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Heartwood Extended HealthcareCMS ratings, inspections and fines

Address
1649 East 72nd, Tacoma, WA 98404
CCN
505326
Ownership type
For-profit, limited liability company
Certified beds
120
Chain
None in the CMS record
Residents per day
103
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating4 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Heartwood Extended Healthcare an overall rating of 1 of 5 stars. The last standard survey was on 30 Mar 2026. The latest survey cycle has 26 health citations. The median for nursing homes in Washington is 14. CMS lists 4 fines with a total of $382,661 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Heartwood Extended Healthcare, with medians
Rating (1 to 5 stars)This homePierce County medianWashington medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating12.03.02.8
Staffing rating44.04.02.9
Quality measure rating34.04.03.6

A median is the middle value of the homes in the group: 21 homes in the county, 193 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Heartwood Extended Healthcare in the last three survey cycles
Survey cycleStandard surveyCitationsWashington median
Cycle 1 (latest)30 Mar 20262614
Cycle 213 Feb 20252317
Cycle 3No date3613

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 85 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 26 citations

Standard survey of this cycle: .

Health citations of Heartwood Extended Healthcare in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Jun 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint investigation22 Jul 2026
24 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation22 Jul 2026
2 Jun 2026F0687Provide appropriate foot care.EComplaint investigation22 Jul 2026
30 Mar 2026F0578Honor 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.DStandard survey5 May 2026
30 Mar 2026F0584Honor 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.DStandard survey5 May 2026
30 Mar 2026F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey5 May 2026
30 Mar 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey5 May 2026
30 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey5 May 2026
30 Mar 2026F0610Respond appropriately to all alleged violations.DStandard survey5 May 2026
30 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey5 May 2026
30 Mar 2026F0641Ensure each resident receives an accurate assessment.EStandard survey5 May 2026
30 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey5 May 2026
30 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey5 May 2026
30 Mar 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey5 May 2026
30 Mar 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey5 May 2026
30 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 May 2026
30 Mar 2026F0685Assist a resident in gaining access to vision and hearing services.DStandard survey5 May 2026
30 Mar 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey5 May 2026
30 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey5 May 2026
30 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 May 2026
30 Mar 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey5 May 2026
30 Mar 2026F0732Post nurse staffing information every day.CStandard survey5 May 2026
30 Mar 2026F0761Ensure 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.DStandard survey5 May 2026
30 Mar 2026F0791Provide or obtain dental services for each resident.DStandard survey5 May 2026
30 Mar 2026F0803Ensure 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.FStandard survey5 May 2026
30 Mar 2026F0880Provide and implement an infection prevention and control program.FStandard survey5 May 2026

Survey cycle 2: 23 citations

Standard survey of this cycle: .

Health citations of Heartwood Extended Healthcare in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Jun 2025
13 Feb 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey21 Mar 2025
13 Feb 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey21 Mar 2025
13 Feb 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey21 Mar 2025
13 Feb 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Mar 2025
13 Feb 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey21 Mar 2025
13 Feb 2025F0625Notify 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.DStandard survey21 Mar 2025
13 Feb 2025F0641Ensure each resident receives an accurate assessment.DStandard survey21 Mar 2025
13 Feb 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey21 Mar 2025
13 Feb 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey21 Mar 2025
13 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 Mar 2025
13 Feb 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey21 Mar 2025
13 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Mar 2025
13 Feb 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey21 Mar 2025
13 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey21 Mar 2025
13 Feb 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey21 Mar 2025
13 Feb 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey21 Mar 2025
13 Feb 2025F0732Post nurse staffing information every day.CStandard survey21 Mar 2025
13 Feb 2025F0758Implement 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.DStandard survey21 Mar 2025
13 Feb 2025F0791Provide or obtain dental services for each resident.DStandard survey21 Mar 2025
13 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Mar 2025
29 Oct 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation29 Nov 2024
29 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation29 Nov 2024

Survey cycle 3: 36 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Heartwood Extended Healthcare in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Apr 2024F0567Honor the resident's right to manage his or her financial affairs.DStandard survey24 May 2024
12 Apr 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey24 May 2024
12 Apr 2024F0584Honor 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.EComplaint investigation24 May 2024
12 Apr 2024F0637Assess the resident when there is a significant change in conditionDStandard survey24 May 2024
12 Apr 2024F0641Ensure each resident receives an accurate assessment.EStandard survey24 May 2024
12 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey24 May 2024
12 Apr 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey24 May 2024
12 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey27 Jul 2024
12 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 May 2024
12 Apr 2024F0679Provide activities to meet all resident's needs.DStandard survey24 May 2024
12 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey27 Jul 2024
12 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey24 May 2024
12 Apr 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 May 2024
12 Apr 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey24 May 2024
12 Apr 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey24 May 2024
12 Apr 2024F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey24 May 2024
12 Apr 2024F0803Ensure 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.EStandard survey24 May 2024
12 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation24 May 2024
12 Apr 2024F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard survey24 May 2024
12 Apr 2024F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard survey24 May 2024
12 Apr 2024F0880Provide and implement an infection prevention and control program.EStandard survey24 May 2024
12 Apr 2024F0881Implement a program that monitors antibiotic use.EStandard survey24 May 2024
12 Apr 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey24 May 2024
12 Apr 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey24 May 2024
27 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation17 Apr 2024
13 Dec 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Jan 2024
13 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation12 Jan 2024
13 Dec 2023F0660Plan the resident's discharge to meet the resident's goals and needs.FComplaint investigation12 Jan 2024
13 Dec 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.FComplaint investigation12 Jan 2024
13 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation12 Jan 2024
13 Dec 2023F0693Ensure 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.DComplaint investigation25 Jan 2024
13 Dec 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation12 Jan 2024
25 Oct 2023F0625Notify 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.EComplaint investigation11 Nov 2023
25 Oct 2023F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.GComplaint investigation11 Nov 2023
25 Oct 2023F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation13 Nov 2023
7 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation20 Sep 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Heartwood Extended Healthcare in the CMS penalties file
DateTypeFineDays without payment
30 Mar 2026Fine$89,440
27 Mar 2024Fine$153,010
27 Mar 2024Payment denial30
13 Dec 2023Fine$107,955
25 Oct 2023Fine$32,256

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Heartwood Extended Healthcare
StaffThis homeWashington medianWashington average (CMS)
All nurse staff3.964.104.37
Registered nurses (RN)0.780.900.94
Licensed practical nurses (LPN)0.790.77
Nurse aides2.392.66
All nurse staff, weekends3.523.603.81
Nurse staff turnover in a year
42.6%
Nurse staff turnover, Washington median
43.2%
RN turnover in a year
43.8%
Administrators who left in a year
2

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Heartwood Extended Healthcare, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.3%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.7%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.4%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay32.7%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.7%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.5%14.1%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Heartwood Operator LLC
Organisations in the CMS ownership record of Heartwood Extended Healthcare
OrganisationRole in the CMS recordInterestSince
Heartwood Operator Holdings LLC5% or greater direct ownership interest100%1 Apr 2020
Heartwood Realty LLC5% or greater direct ownership interest1 Apr 2020
Heartwood Realty Holdings LLCDirect ownership interest1 Apr 2020
Pacific Northwest Consulting Holdings LLCDirect ownership interest1 Apr 2020
CH Heartwood Washington Holdings LLC5% or greater indirect ownership interest3 Mar 2025
Heartwood Washington Care Operations Holdings LLC5% or greater indirect ownership interest1 Apr 2020
CH Heartwood Washington Holdings LLCOperational/managerial control1 Apr 2020
Couve Healthcare Consulting LLCOperational/managerial control31 Aug 2023
Heartwood Evergreen Healthcare LLCOperational/managerial control1 Apr 2020
Heartwood Operator LLCOperational/managerial control1 Apr 2020
Veritas Health Solutions LLCOperational/managerial control18 Apr 2025
CH Heartwood Washington Holdings LLCAdp of the snf3 Mar 2025
Couve Healthcare Consulting LLCAdp of the snf16 Apr 2025
Heartwood Evergreen Healthcare LLCAdp of the snf30 Apr 2025
Heartwood Operator LLCAdp of the snf3 Apr 2025
Heartwood Realty LLCAdp of the snf30 Apr 2025
Pacific Northwest Consulting Holdings LLCAdp of the snf30 Jul 2025
Veritas Health Solutions LLCAdp of the snf29 Jul 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Pierce County

The 12 nearest other nursing homes in Pierce County, Washington
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Avalon Healthcare - TacomaTacoma2 of 526$24,81430 Jul 2025
Tacoma Nursing and Rehabilitation CenterTacoma5 of 56$36,44622 Jun 2026
Alaska Gardens Health and RehabilitationTacoma1 of 517$170,3727 May 2026
Avamere at Pacific RidgeTacoma2 of 523$57,78324 Apr 2026
Birch Creek Post Acute & RehabilitationTacoma1 of 529$30,24013 Mar 2026
Orchard Park Health Care & Rehab CenterTacoma1 of 537$136,0551 Jun 2026
The Oaks at LakewoodTacoma5 of 53$029 Jan 2026
Park Rose Care CenterTacoma2 of 518$241,8152 Jul 2025
Life Care Center of PuyallupPuyallup2 of 517$010 Apr 2026
Agility Health and RehabilitationUniversity Place3 of 516$09 Jun 2026
Puyallup Post AcutePuyallup1 of 516$015 Sep 2025
Life Care Center of South HillPuyallup5 of 58$17,38821 Nov 2025

All 21 nursing homes in Pierce County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Heartwood Extended Healthcare (CCN 505326). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/heartwood-extended-healthcare-tacoma-wa-505326/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Heartwood Extended Healthcare last inspected?
The latest inspection with a citation in the CMS record was on 24 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 13 Feb 2025.
Who operates Heartwood Extended Healthcare?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
Is Heartwood Extended Healthcare a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.