Nursing Homes
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Pierce County

Nursing homes in Tacoma, Washington

7
rated one or two stars
1
with an immediate jeopardy finding
9 of 11
staffed below the research benchmark for the residents they have
$1.1 million
in federal fines since 2023 across these 11 homes

There are 11 Medicare-certified nursing homes in Tacoma. 7 of them are rated one or two stars, the lowest two grades Medicare gives. Medicare grades inspections on a curve inside each state, so those stars are a rank inside Washington, not a national score.

All 11 nursing homes in Tacoma

Every Medicare-certified nursing home with a Tacoma address. The labels on each card come from Medicare’s own records. What each one counts is below.

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Showing all 11 homes

Alaska Gardens Health and Rehabilitation 6220 South Alaska Street, Tacoma 98408 · 123 beds Abuse or neglect citation, no harm recorded2 immediate jeopardy findings on 2 inspections5 findings of actual harm24% below expected staffing$170,372 in federal fines
1 out of 5
 Heartwood Extended Healthcare 1649 East 72nd, Tacoma 98404 · 120 beds Resident property citation, no harm recorded6 findings of actual harm21% below expected staffing$382,661 in federal fines
1 out of 5
 Orchard Park Health Care & Rehab Center 4755 South 48th, Tacoma 98409 · 147 beds Carries Medicare’s abuse warningAbuse or neglect citation4 findings of actual harm24% below expected staffing$136,055 in federal fines
1 out of 5
 Park Rose Care Center 3919 South 19th Street, Tacoma 98405 · 139 beds Abuse or neglect citation, no harm recorded4 findings of actual harm16% below expected staffing$241,815 in federal fines
2 out of 5
 Avamere at Pacific Ridge 3625 East B Street, Tacoma 98404 · 102 beds 4 findings of actual harm$57,783 in federal fines
2 out of 5
 Birch Creek Post Acute & Rehabilitation 5601 S Orchard Street, Tacoma 98409 · 124 beds 3 findings of actual harm26% below expected staffing$30,240 in federal fines
1 out of 5
 Avalon Healthcare - Tacoma 7411 Pacific Avenue, Tacoma 98408 · 81 beds 1 finding of actual harm11% below expected staffing$24,814 in federal fines
2 out of 5
 Eliseo 1301 N Highlands Parkway, Tacoma 98406 · 187 beds Abuse or neglect citation, no harm recorded1 finding of actual harm21% below expected staffing
3 out of 5
 Avamere Transitional Care of Puget Sound 630 South Pearl Street, Tacoma 98465 · 60 beds 1 finding of actual harm$23,319 in federal fines
4 out of 5
 Tacoma Nursing and Rehabilitation Center 2102 South 96th Street, Tacoma 98444 · 150 beds Abuse or neglect citation1 finding of actual harm13% below expected staffing$36,446 in federal fines
5 out of 5
 The Oaks at Lakewood 11411 Bridgeport Way, Tacoma 98499 · 80 beds 20% below expected staffing
5 out of 5

What the labels on each card mean

What a star means here

Medicare grades the inspection part of a star rating on a curve inside each state, so a star here is a rank against other Washington homes, not a national score. Medicare withholds the rating altogether from homes on its Special Focus Facility list, so a withheld rating is a warning, not missing data.

Short on staffing

The home reports fewer nurse and aide hours per resident per day than a published research benchmark expects for the residents it actually has. The benchmark is not a Medicare figure: we work it out from the home's own Medicare case-mix score using the CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is not a legal limit, and there is no federal minimum number of nursing hours per resident per day.

Immediate jeopardy

The most serious result an inspection can have. It means inspectors found a resident was in danger of serious harm or death. A finding of actual harm is the level below that. Both are counts of inspection tags across the last three inspection cycles on record, not counts of separate incidents. Fines are federal penalties recorded between 2023 and 2026.

Abuse, counted two ways

There are two official measures and they do not agree. Medicare puts an abuse warning on a home's profile when abuse was found and a resident was harmed, or when it happened twice, and takes the warning off after a year. Separately, inspectors cite homes under the abuse, resident property and involuntary seclusion tags, and those findings stay on the record. A home can carry one label, both, or neither, so the two are labeled separately on every card.

The Special Focus list

Medicare's list of homes with a persistent record of serious problems. Each state gets a small number of places on it. A candidate is a home in line for one of those places.

Pierce County has 21 Medicare-certified nursing homes. The 10 outside Tacoma are in Puyallup (5), Gig Harbor (3), Orting (1) and University Place (1).