5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nestled in the charming Harbor Hill neighborhood overlooking the scenic town of Gig Harbor, Washington, Penrose Harbor at Heron’s Key is a distinguished senior living community that caters to senior living, senior rehabilitation, and assisted living needs. Penrose Harbor at Heron’s Key prides itself on offering a serene and engaging environment where residents can thrive in retirement.
With a commitment to enhancing the well-being of seniors, this assisted living community provides a wide range of amenities and services that foster a vibrant and fulfilling senior living experience.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 1st out of 79 homes in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 43m per day | ▲ 95% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 20m per day | ▼ 59% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 49m per day | ▲ 5% State avg: 2h 41m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 22m per day | ▲ 15% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 12m per day | ▲ 131% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 28m per day | ▲ 131% State avg: 38m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 31 | 31 | This facility has total deficiencies in line with the Washington average (31 vs. WA avg 31).— At avg |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 7.8 | 7.8 | This facility has deficiencies per year in line with the Washington average (7.8 vs. WA avg 7.8).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on Nov 2024
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
32 of 33 citations resulted from standard inspections; and 1 of 33 resulted from complaint investigations.
100% better than Washington averageWashington average: 0.3
41% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
140% more staff per resident than Washington average
16% worse than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursHelps with daily care and mobility.
All 24 CNA Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,078 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 24 | 0 | 24 | 5,611 | 92 | 100% | 7.3 |
| Registered Nurse | 14 | 0 | 14 | 2,418 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 8 | 0 | 8 | 659 | 64 | 70% | 7.4 |
| Nurse Practitioner | 2 | 0 | 2 | 522 | 67 | 73% | 7.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 470 | 92 | 100% | 3 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 53 | 58% | 8.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 390 | 62 | 67% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 384 | 59 | 64% | 6.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 279 | 45 | 49% | 6.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 225 | 30 | 33% | 7.5 |
| Dietitian | 1 | 0 | 1 | 34 | 17 | 18% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 4 | 4% | 3.1 |
| Qualified Social Worker | 0 | 1 | 1 | 6 | 7 | 8% | 0.9 |
| Medical Director | 0 | 1 | 1 | 4 | 3 | 3% | 1.2 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 4 | 3 | 3% | 1.2 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
82% lower than Washington averageWashington average: $82K
46% fewer fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 31, 2023 · $15K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 31, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
14% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
16% worse than Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.3%
37% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
27.9%
28% worse than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.3%
41% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
39% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
3.2%
36% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
3.3%
88% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
3.5%
79% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
38.1%
163% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
14% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
5.3%
270% worse than Washington averageWashington average: 1.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
75.0%
40% better than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.0%
11% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
71% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
15Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Penrose Harbor at Heron‘s Key from 2019–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #36 / 83Payroll — State benchmarkedThis home is ranked 36th out of 83 homes in Washington for Payroll. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #79 / 83Payroll % — State benchmarkedThis home is ranked 79th out of 83 homes in Washington for Payroll %. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 51–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: Suite
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (71% of admissions), and a typical Medicare stay runs around 14 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.2 miles from city center
Estimated distance in miles from Gig Harbor's city center to Penrose Harbor at Heron‘s Key's address, calculated via Google Maps.
— 9.55 miles to nearest hospital (MultiCare Tacoma General Hospital)
Add your location
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Penrose Harbor at Heron‘s Key | NH AL IL MC SNF | Gig Harbor | 49
Facility
49
WA AVG
81
Rank
#293 / 357 | - | - | 5.88
Facility
5.88
WA AVG
4.22
Rank
#1 / 79 | +46% | +39% | $15.0k
Facility
$15.0k
WA AVG
$87.7k
Rank
#34 / 79 | 33
Facility
33
WA AVG
48.9
Rank
#23 / 79 | 8.3
Facility
8.3
WA AVG
6.9
Rank
#57 / 79 | 1 | 22 | - |
36
Facility
36
WA AVG
51
Rank
#431 / 626 | Herons Key | $23.3MFiscal year ending 12/2023
Facility
$23.3MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#15 / 83 | $7.8MFiscal year ending 12/2023
Facility
$7.8MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#36 / 83 | 33.3%Fiscal year ending 12/2023
Facility
33.3%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#79 / 83 | 505531 | ||||
| Olympia Manor Rehabilitation Center | NH RC SNF | Olympia (Cain Road) | 71
Facility
71
WA AVG
81
Rank
#197 / 357 |
97.0%
Facility
97.0%
WA AVG
73.7
Rank
#15 / 284 | +32% | 3.20
Facility
3.20
WA AVG
4.22
Rank
#77 / 79 | +54% | -24% | $59.8k
Facility
$59.8k
WA AVG
$87.7k
Rank
#53 / 79 | 39
Facility
39
WA AVG
48.9
Rank
#29 / 79 | 4.3
Facility
4.3
WA AVG
6.9
Rank
#12 / 79 | 1 | 69 | - |
14
Facility
14
WA AVG
51
Rank
#563 / 626 | - | $13.5MFiscal year ending 12/2023
Facility
$13.5MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#16 / 83 | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#57 / 83 | 46.5%Fiscal year ending 12/2023
Facility
46.5%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#82 / 83 | 505514 | ||||
| Olympia Transitional Care and Rehabilitation | NH MC SNF | Olympia | 113
Facility
113
WA AVG
81
Rank
#62 / 357 |
71.3%
Facility
71.3%
WA AVG
73.7
Rank
#182 / 284 | -3% | 4.47
Facility
4.47
WA AVG
4.22
Rank
#16 / 79 | -53% | +6% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 79 | 29
Facility
29
WA AVG
48.9
Rank
#13 / 79 | 4.1
Facility
4.1
WA AVG
6.9
Rank
#11 / 79 | 1 | 81 | - |
38
Facility
38
WA AVG
51
Rank
#419 / 626 | Joel Smith | $15.1MFiscal year ending 12/2023
Facility
$15.1MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#36 / 83 | $8.6MFiscal year ending 12/2023
Facility
$8.6MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#26 / 83 | 57%Fiscal year ending 12/2023
Facility
57%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#19 / 83 | 505243 | ||||
| Puget Health Care Center | NH SNF | Olympia (Capital Mall Drive Southwest) | 108
Facility
108
WA AVG
81
Rank
#76 / 357 |
86.4%
Facility
86.4%
WA AVG
73.7
Rank
#64 / 284 | +17% | 4.06
Facility
4.06
WA AVG
4.22
Rank
#44 / 79 | -45% | -4% | $8.0k
Facility
$8.0k
WA AVG
$87.7k
Rank
#28 / 79 | 18
Facility
18
WA AVG
48.9
Rank
#5 / 79 | 3.0
Facility
3.0
WA AVG
6.9
Rank
#3 / 79 | 1 | 93 | - |
31
Facility
31
WA AVG
51
Rank
#467 / 626 | - | $14.8MFiscal year ending 12/2023
Facility
$14.8MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#33 / 83 | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#41 / 83 | 49.2%Fiscal year ending 12/2023
Facility
49.2%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#55 / 83 | 505299 | ||||
| Willapa Harbor Care | NH SNF | Raymond | 60
Facility
60
WA AVG
81
Rank
#238 / 357 |
77.0%
Facility
77.0%
WA AVG
73.7
Rank
#138 / 284 | +5% | 3.91
Facility
3.91
WA AVG
4.22
Rank
#54 / 79 | -19% | -7% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 79 | 30
Facility
30
WA AVG
48.9
Rank
#17 / 79 | 7.5
Facility
7.5
WA AVG
6.9
Rank
#50 / 79 | - | 46 | - |
13
Facility
13
WA AVG
51
Rank
#568 / 626 | Tashina Mcneley | $5.7M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.7M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
WA AVG
$13.2M
Rank
#78 / 83 | $2.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
WA AVG
$5.7M
Rank
#80 / 83 | 38.5%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
38.5%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
WA AVG
45.5%
Rank
#69 / 83 | 505349 |
Penrose Harbor at Heron‘s Key is located in Gig Harbor, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Penrose Harbor at Heron‘s Key has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to WA state health department records, Penrose Harbor at Heron‘s Key's license number is 2425.
According to WA state health department records, Penrose Harbor at Heron‘s Key's license expires on October 31, 2026.
Penrose Harbor at Heron‘s Key's occupancy is 69.7%.
Yes — see the floorplan options available at Penrose Harbor at Heron‘s Key on this page.
Yes, Penrose Harbor at Heron‘s Key allows residents to bring their pets.
Penrose Harbor at Heron‘s Key is registered as a non-profit in WA.
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