Heartwood Extended Healthcare: Staffing, Turnover, and Inspection Record
Heartwood Extended Healthcare is a 120-bed for-profit nursing home in Tacoma, Washington. In the CMS August 2026 release it reported 2.39 nurse aide hours per resident per day, 10% below the Washington average of 2.66, and 42.6% nursing staff turnover (Washington average 45.1%).
Heartwood Extended Healthcare
1649 East 72ndTacoma, WA 98404
Pierce County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Heartwood Extended Healthcare, nurse aides logged 2.39 hours per resident per day, 10% below the Washington average. With about 103 residents a day, that works out to roughly 246 aide hours a day, or about 31 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.39 | 2.66 | 2.32 |
| Licensed practical nurses | 0.79 | 0.77 | 0.86 |
| Registered nurses | 0.78 | 0.94 | 0.69 |
| All nursing staff | 3.96 | 4.37 | 3.86 |
| All nursing staff, weekends | 3.52 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
42.6% of nursing staff at Heartwood Extended Healthcare left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 43.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 30, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 26 health deficiencies (Washington average 16.1). CMS lists 4 fines totaling $382,661 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 30, 2026 | Fine | $89,440 |
| Mar 27, 2024 | Fine | $153,010 |
| Mar 27, 2024 | Payment Denial | 30 days from Jun 27, 2024 |
| Dec 13, 2023 | Fine | $107,955 |
| Oct 25, 2023 | Fine | $32,256 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Heartwood Extended Healthcare holds 1 of 5 overall; the Washington average is 3.2.
About Heartwood Extended Healthcare
- Ownership: For profit - Limited Liability company
- Legal name: Heartwood Operator LLC
- Medicare and Medicaid certified since: Jul 1, 1988
- Councils: resident and family councils
- Area: urban
Nursing homes near Heartwood Extended Healthcare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avalon Healthcare - Tacoma Tacoma | 0.9 | 81 | 2.61 | 4.42 | 47.1% | 2 | $24,814 |
| Tacoma Nursing and Rehabilitation Center Tacoma | 2.1 | 150 | 2.80 | 4.89 | 45.9% | 5 | $36,446 |
| Alaska Gardens Health and Rehabilitation Tacoma | 2.4 | 123 | 2.30 | 3.90 | 50.0% | 1 | $170,372 |
| Avamere at Pacific Ridge Tacoma | 2.5 | 102 | 3.46 | 5.16 | 36.0% | 2 | $57,783 |
| Birch Creek Post Acute & Rehabilitation Tacoma | 4.3 | 124 | 2.14 | 3.74 | 51.7% | 1 | $30,240 |
| Orchard Park Health Care & Rehab Center Tacoma · abuse citation | 4.5 | 147 | 1.82 | 3.66 | 45.6% | 1 | $136,055 |
| The Oaks at Lakewood Tacoma | 5.0 | 80 | 2.45 | 4.08 | 28.6% | 5 | None |
| Park Rose Care Center Tacoma | 5.2 | 139 | 3.07 | 5.14 | 49.1% | 2 | $241,815 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.