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Data / Nursing homes / Washington / Heartwood Extended Healthcare

Heartwood Extended Healthcare, Tacoma, WA: 1 star rating, fined $351,357 across 4 fines and had 1 payment denial

Heartwood Extended Healthcare in Tacoma, WA is owned by Heartwood Operator Holdings LLC, Heartwood Realty Holdings LLC and 2 more, is rated 1 of 5 stars by Medicare, and was fined $351,357 across 4 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 89 health citations from inspections in that time, the latest survey on August 26, 2026, and 7 of them found actual harm or immediate jeopardy.

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Address
1649 East 72nd, Tacoma, WA 98404
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
2 of 5
Certified beds
120
Residents per day
94 on average
Ownership type
For profit, limited liability company
Legal business name
Heartwood Operator LLC
Fines
$351,357 across 4 fines, three years to October 1, 2026
Payment denials
1
Health citations
89, of which 7 with actual harm or immediate jeopardy
Latest survey
August 26, 2026
CMS Certification Number
505326
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 30, 2026Fine$58,136Not listeddata.cms.gov
March 27, 2024Fine$153,010Not listeddata.cms.gov
March 27, 2024Payment denialNot listedJune 27, 202430data.cms.gov
December 13, 2023Fine$107,955Not listeddata.cms.gov
October 25, 2023Fine$32,256Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 26, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G: isolated, actual harmPlan of correctionSeptember 18, 2026data.cms.gov
August 26, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B: pattern, minimal harm potentialPlan of correctionSeptember 18, 2026data.cms.gov
August 26, 2026F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 18, 2026data.cms.gov
August 26, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 18, 2026data.cms.gov
August 26, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.F: widespread, no actual harm, potential for more than minimal harmPlan of correctionSeptember 18, 2026data.cms.gov
June 24, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 22, 2026data.cms.gov
June 24, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 22, 2026data.cms.gov
June 2, 2026F687Provide appropriate foot care.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 22, 2026data.cms.gov
March 30, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F803Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedMay 5, 2026data.cms.gov
March 30, 2026F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
March 30, 2026F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2026data.cms.gov
June 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
February 13, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 13, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
October 29, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
October 29, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
April 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJuly 27, 2024data.cms.gov
April 12, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 27, 2024data.cms.gov
April 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
April 12, 2024F567Honor the resident's right to manage his or her financial affairs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2024data.cms.gov
March 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedApril 17, 2024data.cms.gov
December 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJanuary 12, 2024data.cms.gov
December 13, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 13, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2024data.cms.gov
December 13, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 13, 2023F660Plan the resident's discharge to meet the resident's goals and needs.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 13, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
December 13, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2024data.cms.gov
October 25, 2023F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedNovember 13, 2023data.cms.gov
October 25, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.G: isolated, actual harmCorrectedNovember 11, 2023data.cms.gov
October 25, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 11, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 15 individual or personal trusts (8 managers, 7 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Heartwood Operator Holdings LLCDirect owner100%April 1, 2020data.cms.gov
Heartwood Realty Holdings LLCDirect ownerNot listedApril 1, 2020data.cms.gov
Heartwood Realty LLCDirect ownerNot listedApril 1, 2020data.cms.gov
Pacific Northwest Consulting Holdings LLCDirect ownerNot listedApril 1, 2020data.cms.gov
CH Heartwood Washington Holdings LLCIndirect ownerNot listedMarch 3, 2025data.cms.gov
Heartwood Washington Care Operations Holdings LLCIndirect ownerNot listedApril 1, 2020data.cms.gov
CH Heartwood Washington Holdings LLCOperational or managerial controlNot listedApril 1, 2020data.cms.gov
Couve Healthcare Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Heartwood Evergreen Healthcare LLCOperational or managerial controlNot listedApril 1, 2020data.cms.gov
Heartwood Operator LLCOperational or managerial controlNot listedApril 1, 2020data.cms.gov
Veritas Health Solutions LLCOperational or managerial controlNot listedApril 18, 2025data.cms.gov
CH Heartwood Washington Holdings LLCAdditional disclosable partyNot listedMarch 3, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedApril 16, 2025data.cms.gov
Heartwood Evergreen Healthcare LLCAdditional disclosable partyNot listedApril 30, 2025data.cms.gov
Heartwood Operator LLCAdditional disclosable partyNot listedApril 3, 2025data.cms.gov
Heartwood Realty LLCAdditional disclosable partyNot listedApril 30, 2025data.cms.gov
Pacific Northwest Consulting Holdings LLCAdditional disclosable partyNot listedJuly 30, 2025data.cms.gov
Veritas Health Solutions LLCAdditional disclosable partyNot listedJuly 29, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.