Heartwood Extended Healthcare
1649 East 72nd · Tacoma, WA · 98404 · 2534729027
120 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 3.51 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 3 · $293,221 |
Inspection citations (82 in the current record)
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Actual harm · G March 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 5, 2026 · Resident Rights
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Potential for harm · D March 30, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 5, 2026 · Resident Rights
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Potential for harm · D March 30, 2026
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 5, 2026 · Resident Rights
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Potential for harm · E March 30, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 30, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 30, 2026
Respond appropriately to all alleged violations.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 30, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 5, 2026 · Resident Rights
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Potential for harm · E March 30, 2026
Ensure each resident receives an accurate assessment.
Corrected May 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 5, 2026 · Pharmacy Service
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Potential for harm · D March 30, 2026
Provide or obtain dental services for each resident.
Corrected May 5, 2026 · Quality of Life and Care
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Potential for harm · F March 30, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 5, 2026 · Nutrition and Dietary
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Potential for harm · F March 30, 2026
Provide and implement an infection prevention and control program.
Corrected May 5, 2026 · Infection Control
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No harm found · C March 30, 2026
Post nurse staffing information every day.
Corrected May 5, 2026 · Nursing and Physician Services
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Potential for harm · D June 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 21, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 27, 2024 | Fine | $153,010 |
| March 27, 2024 | Payment Denial | 30 days |
| December 13, 2023 | Fine | $107,955 |
| October 25, 2023 | Fine | $32,256 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505326 · certified since July 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.