C+
69/100

Heartwood Avenue Healthcare Inspection Report, Violations & Safety Grade (Vallejo, California)

1044 Heartwood Ave., Vallejo, California 94591

Phone: 7076432267

CMS Overall:3/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
56.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Solano
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.450.68-0.23
Total Nurse Hours per Resident per Day3.794.54-0.75
CMS Staffing Rating2/53.3/5-
Nursing Staff Turnover61.4%36.6%-

Health Citation History

35 health citations on record

DateCategoryDescriptionSeverity
2026-06-18Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-05-07Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2026-05-07Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-05-07Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2026-05-07Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-05-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-05-07Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-04-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2026-02-25Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-10-29Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2025-08-08Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-02-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2025-02-27Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2025-02-27Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-02-27Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-02-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-02-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-06-04Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2024-05-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-03-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-01-09Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2024-01-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-01-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2024-01-09Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2024-01-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-02-09Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2023-02-09Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.E – Moderate Harm Potential
2023-02-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-02-09Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2023-02-09Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-02-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-02-09Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-02-09Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2023-02-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-02-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

29 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-07Emergency Preparedness DeficienciesProvide primary/alternate means for communication.F – Moderate Harm Potential
2026-05-07Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2026-05-07Smoke DeficienciesHave an alternate power supply for its alarm system.F – Moderate Harm Potential
2026-05-07Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2026-05-07Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-05-07Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2026-05-07Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential
2026-05-07Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2025-02-27Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2025-02-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-02-27Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.D – Moderate Harm Potential
2025-02-27Smoke DeficienciesHave a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.D – Moderate Harm Potential
2025-02-27Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential
2025-02-27Egress DeficienciesHave properly located and lighted "Exit" signs.C – Minimal Harm Potential
2025-02-27Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.C – Minimal Harm Potential
2025-02-27Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.C – Minimal Harm Potential
2025-02-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2023-02-09Miscellaneous DeficienciesProvide properly sized and located linen or trash receptacles.E – Moderate Harm Potential
2023-02-09Emergency Preparedness DeficienciesProvide primary/alternate means for communication.D – Moderate Harm Potential
2023-02-09Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.D – Moderate Harm Potential
2023-02-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-02-09Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2023-02-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$16,988
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-05-03Fine$8,970-
2024-01-09Fine$8,018-

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