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Complaint Investigation

Orchard Park Health Care & Rehab Center

Inspection Date: August 25, 2025
Total Violations 1
Facility ID 505093
Location TACOMA, WA
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Inspection Findings

F-Tag F0825

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

F 0825 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

would reschedule the resident to the next day. When asked, Staff B said they did not document any refusals by Resident 1. When asked about previous schedules or other documentation that would show that the resident had been rescheduled to the next day, Staff B said they would have to get back to Surveyor on that. Staff B was asked to review the 4 dates occupational therapy were services provided to Resident 1

during their admission. Staff B indicated that Resident 1 also had OT treatment encounters on 07/07/2205 and 08/05/2025 but did not provide documentation for those encounters. On 08/25/2025 at 2:25 PM, Staff C, an Occupational Therapist, recalled Resident 1 and described them as self-limiting. Staff C said Resident 1 required a lot of education and encouragement. When asked, Staff C said therapy staff tried to negotiate with residents and they always documented refusals. On 08/25/2025 at 2:32 PM, Staff D, the facility Business Office Manager, said Resident 1 was admitted before the authorization for therapy was received and they did not know if they were going to get it authorized or not. Staff D said they recalled that Resident 1 was to start therapy 3 days a week, and Staff D recalled they verbally told Staff B, the Director of Rehabilitation, Resident 1 could go up to 5 days a week pending authorization of payment. Staff D provided a copy of an email received 07/16/2025 that documented payment authorization of Exceptional Skilled Therapy Need, and that authorized Resident 1 to receive physical therapy for one hour a day, 5 days

a week to equal 20 hours a month, and Occupational Therapy one hour a day, five days a week, to equal 20 hours a month. On 08/25/2025 at 2:51 PM, Staff E, a Social Service staff, recalled Resident 1 and had participated in the Care Conference on 07/15/2025. Staff E said Resident 1 was not skilled, so the resident was to have therapy 3 times a week up to 5 times a week, and they were supposed to be at the facility for at least 8 weeks for IV therapy. On 08/25/2025 at 3:25 PM, Staff A, the facility Administrator, said the expectation is for residents to receive therapy as ordered to help them meet their goals. Reference WAC 388-97-1280 (1)(a-b).

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📋 Inspection Summary

ORCHARD PARK HEALTH CARE & REHAB CENTER 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 ORCHARD PARK HEALTH CARE & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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