Inspection citations
10’23
8’24
8’25
9’26
35 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 18, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| May 7, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 7, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| May 7, 2026 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 7, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| May 7, 2026 | E · potential | 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. | Routine |
| May 7, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 14, 2026 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 25, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 29, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 8, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 27, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Feb 27, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 27, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 27, 2025 | E · potential | 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. | Routine |
| Feb 27, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 10, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 4, 2024 | E · potential | 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. | Complaint |
| May 3, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 6, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jan 9, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 9, 2024 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jan 9, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 9, 2024 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| Jan 9, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 9, 2023 | E · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Feb 9, 2023 | D · potential | 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. | Routine |
| Feb 9, 2023 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Feb 9, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Feb 9, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Feb 9, 2023 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Feb 9, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Feb 9, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 9, 2023 | F · potential | Dispose of garbage and refuse properly. | Routine |
| Feb 9, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Heartwood Avenue Healthcare
1044 Heartwood Ave., Vallejo, CA 94591 · (707) 643-2267
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555184
- Certified beds
- 60
- Legal owner
- Heartwood Avenue LLC
- Part of
- Bvhc, Llc
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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