4340 Borgen Blvd NW, Gig Harbor, WA 98332 (opens Google Maps) · Pierce County · (253) 313-0800· 30 certified beds · avg 16 residents/day · certified since Jan 31, 2018 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 28, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
The facility did not provide routine dental care and 24-hour emergency dental care for residents. F-0790
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
| Nov 15, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0572 |
| Nov 15, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Nov 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0623 |
| Nov 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0625 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0559 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Nov 15, 2024 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Jan 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jan 8, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Jan 8, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Aug 31, 2023 | ▲ G · Actual harm, isolated | 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 · F-0689 |
Citations from standard inspections decreased between the last two inspection cycles (12 → 3).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $15,015.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Aug 31, 2023 | Fine | $15,015 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.75 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Heron's Key. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 | |
| Orchard Park Health Care & Rehab Center | 10.9 mi | Tacoma, WA | ★☆☆☆☆ | 1/5 | abuse |
| Agility Health and Rehabilitation | 10.9 mi | University Place, WA | ★★★☆☆ | 3/5 | |
| 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 | |
| Avamere at Pacific Ridge | 11.9 mi | Tacoma, WA | ★★☆☆☆ | 2/5 | |
| Alaska Gardens Health and Rehabilitation | 12.6 mi | Tacoma, WA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Pierce, WA — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 505531.
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