Nursing Homes · Tacoma, WA
Alaska Gardens Health and Rehabilitation
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Birch Creek Post Acute & Rehabilitation
5601 S Orchard Street · Tacoma, WA 98409 · 124 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1215635230. Look this up in the CMS NPPES registry (opens in a new tab)
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About Birch Creek Post Acute & Rehabilitation
Birch Creek Post Acute & Rehabilitation is a nursing home in Tacoma, Washington. Its reported capacity is 124 beds. It is recorded as a for-profit operator, part of Hill Valley Healthcare. Federal records list it as Medicare certified. Our copy of the inspection record holds 75 citations, the newest dated 6 May 2026. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 3.74 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
60
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
58
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
63
Inspection history (75)
Records from March 2024 to May 2026.
May 23, 2024 · D
Citation F0609Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · B
Citation F0623Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0623 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · B
Citation F0625Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0625 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0676Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0790Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0790 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide routine and 24-hour emergency dental care for each resident. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0756Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0756 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · C
Citation F0755Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0755 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0806Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0806 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0565Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0565 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0677Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0757Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0757 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2024-07-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMarch 22, 2024 · G
Citation F0684Federal surveyors cited this nursing home on 2024-03-22 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-22.GOVMarch 22, 2024 · D
Citation F0610Federal surveyors cited this nursing home on 2024-03-22 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-22.GOV
Penalties (1)
Total fines on file: $30,240
March 13, 2026 · Fine
Citation FINE-139392CMS recorded a civil money penalty of $30,240 against this nursing home on 2026-03-13 (Fine ID: 139392). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOV
Staffing
Latest: 3.74 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.69 hrs/resident/day
- 2026-06-013.69 hrs/resident/day
- 2026-07-013.74 hrs/resident/day
- 2026-08-013.74 hrs/resident/day
- 2026Q13.74 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.06 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Hill Valley Healthcare
Chain ID 270 · 43 facilities in chain (CMS)
- Chain average overall rating: 1.8
- Chain average health inspection rating: 1.7
- Chain average staffing rating: 2
- Chain average quality measure rating: 3.7
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical WA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · WA$13,155/moSee full WA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
What Medicaid pays nursing homes
Washington publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Day-weighted mean daily rate
$404.31per day
That works out to about $12,291 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.
Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV
Median facility daily rate
$389.86per day
That works out to about $11,852 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.
Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV
Nearby alternatives
Other licensed providers in Tacoma, with their own public records.
Nursing Homes · Tacoma, WA
Avalon Healthcare - Tacoma
Cost data not yet available
Nursing Homes · Tacoma, WA
Avamere Transitional Care of Puget Sound
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.