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Health Inspection

Birch Creek Post Acute & Rehabilitation

Inspection Date: March 13, 2026
Total Violations 19
Facility ID 505289
Location TACOMA, WA
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Inspection Findings

F-Tag F0578

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2026-03-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0582

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0582 during a standard health inspection conducted on 2026-03-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2026-03-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-03-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0610 during a standard health inspection conducted on 2026-03-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-03-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0645

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2026-03-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-03-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2026-03-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0693

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0697

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0791

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2026-03-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide or obtain dental services for each resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0803

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2026-03-13.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-03-13.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 19 deficiencies cited during this inspection of BIRCH CREEK POST ACUTE & REHABILITATION.

Correction Status: Deficient, Provider has no plan of correction.

πŸ“‹ Inspection Summary

BIRCH CREEK POST ACUTE & REHABILITATION in TACOMA, WA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TACOMA, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BIRCH CREEK POST ACUTE & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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