The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Heartwood Avenue Healthcare
Vallejo, CA · Medicare-certified · 60 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Heartwood Avenue Healthcare in Vallejo has an overall rating of 3 out of 5 stars. Its staffing rating is 2 stars, with reported nurse staffing at 3.83 hours per resident per day versus the 4.1 federal benchmark; health inspection is 3 stars, quality measures are 4 stars, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8278 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8278.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.44
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.1%0%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%4.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.1%2.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.6%5.9%Improving
Residents whose ability to walk got worse
—18.2%—
Long-stay residents on antianxiety or sleep medication
13%20%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
6.9%14.5%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to properly dispose of garbage and other waste. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,970 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $16,988 in total fines.
- $8,970
Federal fine
May 3, 2024
- $8,018
Federal fine
Jan 9, 2024
Operator & ownership
Recent ownership change · Feb 1, 2023
Now operated by Heartwood Avenue LLC, previously Evergreen at Heartwood Avenue, L.l.c..
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.3 stars avg
- Occupancy
- 55.7 residents on an average day (93% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.