Orchard Park Health Care & Rehab Center

Nursing Home · Tacoma, WA

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number505093
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

4755 South 48Th
Tacoma, WA 98409
Pierce County
Phone
(253) 475-4611
ZIP code
98409 – all care providers

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Facility details

Certified beds
147
Residents per day
128.5 (87% occupied)
Ownership
For profit - Limited Liability company
Legal name
4755 South 48Th Street Operations LLC
Chain
Genesis Healthcare (184 facilities, avg 2.4★)
Medicare certified since
November 1, 1970
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 4.0
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.66 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
0.70 (state 0.94 · U.S. 0.69)
Licensed practical nurses
1.14 (state 0.77 · U.S. 0.86)
Nurse aides
1.82 (state 2.66 · U.S. 2.32)
Weekend total
3.25 (state 3.81 · U.S. 3.42)
Nursing staff turnover
45.6 (state 45.1 · U.S. 45.8)%
RN turnover
42.1 (state 45.4 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 1, 2026
Health deficiencies (last cycle)
37.0 (state 16.1 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
56 health · 24 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-19
2026-06-01 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 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.
F0887 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-06-01 Provide routine and 24-hour emergency dental care for each resident.
F0790 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-05-14 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-01
2026-05-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-22
2026-05-01 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-22
2026-03-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2026-03-19 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-08
2026-01-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2026-01-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2025-08-25 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-30
2025-08-08 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-07-30 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-31
2025-06-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 H
Actual harm		 Corrected 2025-07-03
2025-06-12 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $136,055 in fines.

DateTypeAmount
2025-06-12Fine$34,671
2024-09-09Fine$101,384

Ownership & management

NameRoleSince
BQ Operations Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Bold Quail Holdings LLC (organization)5%+ Indirect Ownership Interest
Fc-Gen Operations Investment LLC (organization)5%+ Indirect Ownership Interest
Gen BQ JV Holdings LLC (organization)5%+ Indirect Ownership Interest
Gen Operations I LLC (organization)5%+ Indirect Ownership Interest
Gen Operations II LLC (organization)5%+ Indirect Ownership Interest
Genesis Healthcare INC (organization)5%+ Indirect Ownership Interest
Genesis Healthcare LLC (organization)5%+ Indirect Ownership Interest
Genesis Holdings LLC (organization)5%+ Indirect Ownership Interest
GHC JV Holdings LLC (organization)5%+ Indirect Ownership Interest
Newgen LLC (organization)5%+ Indirect Ownership Interest
Summit Care Parent LLC (organization)5%+ Indirect Ownership Interest
Sun Healthcare Group INC (organization)5%+ Indirect Ownership Interest
Berg, Michael (individual)Contracted Managing Employee · NOT APPLICABLE
Berg, Michael (individual)Corporate Officer · NOT APPLICABLE
Robin, Aaron (individual)Corporate Officer · NOT APPLICABLE
Sherman, Michael (individual)Corporate Officer · NOT APPLICABLE
Tress, Avrohom (individual)Corporate Officer · NOT APPLICABLE
Berg, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Genesis Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Morris, Diane (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Orchard Park Health Care & Rehab Center?

Orchard Park Health Care & Rehab Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does Orchard Park Health Care & Rehab Center have?

It has 147 certified beds and cares for about 129 residents per day.

Has Orchard Park Health Care & Rehab Center been fined?

Yes. CMS lists 2 penalties totaling $136,055 in the last three years.

Who owns Orchard Park Health Care & Rehab Center?

It is part of Genesis Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Orchard Park Health Care & Rehab Center?

(253) 475-4611. The facility is located at 4755 South 48Th, Tacoma, WA 98409.

Other nursing homes in Tacoma

Compare all nursing homes in Tacoma, WA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.