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 September 1, 2026
3 of 5 overall
Heartwood Avenue Healthcare in Vallejo, CA has a 3-star overall rating, with 3-star health inspections, 2-star staffing, and 4-star quality measures. Reported nurse staffing is 3.83 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8278 hrs/resident/day
Quality measures
Last inspection: June 18, 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.
View the original federal record
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 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 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.