Federal inspection record · CMS data as of October 1, 2026
Alaska Gardens Health and Rehabilitation
6220 South Alaska Street, Tacoma, WA · (253) 476-5300
- Certified beds
- 123
- Residents per day
- 103
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 26, 1993
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Alaska Gardens Health and Rehabilitation carries 205.5 inspection points. That is fewer than 11% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
63 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Provide enough food/fluids to maintain a resident's health.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Everything else, by area of care
Quality of Life and Care17E
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide or obtain dental services for each resident.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning12F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Rights8E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
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.
Pharmacy Service6E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration5F
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Environmental2D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Keep all essential equipment working safely.
Nursing and Physician Services2D
- C
Post nurse staffing information every day.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2026-05-07
17 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2025-05-23
29 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
2024-03-15
17 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
4 h 9 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 64% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$170,372 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-29 | Fine | $12,438 |
| 2025-01-22 | Fine | $157,934 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 97.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 99.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.8 pts better | 7.1% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 5.2% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better | 10.3% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts worse | 15.2% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.5 pts better | 9.1% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better | 8.9% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.3% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.6% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts better | 17.4% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.6 pts worse | 67.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse | 13.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.5 pts worse | 73.9% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better | 17.4% | 19.7% | 23.4% |
·
Who owns and runs it
42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alaska Gardens SNF Management LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Management LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Opco Manager LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Opco Manager LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Operations Holdings LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alaska Gardens SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ch Alaska Gardens Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Ch Alaska Gardens Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cw Alaska Gardens Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Cw Alaska Gardens Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Gray, Nani | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gray, Nani | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gray, Nani | Adp Of The SNF · Individual | 0% | 1 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Kogut, Lucas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kogut, Lucas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kopelowitz, Shaul | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Kopelowitz, Shaul | Adp Of The SNF · Individual | 0% | 9 facilities |
| Lionheart SNF LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Stites, Bonnie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stites, Bonnie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stout, Christina | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Stout, Christina | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stout, Christina | Adp Of The SNF · Individual | 0% | 2 facilities |
| Veritas Health Solutions LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Veritas Health Solutions LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wingard, Ann | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wingard, Ann | Adp Of The SNF · Individual | 0% | 1 facilities |
| Witzcorp LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Witzcorp LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wolofsky, Chava | Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Wolofsky, Chava | Adp Of The SNF · Individual | 0% | 10 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems5F
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2F
- D
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Construction1E
- E
Use approved construction type or materials.
Miscellaneous1D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
·
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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-
Birch Creek Post Acute & Rehabilitation
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-
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