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
In good standing
For-profit
2 of 5 overall
Heartwood Extended Healthcare in Tacoma has a 2-star overall rating, with a 2-star health inspection rating and 3-star staffing and quality measures. It reports 3.88 nurse hours per resident per day, below the 4.1 federal benchmark, and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.879 hrs/resident/day
Quality measures
Last inspection: March 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.879.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.86
- Nurse aides
- 2.36
- Weekend nursing
- 3.51
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 61%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.3%Worsening
Residents with a fall causing major injury
0.4%Improving
Residents with pressure ulcers (bedsores)
10.1%Improving
Residents with a urinary tract infection
3%Improving
Residents who lost too much weight
6.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.1%Worsening
Residents whose ability to walk got worse
33.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21.2%Improving
Short-stay residents newly given an antipsychotic
4%Worsening
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
24%Worsening
Residents with depressive symptoms
3.4%Worsening
Long-stay residents given the seasonal flu vaccine
90.6%Steady
Long-stay residents given the pneumonia vaccine
82.3%Worsening
Short-stay residents given the seasonal flu vaccine
63.9%Steady
Short-stay residents given the pneumonia vaccine
48.1%Worsening
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
- 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: 3 fines · $293,221 in total fines · 1 payment denial.
- 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
- Ownership
- For profit - Limited Liability company
- Occupancy
- 91.4 residents on an average day (76% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 37 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.