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
Nursing home report
HEARTWOOD AVENUE HEALTHCARE
VALLEJO, CA · Medicare-certified · 60 beds
Needs attention
For-profitChain member
4 of 5 overall
HEARTWOOD AVENUE HEALTHCARE (Vallejo, CA) has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) but more mixed inspection and staffing results (3 stars each). It reports 3.98 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $8,970 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9785 hrs/resident/day
Quality measures
Last inspection: February 25, 2026Penalties, last 24 months: $8,970recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9785.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.53
- Weekend nursing
- 3.70
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.8%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
2.8%Worsening
Residents with a urinary tract infection
1.1%Worsening
Residents who lost too much weight
7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.6%Steady
Residents whose ability to walk got worse
11.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.7%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
9.7%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
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 home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited September 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: F
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
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.5 stars avg
- Occupancy
- 55 residents on an average day (92% 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.