Heron's Key

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.81 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 30 beds and averages 16.1 residents a day — about 54% occupied, or roughly 14 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.35 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.36 hrs/resident/day on weekends vs 5.90 on weekdays — 9% thinner on weekends. RN hours go from 1.64 to 1.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2023-08-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on interview and record review, the facility failed to implement the planned preventative measure of two person assist when using mechanical devices to ensure safety and prevent falls for 1 of 3 residents (Resident 1) reviewed for accident hazards. This failure resulted in harm to Resident 1 who experienced pain and sustained a left upper arm fracture when they were transferred with one person assist rather than two person assist as they were assessed to require. This failure also placed other residents at risk for falls, injury, and diminished quality of life. Findings included . Review of the facility's Safe Resident Handling Transfers Policy, dated 10/31/2021, it was the policy of the facility to ensure residents were handled and transferred safely to prevent or minimize risk for injury and provide and promote a safe, secure experience for the residents. Staff would be educated on safe handling transfer practices and use of mechanical lifts such as full body lifts (e.g., Hoyer lift) and sit-to-stand…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to accurately assess dental status for 1 of 2 sampled residents (Resident 8) when reviewed for dental care. This failure placed the Resident at risk of pain, weight loss, and diminished quality of life. Findings included.Review of the electronic health record (EHR) showed Resident 8 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation (irregular heart rhythm), heart failure, chronic kidney disease (loss of kidney functions), and weakness. Resident 8 was able to communicate their needs. Observation and interview on 02/10/2026 at 11:02 AM showed Resident 8 sat in their chair and pointed to their mouth and stated, My teeth have fallen out, and No dentist comes here. Observation showed Resident 8 had missing teeth. Review of the EHR showed Resident 8 had a quarterly minimum data set (MDS, a required assessment), dated 11/16/2025, marked with no dental issues. Review of the care plan, dated 11/24/2025, showed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide quality care related to monitoring of resident skin injuries (bruises), bowel management, and orthostatic blood pressure (blood pressure taken while a person is laying, sitting and standing to monitor for sudden drop in pressure) for 2 of 9 sampled residents (Residents 8 and 11) when reviewed for quality of care. This failure placed residents at risk of injuries, untreated constipation, discomfort, and a diminished quality of life. Findings included.Resident 8Review of the electronic health record (EHR) showed Resident 8 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation (irregular heart rhythm), heart failure, chronic kidney disease (loss of kidney functions), and weakness. Resident 8 was able to communicate their needs. Observation and interview on 02/10/2026 at 11:08 AM, showed Resident 8 sat in the chair in their room and pointing towards two reddish colored bruises on their left forearm.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0790 — failed to provide dental care — isolated
  Provide routine and 24-hour emergency dental care for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide routine dental care for 1 of 2 sampled residents (Resident 3) when reviewed for dental needs. This failure placed the resident at risk for difficulty eating, dental pain, unintended weight loss, and diminished quality of life. Findings included.Review of the electronic health record (EHR) showed Resident 3 was admitted to the facility on [DATE] with diagnoses to include chronic kidney disease (loss of kidney functions), atrial fibrillation (irregular heart rhythm), and heart failure. Resident 3 was able to communicate their needs. During an interview on 02/10/2026 at 9:28 AM, Resident 3 stated they lost a tooth and needed to see a dentist, but their dentist did not see patients in wheelchairs. Review of the EHR showed no dental consultations. Review of the care plan, dated 07/07/2025, showed no dental needs addressed for Resident 3. During an interview on 02/12/2026 at 11:54 AM, Staff E, Registered Nurse/Minimum Data Set (RN/MDS),…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-11-15 · tag F0572 — widespread
  Give residents a notice of rights, rules, services and charges.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to periodically inform residents of their rights after residents were admitted to the facility for 8 of 8 sampled residents (Residents 1, 3, 6, 9, 13, 14, 15 and 16) when reviewed for resident rights. This failure placed residents at risk of not being informed of their rights and a diminished quality of life. Findings included . During an interview on 11/12/2024 at 9:15 AM, Staff A, Administrator (ADM), stated they did not have a Resident Council President. Staff A stated they did not believe there were any residents that attended resident council for the past couple of months. During an interview on 11/15/2024 at 10:00 AM, Resident 3 stated they did not recall discussing or being provided information related to resident rights since they admitted to the facility. During an interview on 11/15/2024 at 9:19 AM, Resident 1 stated they were not aware of the Resident Council, and they were not aware of their resident rights. Review of Resident Council Minutes for August, September and October 2024 showed no residents attended the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-11-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to sanitarily prepare food in the facility kitchen and failed to monitor resident refrigerators for 1 of 2 resident refrigerators (Front Refrigerator) when reviewed for kitchen. These failures placed residents at risk of consuming contaminated food, foodborne illness, and a diminished quality of life. Findings included . <Kitchen Observation> Observation on 11/13/2024 at 11:25 AM showed a peroxide cleaning spray hanging from food shelfing containing raw bananas and tortillas. Observation on 11/13/2024 at 11:28 AM showed Staff K, Cook, had an uncovered beard and was cutting pieces of pie at a preparation station. Observation on 11/13/2024 at 11:30 AM showed Staff L, Dietary Aide, wore a hairnet over the back portion of the head while leaving the bangs exposed. Observation on 11/13/2024 at 11:40 AM showed a personal cell phone on a shelf above a sandwich making station. A cell phone power cord was hanging over the edge of the shelving and dangling above the opened sandwich making station. Observation on 11/13/2024 at 11:45 AM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-15 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on interview and record review, the facility failed to provide written notification of the reason for transfer to the hospital to residents or responsible party for 1 of 1 sampled residents (Resident 1) reviewed for hospitalization. This failure placed the resident at risk for not knowing rights regarding transfer and discharge from the facility and diminished protection from being inappropriately discharged . Findings included . Review of the electronic health record (EHR) showed Resident 1 admitted to the facility on [DATE] with diagnoses that included hypertension (high blood pressure) and heart failure. Resident 1 was able to make needs known. Review of Resident 1's EHR showed a hospitalization on 08/05/2024, and readmission to the facility on [DATE]. There was no documentation regarding notice of transfer. During an interview on 11/14/2024 at 11:46 AM, Staff A, Administrator, stated they did not provide residents or resident representatives with written notice for reason of transfer to the hospital.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-15 · tag F0625 — pattern
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on interview and record review, the facility failed to provide written bed hold notice at the time of transfer to the hospital for 1 of 1 sampled residents (Resident 1) reviewed for hospitalization. This failure placed the residents at risk for lacking knowledge regarding their right to hold their bed while in the hospital and diminished quality of life. Findings included . Review of the electronic health record (EHR) showed Resident 1 admitted to the facility on [DATE] with diagnoses that included hypertension (high blood pressure) and heart failure. Resident 1 was able to make needs known. Review of Resident 1's EHR showed a hospitalization on 08/05/2024, and readmission to the facility on [DATE]. There was no documentation regarding a bed hold being provided. During an interview on 11/14/2024 at 11:46 AM, Staff A, Administrator, stated they were not offering residents bed holds but should have been. Reference WAC 388-91-0120(4) .

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-15 · tag F0559 — isolated
  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on observation, interview, and record review, the facility failed to ensure married residents were provided the right to share a room for 2 of 2 sampled residents (Residents 1 and 4) reviewed for room changes. This failure placed residents at risk for psychosocial stress and a diminished quality of life. Findings included . Resident 1 Review of the electronic health record (EHR) showed Resident 1 admitted to the facility on [DATE] with diagnoses that included hypertension (high blood pressure) and heart failure. Resident 1 resided in room [ROOM NUMBER] and was able to make needs known. During an interview on 11/15/2024 at 9:55 AM, Resident 1 stated, I would prefer to share a room with my husband [Resident 212]. We assumed we would be able to, but they said we could not. Review of the care plan dated 09/05/2024 showed Resident 1 was at risk of decreased socialization due to cognitive decline. The care plan stated Resident 1 enjoyed spending time and eating meals with their spouse. Resident 1's recliner…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-15 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on interview and record review, the facility failed to determine if a resident had current advanced directives (AD), and if not, determine whether the resident wished to develop advanced directives for 1 of 4 sampled residents (Resident 9) when reviewed for AD. This failure potentially denied the resident the opportunity to direct their healthcare if they were to become unable to make decisions or communicate their health care preferences. Findings included . Review of a document titled, Advanced Directives, dated 08/18/2024, showed it was the policy of the facility to respect each resident's AD in accordance with state/federal law and facility policy. The facility's interdisciplinary team would review annually with the resident and/or representative their AD, upon the resident's request, when the residents condition warranted a review, and when there was a significant change in the resident's condition to ensure that such directives were still the wishes of the resident. Review of the admission minimum…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-15 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on observation, interview, and record review, the facility failed to develop a comprehensive care plan about post-traumatic stress disorder (PTSD, a mental health condition that can develop after someone experiences or witnesses a traumatic event) for 1 of 8 sampled residents (Resident 6) reviewed for care planning. This failure placed the resident at risk for unidentified and unmet care needs and diminished quality of life. Findings included . Review of the electronic health record (EHR) showed Resident 6 admitted to the facility on [DATE] with diagnoses that included PTSD, Parkinson's (a degenerative brain condition that gets worse overtime), dementia (loss of memory, problem solving and thinking abilities) and end of life care. The change of condition minimum data set (MDS, an assessment tool), dated 10/17/2024, showed Resident 6 was not able to make needs known and was dependent on staff for activities of daily living. Observation on 11/12/2024 at 9:45 AM showed Resident 6 with eyes closed, laying in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$15,015 in federal fines across 1 penalty.

• $15,015 — penalty dated 2023-08-31

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WA