Federal inspection record · CMS data as of October 1, 2026
Heron's Key
4340 Borgen Blvd Nw, Gig Harbor, WA · (253) 313-0800
- CMS high-performer trophy
- Certified beds
- 30
- Residents per day
- 19
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- January 31, 2018
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Heron's Key carries 28 inspection points. That is fewer than 93% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights5F
- F
Give residents a notice of rights, rules, services and charges.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
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.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-02-13
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-11-15
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-01-08
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 44 min of nursing staff time a day, 1 h 46 min of it from a registered nurse.
This home
5 h 44 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 63% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 0.0% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.9 pts better | 0.0% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts worse | 7.5% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.2 pts better | 2.3% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts better | 11.4% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts worse | 16.7% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.1% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 1.8% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts worse | 28.2% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts better | 0.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 94.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.2 pts better | 5.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.7 pts better | 97.1% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8 pts better | 11.7% | 19.7% | 23.4% |
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Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Herons Key | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Antonucci, James | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Antonucci, James | Corporate Officer · Individual | 0% | 1 facilities |
| Ashley, Johnathan | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Chambard, Allan | Corporate Officer · Individual | 0% | 1 facilities |
| Emerald Communities | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Kilcup, Leroy | Corporate Director · Individual | 0% | 1 facilities |
| King, Gary | Corporate Director · Individual | 0% | 1 facilities |
| Schneider, Daphne | Corporate Director · Individual | 0% | 1 facilities |
| Vanhorn, Danna | Corporate Director · Individual | 0% | 1 facilities |
| Wallin, Kay | Corporate Officer · Individual | 0% | 1 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Provide emergency officials' contact information.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous1E
- E
Have restrictions on the use of portable space heaters.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- H
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Cottesmore Of Life Care
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Eliseo
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