The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BIRCH CREEK POST ACUTE & REHABILITATION
TACOMA, WA · Medicare-certified · 124 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Birch Creek Post Acute & Rehabilitation in Tacoma, WA has a 1-star overall rating, with 1-star health inspection results, reported staffing below the federal benchmark (3.74 vs 4.1 hours per resident per day), and $30,240 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.7446 hrs/resident/day
Quality measures
Last inspection: May 6, 2026Penalties, last 24 months: $30,240recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7446.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.14
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 39%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.6%6.6%Improving
Residents with a fall causing major injury
3.3%2.4%Improving
Residents with pressure ulcers (bedsores)
3.8%4%No change
Residents with a urinary tract infection
0%2.4%Worsening
Residents who lost too much weight
16%6.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.6%15.7%Worsening
Residents whose ability to walk got worse
18.5%24.7%Worsening
Long-stay residents on antianxiety or sleep medication
10.5%6.6%Improving
Short-stay residents newly given an antipsychotic
1.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.8%30.6%Worsening
Residents with depressive symptoms
10.7%10.4%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—75%—
Long-stay residents given the pneumonia vaccine
91.2%98.8%Improving
Short-stay residents given the seasonal flu vaccine
—57.3%—
Short-stay residents given the pneumonia vaccine
68.3%87.7%Improving
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $30,240 was recorded.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $30,240 in total fines.
- $30,240
Federal fine
Mar 13, 2026
Operator & ownership
Recent ownership change · Apr 1, 2023
Now operated by Birch Creek Post Acute & Rehabilitation, previously Promedica Skilled Nursing and Rehabilitation (tacoma).
- Ownership
- For profit - Limited Liability company
- Chain
- Part of HILL VALLEY HEALTHCARE · 43 homes · 1.7 stars avg
- Occupancy
- 115.6 residents on an average day (93% of 124 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.