Hearthstone Nursing & Rehabilitation Center
Nursing Home · Medford, OR
CMS certification number385091
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2901 E. Barnett RoadMedford, OR 97504
Jackson County
- Phone
- (541) 779-4221
- ZIP code
- 97504 – all care providers
Facility details
- Certified beds
- 87
- Residents per day
- 80.6 (93% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Medford Nursing & Rehab Center LLC
- Chain
- Volare Health (16 facilities, avg 1.8★)
- Medicare certified since
- March 31, 1974
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.41 (state 5.03 · U.S. 3.86)
- Registered nurses (RN)
- 0.67 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.66 (state 0.91 · U.S. 0.86)
- Nurse aides
- 3.07 (state 3.40 · U.S. 2.32)
- Weekend total
- 3.77 (state 4.51 · U.S. 3.42)
- Nursing staff turnover
- 37.1 (state 47.4 · U.S. 45.8)%
- RN turnover
- 57.1 (state 51.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- May 23, 2025
- Health deficiencies (last cycle)
- 11.0 (state 9.3 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 75 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-04 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-16 |
| 2026-03-04 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. F0620 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-23 |
| 2026-03-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-23 |
| 2026-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-23 |
| 2026-03-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-23 |
| 2025-11-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-19 |
| 2025-05-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-24 |
| 2025-05-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-24 |
| 2025-05-23 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-24 |
| 2025-05-23 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-24 |
| 2025-05-23 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-24 |
| 2024-12-07 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-26 |
| 2024-12-07 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-11-05 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-21 |
| 2024-06-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-06-28 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-17 |
| 2024-05-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-13 |
| 2024-05-31 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-13 |
| 2024-05-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-13 |
| 2024-05-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-13 |
| 2024-05-31 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-05-31 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-05-31 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-05-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-13 |
| 2024-02-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-17 |
| 2024-02-27 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-17 |
| 2024-02-27 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-17 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
5 penalties in the last three years, including $230,522 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-31 | Payment Denial | 48 days payment denial |
| 2024-05-31 | Fine | $88,282 |
| 2024-02-01 | Payment Denial | 7 days payment denial |
| 2024-02-01 | Fine | $82,274 |
| 2023-10-23 | Fine | $59,966 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Pac 12 Opco Holdco LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Hagler, Alexander (individual) | 5%+ Indirect Ownership Interest | |
| Knox Healthcare Pac 12 Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Knox, Donald (individual) | 5%+ Indirect Ownership Interest | |
| Pac 12 Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Pac 12 Pinnacle Holdco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Medford Propco LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Hagar, Chaim (individual) | Administrator · NOT APPLICABLE | |
| Kahn, Karen (individual) | Administrator · NOT APPLICABLE | |
| Knox, Donald (individual) | Administrator · NOT APPLICABLE | |
| Medford Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Moore, James (individual) | Administrator · NOT APPLICABLE | |
| Pac 12 Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Pac 12 Pinnacle Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Schwartz, Eliezer (individual) | Administrator · NOT APPLICABLE | |
| Smith, Brian (individual) | Administrator · NOT APPLICABLE | |
| Volare Health LLC (organization) | Administrator · NOT APPLICABLE | |
| Knox, Donald (individual) | Corporate Officer · NOT APPLICABLE | |
| Smith, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Kahn, Karen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Knox, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Moore, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Schwartz, Eliezer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Volare Health LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hearthstone Nursing & Rehabilitation Center?
Hearthstone Nursing & Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Oregon.
How many beds does Hearthstone Nursing & Rehabilitation Center have?
It has 87 certified beds and cares for about 81 residents per day.
Has Hearthstone Nursing & Rehabilitation Center been fined?
Yes. CMS lists 5 penalties totaling $230,522 in the last three years.
Who owns Hearthstone Nursing & Rehabilitation Center?
It is part of Volare Health and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hearthstone Nursing & Rehabilitation Center?
(541) 779-4221. The facility is located at 2901 E. Barnett Road, Medford, OR 97504.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.