Orchard Park Health Care & Rehab Center
ORCHARD PARK HEALTH CARE & REHAB CENTER in TACOMA, WA — inspection on August 25, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.