HEARTWOOD EXTENDED HEALTHCARE

Pierce · WA · For profit - Limited Liability company · 120 certified beds · CCN 505326 · HEARTWOOD OPERATOR LLC


HEARTWOOD EXTENDED HEALTHCARE operates 120 certified beds in TACOMA, Washington. Its Medicare and Medicaid certification dates to 1988-07-01. It averages 103.0 residents a day.

What harm was found in the violations cited at HEARTWOOD EXTENDED HEALTHCARE?

CMS lists 85 health-inspection deficiencies for HEARTWOOD EXTENDED HEALTHCARE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-24.

Survey dateTagDeficiencySeverity
2026-06-24F0602Protect each resident from the wrongful use of the resident's belongings or money.E
2026-06-24F0610Respond appropriately to all alleged violations.D
2026-06-02F0687Provide appropriate foot care.E
2026-03-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-03-30F0803, F0880Ensure 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. / Provide and implement an infection prevention and control program.F
2026-03-30F0604, F0628, F0641Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment.E
2026-03-30F0578, F0584, F0585, F0609, F0610, F0656, F0657, F0658, F0676, F0677, F0685, F0688, F0695, F0697, F0761, F0791Honor 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. / 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. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide or obtain dental services for each resident.D
2026-03-30F0732Post nurse staffing information every day.C
2025-06-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-02-13F0552, F0585, F0604, F0609, F0623, F0625, F0641, F0657, F0661, F0684, F0688, F0689, F0692, F0695, F0697, F0698, F0758, F0791, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Implement 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. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program.D
2025-02-13F0732Post nurse staffing information every day.C
2024-10-29F0582, F0690Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-04-12F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-04-12F0584, F0641, F0656, F0658, F0800, F0803, F0812, F0847, F0848, F0880, F0881Honor 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.E
2024-04-12F0567, F0583, F0637, F0657, F0677, F0679, F0689, F0690, F0697, F0698, F0883, F0887Honor the resident's right to manage his or her financial affairs. / Keep residents' personal and medical records private and confidential. / Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate 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
2024-03-27F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-13F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2023-12-13F0660, F0661Plan the resident's discharge to meet the resident's goals and needs. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.F
2023-12-13F0658, F0842Ensure services provided by the nursing facility meet professional standards of quality. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2023-12-13F0580, F0693Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure 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
2023-10-25F0626, F0697Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Provide safe, appropriate pain management for a resident who requires such services.G
2023-10-25F0625Notify 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
2023-09-07F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D

Why was HEARTWOOD EXTENDED HEALTHCARE fined 4 times?

DateTypeAmount
2026-03-30Fine$89,440
2024-03-27Fine$153,010
2023-12-13Fine$107,955
2023-10-25Fine$32,256

Has HEARTWOOD EXTENDED HEALTHCARE had payment denied by Medicare?

Payment denial startLength in days
2024-06-2730

How is HEARTWOOD EXTENDED HEALTHCARE staffed relative to the WA average?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day3.956744.36934
Total nursing staff turnover (%)42.645.1
Average number of residents per day103.076.0

Who owns HEARTWOOD EXTENDED HEALTHCARE?

HEARTWOOD EXTENDED HEALTHCARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name HEARTWOOD OPERATOR LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHEARTWOOD OPERATOR HOLDINGS LLC, HEARTWOOD REALTY LLCsince 04/01/2020
DIRECT OWNERSHIP INTERESTHEARTWOOD REALTY HOLDINGS LLC, PACIFIC NORTHWEST CONSULTING HOLDINGS LLCsince 04/01/2020
5% OR GREATER INDIRECT OWNERSHIP INTERESTCH HEARTWOOD WASHINGTON HOLDINGS LLC, HEARTWOOD WASHINGTON CARE OPERATIONS HOLDINGS LLCsince 03/03/2025
MANAGING CONTROL - GOVERNING BODYSTOUT, CHRISTINAsince 04/01/2020
OPERATIONAL/MANAGERIAL CONTROLCH HEARTWOOD WASHINGTON HOLDINGS LLC, COUVE HEALTHCARE CONSULTING LLC, HEARTWOOD EVERGREEN HEALTHCARE LLC, HEARTWOOD OPERATOR LLC, VERITAS HEALTH SOLUTIONS LLC, HENRY, CATLIN, HERZKA, YISROEL, KOPELOWITZ, SHAUL, LEMMA, WENDWESEN, STOUT, CHRISTINA, WISE, GINNETTE, YENOWITZ, YITZCHOKsince 04/01/2020
ADP OF THE SNFCH HEARTWOOD WASHINGTON HOLDINGS LLC, COUVE HEALTHCARE CONSULTING LLC, HEARTWOOD EVERGREEN HEALTHCARE LLC, HEARTWOOD OPERATOR LLC, HEARTWOOD REALTY LLC, PACIFIC NORTHWEST CONSULTING HOLDINGS LLC, VERITAS HEALTH SOLUTIONS LLC, HENRY, CATLIN, HERZKA, YISROEL, KOPELOWITZ, SHAUL, LEMMA, WENDWESEN, STOUT, CHRISTINA, WISE, GINNETTE, YENOWITZ, YITZCHOKsince 03/03/2025

Were you or a family member harmed at HEARTWOOD EXTENDED HEALTHCARE?