-07-11 | F0658, F0684, F0690 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E |
| 2024-06-07 | F0585 | 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. | E |
| 2024-06-07 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-05-20 | 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. | E |
| 2024-04-02 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-04-02 | F0580, F0610 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. | D |
| 2024-01-31 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2023-10-27 | F0584, F0610, F0677, F0725, F0759 | 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. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure medication error rates are not 5 percent or greater. | E |
| 2023-10-27 | F0658, F0684, F0688, F0757 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2023-09-19 | F0880 | Provide and implement an infection prevention and control program. | D |
Why was ORCHARD PARK HEALTH CARE & REHAB CENTER fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-06-12 | Fine | $34,671 |
| 2024-09-09 | Fine | $101,384 |
How is ORCHARD PARK HEALTH CARE & REHAB CENTER staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.66409 | 4.36934 |
| Total nursing staff turnover (%) | 45.6 | 45.1 |
| Average number of residents per day | 128.5 | 76.0 |
Who owns ORCHARD PARK HEALTH CARE & REHAB CENTER, and what chain is it in?
ORCHARD PARK HEALTH CARE & REHAB CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name 4755 SOUTH 48TH STREET OPERATIONS LLC and belongs to the GENESIS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BQ OPERATIONS HOLDINGS LLC | since 01/01/2020 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BOLD QUAIL HOLDINGS LLC, FC-GEN OPERATIONS INVESTMENT LLC, GEN BQ JV HOLDINGS LLC, GEN OPERATIONS I LLC, GEN OPERATIONS II LLC, GENESIS HEALTHCARE INC, GENESIS HEALTHCARE LLC, GENESIS HOLDINGS LLC, GHC JV HOLDINGS LLC, NEWGEN LLC, SUMMIT CARE PARENT LLC, SUN HEALTHCARE GROUP INC | since 01/01/2019 |
| CONTRACTED MANAGING EMPLOYEE | BERG, MICHAEL | since 01/01/2020 |
| CORPORATE OFFICER | BERG, MICHAEL, ROBIN, AARON, SHERMAN, MICHAEL, TRESS, AVROHOM | since 01/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | GENESIS HEALTHCARE LLC, BERG, MICHAEL, MORRIS, DIANE | since 09/30/2021 |
Were you or a family member harmed at ORCHARD PARK HEALTH CARE & REHAB CENTER?