The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
Nursing home report
ORCHARD PARK HEALTH CARE & REHAB CENTER
TACOMA, WA · Medicare-certified · 147 beds
Needs attention
For-profitChain member
1 of 5 overall
ORCHARD PARK HEALTH CARE & REHAB CENTER in Tacoma has a 1-star overall rating, with a 1-star health inspection rating, a recent federal penalty, and $154,724 in fines over the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.81 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.8101 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $154,724recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8101.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 1.13
- Nurse aides
- 1.96
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 32%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.9%Worsening
Residents with a fall causing major injury
0.9%Worsening
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
7.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.7%Worsening
Residents whose ability to walk got worse
22.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
11%Worsening
Short-stay residents newly given an antipsychotic
0.6%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
29.1%Improving
Residents with depressive symptoms
1.8%Steady
Long-stay residents given the seasonal flu vaccine
70.7%Steady
Long-stay residents given the pneumonia vaccine
95.3%Improving
Short-stay residents given the seasonal flu vaccine
72.7%Steady
Short-stay residents given the pneumonia vaccine
92.7%Improving
What the inspectors found
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to have a hospital transfer agreement to ensure residents could be moved quickly to a hospital when they needed medical care. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 843 — 42 CFR §483.70(i) — S/S: F
The home failed to hire a qualified full-time social worker in a facility with more than 120 beds. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 850 — 42 CFR §483.70 — 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
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $53,340 was recorded.
- PENALTY
A federal fine of $101,384 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $154,724 in total fines.
- $53,340
Federal fine
Jun 12, 2025
- $101,384
Federal fine
Sep 9, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GENESIS HEALTHCARE · 187 homes · 2.4 stars avg
- Occupancy
- 111.5 residents on an average day (76% of 147 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 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.