The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
HEARTWOOD EXTENDED HEALTHCARE
TACOMA, WA · Medicare-certified · 120 beds
Needs attention
For-profit
Data as of July 1, 2026
2 of 5 overall
Heartwood Extended Healthcare in Tacoma has a 2-star overall rating, with 2 stars for health inspections, 4 stars for staffing, and 3 stars for quality measures. It reports 3.96 nurse staffing hours per resident per day, below the federal benchmark of 4.1, and it has had $89,440 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9567 hrs/resident/day
Quality measures
Last inspection: March 30, 2026Penalties, last 24 months: $89,440recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9567.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.39
- Weekend nursing
- 3.52
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 44%
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
12.8%13.5%Worsening
Residents with a fall causing major injury
0%2.7%Worsening
Residents with pressure ulcers (bedsores)
8.9%6.7%Improving
Residents with a urinary tract infection
7.1%1.3%Improving
Residents who lost too much weight
4.7%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17%23.8%Worsening
Residents whose ability to walk got worse
—32.7%—
Long-stay residents on antianxiety or sleep medication
18.8%5.7%Improving
Short-stay residents newly given an antipsychotic
1.8%3.9%Worsening
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
23%26.9%Worsening
Residents with depressive symptoms
1.5%0%Improving
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
—90.6%—
Long-stay residents given the pneumonia vaccine
87.1%84%Worsening
Short-stay residents given the seasonal flu vaccine
—63.9%—
Short-stay residents given the pneumonia vaccine
53.2%54.5%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to let a resident come back after a hospital stay or therapeutic leave that went beyond its bed-hold policy. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 626 — 42 CFR §483.15 — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
Recent history
- PENALTY
A federal fine of $89,440 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $382,661 in total fines · 1 payment denial.
- $89,440
Federal fine
Mar 30, 2026
- 30 days
Medicare/Medicaid payment denial
Mar 27, 2024
- $153,010
Federal fine
Mar 27, 2024
- $107,955
Federal fine
Dec 13, 2023
- $32,256
Federal fine
Oct 25, 2023
Operator & ownership
Recent ownership change · Apr 1, 2020
Now operated by Heartwood Operator LLC, previously Heartwood Extended Health Care LLC.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 103 residents on an average day (86% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 38 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.