Nursing Homes · Tacoma, WA
Alaska Gardens Health and Rehabilitation
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Heartwood Extended Healthcare
1649 East 72nd · Tacoma, WA 98404 · 120 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1215576186. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About Heartwood Extended Healthcare
Heartwood Extended Healthcare is a nursing home in Tacoma, Washington, in Pierce County. Its reported capacity is 120 beds. Federal records list it as Medicare certified. It is recorded as a for-profit operator, part of Heartwood Operator Holdings LLC. Our copy of the inspection record holds 82 citations, the newest dated 30 March 2026. Federal enforcement records add 5 fine or payment denial actions. Staffing reports put it at 3.96 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
60
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
60
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
63
Inspection history (82)
Records from September 2023 to March 2026.
February 13, 2025 · D
Citation F0657Federal surveyors cited this nursing home on 2025-02-13 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-13.GOVFebruary 13, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-02-13 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-13.GOVFebruary 13, 2025 · D
Citation F0609Federal surveyors cited this nursing home on 2025-02-13 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-13.GOVFebruary 13, 2025 · D
Citation F0758Federal surveyors cited this nursing home on 2025-02-13 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2025-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-13.GOVOctober 29, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-10-29 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-11-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-29.GOVOctober 29, 2024 · D
Citation F0582Federal surveyors cited this nursing home on 2024-10-29 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2024-11-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-29.GOVApril 12, 2024 · E
Citation F0847Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0847 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0637Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · E
Citation F0848Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0848 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide a neutral and fair arbitration process and agree to arbitrator and venue. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0679Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0679 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · E
Citation F0881Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0883Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0698Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0697Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOVApril 12, 2024 · D
Citation F0887Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOV
Penalties (5)
Total fines on file: $382,661
March 30, 2026 · Fine
Citation FINE-139197CMS recorded a civil money penalty of $89,440 against this nursing home on 2026-03-30 (Fine ID: 139197). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-30.GOVMarch 27, 2024 · Payment Denial
Citation PAYDEN-2024-06-27CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-06-27, lasting 30 days (triggered by inspection on 2024-03-27). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOVMarch 27, 2024 · Fine
Citation FINE-43623CMS recorded a civil money penalty of $153,010 against this nursing home on 2024-03-27 (Fine ID: 43623). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOVDecember 13, 2023 · Fine
Citation FINE-43546CMS recorded a civil money penalty of $107,955 against this nursing home on 2023-12-13 (Fine ID: 43546). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOVOctober 25, 2023 · Fine
Citation FINE-43502CMS recorded a civil money penalty of $32,256 against this nursing home on 2023-10-25 (Fine ID: 43502). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-25.GOV
Staffing
Latest: 3.96 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.88 hrs/resident/day
- 2026-06-013.88 hrs/resident/day
- 2026-07-013.96 hrs/resident/day
- 2026-08-013.96 hrs/resident/day
- 2026Q13.96 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
Parent organization: Heartwood Operator Holdings LLC
parent · PAC 7214365402
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical WA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · WA$13,155/moSee full WA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
What Medicaid pays nursing homes
Washington publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Day-weighted mean daily rate
$404.31per day
That works out to about $12,291 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.
Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV
Median facility daily rate
$389.86per day
That works out to about $11,852 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.
Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV
Nearby alternatives
Other licensed providers in Tacoma, with their own public records.
Nursing Homes · Tacoma, WA
Avalon Healthcare - Tacoma
Cost data not yet available
Nursing Homes · Tacoma, WA
Avamere Transitional Care of Puget Sound
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Heartwood Extended Healthcare
Request info and we'll pass it directly to Heartwood Extended Healthcare, or call them at 2534729027 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.