Heron's Key

Name: Heron's Key
Address: 4340 BORGEN BLVD NW, Gig Harbor, WA, 98332, US
Telephone: 2533130800

4340 Borgen Blvd NW, Gig Harbor, WA 98332 · Pierce County · 30 certified beds · avg 16 residents/day · certified since Jan 31, 2018

5/5

Health inspection rating (on-site)

Serious findings on record

$15,015

Fines, last 3 years

6.50

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Aug 31, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Sep 28, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 13, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Nov 15, 2024	F · Potential for harm, facility-wide	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Nov 15, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 15, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Nov 15, 2024	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 15, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 8, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 8, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 8, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 31, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	1	G ▲
2024	15	0	F
2026	3	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $15,015.

Date	Type	Amount / length
Aug 31, 2023	Fine	$15,015

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Washington avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.50	4.24	3.95	top 3% in Washington; top 2% in the U.S.
Registered Nurse hours	1.92	0.91	0.69	top 2% in Washington; top 2% in the U.S.
Weekend total nurse staffing	6.06	3.69	3.50	top 3% in Washington; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.83	0.67	0.48	top 1% in Washington; top 1% in the U.S.
Total nursing staff turnover (%)	29.6	45.1	45.8	top 12% in Washington; top 14% in the U.S.
RN turnover (%)	44.4	45.4	42.9	bottom 49% in Washington; bottom 45% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.75, RN 1.70, weekend 5.36. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Herons Key	Organization	5% or Greater Direct Ownership Interest	100%	01/10/2013
Antonucci, James	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2016
Antonucci, James	Individual	Corporate Officer	NOT APPLICABLE	06/01/2016
Ashley, Johnathan	Individual	W-2 Managing Employee	NOT APPLICABLE	10/17/2016
Chambard, Allan	Individual	Corporate Officer	NOT APPLICABLE	05/13/2015
Emerald Communities	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2015
Kilcup, Leroy	Individual	Corporate Director	NOT APPLICABLE	09/16/2016
King, Gary	Individual	Corporate Director	NOT APPLICABLE	01/10/2013
Schneider, Daphne	Individual	Corporate Director	NOT APPLICABLE	01/10/2013
Vanhorn, Danna	Individual	Corporate Director	NOT APPLICABLE	01/10/2013
Wallin, Kay	Individual	Corporate Officer	NOT APPLICABLE	05/13/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
"Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Gig Harbor Health and Rehabilitation	4.2 mi	Gig Harbor, WA	★★☆☆☆	1/5	abuse
Cottesmore of Life Care	5.4 mi	Gig Harbor, WA	★★★★☆	3/5
Eliseo	7.5 mi	Tacoma, WA	★★★☆☆	2/5
Avamere Transitional Care of Puget Sound	7.9 mi	Tacoma, WA	★★★★☆	3/5
Park Rose Care Center	9.3 mi	Tacoma, WA	★★☆☆☆	2/5
Agility Health and Rehabilitation	10.9 mi	University Place, WA	★★★☆☆	3/5
Orchard Park Health Care & Rehab Center	10.9 mi	Tacoma, WA	★☆☆☆☆	1/5	abuse
Avamere Rehabilitation at Ridgemont	11.2 mi	Port Orchard, WA	★★★★☆	4/5
Life Care Center of Port Orchard	11.3 mi	Port Orchard, WA	★★★★★	4/5
Birch Creek Post Acute & Rehabilitation	11.4 mi	Tacoma, WA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Gig Harbor →

Facility data as of CMS processing date 2026-08-01. CCN 505531.

The Care File

Visit checklist — Heron's Key

4340 Borgen Blvd NW, Gig Harbor, WA 98332 · 2533130800

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $15,015

Most serious findings on record:

▲ Aug 31, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
☐ "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 505531 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)