HEARTHSTONE NURSING & REHABILITATION CENTER

CMS abuse icon · Jackson · OR · For profit - Limited Liability company · VOLARE HEALTH chain · 87 certified beds · CCN 385091 · MEDFORD NURSING & REHAB CENTER LLC


HEARTHSTONE NURSING & REHABILITATION CENTER operates 87 certified beds in MEDFORD, Oregon. Its Medicare and Medicaid certification dates to 1974-03-31. It averages 80.6 residents a day.

What harm was found in the violations cited at HEARTHSTONE NURSING & REHABILITATION CENTER?

CMS lists 75 health-inspection deficiencies for HEARTHSTONE NURSING & REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-04.

Survey dateTagDeficiencySeverity
2026-03-04F0602, F0620, F0677, F0684, F0842Protect each resident from the wrongful use of the resident's belongings or money. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-23F0600, F0609, F0636, F0698, F0791Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide or obtain dental services for each resident.D
2024-12-07F0761Ensure 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.E
2024-12-07F0552, F0623, F0625, F0677, F0684, F0689, F0755, F0756, F0758Ensure that residents are fully informed and understand their health status, care and treatments. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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.D
2024-11-05F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2024-06-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-06-28F0550, F0584, F0657, F0755, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.E
2024-06-28F0552, F0554, F0578, F0582, F0689, F0695, F0730, F0757, F0758, F0847, F0947Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Observe each nurse aide's job performance and give regular training. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2024-05-31F0600, F0607, F0684, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2024-05-31F0725, F0726, F0867Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2024-05-31F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-02-27F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-02-27F0727Have 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.F
2024-02-27F0725, F0761Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.E
2024-02-27F0655, F0699, F0880Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care or services that was trauma informed and/or culturally competent. / Provide and implement an infection prevention and control program.D
2024-02-01F0656, F0657, F0677, F0684, F0689, F0773, F0810Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2023-11-08F0697Provide safe, appropriate pain management for a resident who requires such services.G
2023-11-08F0677Provide care and assistance to perform activities of daily living for any resident who is unable.F
2023-11-08F0684, F0725, F0727Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.E
2023-11-08F0552, F0604, F0686, F0690, F0695, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-10-23F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E
2023-10-23F0610, F0657Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D

Why was HEARTHSTONE NURSING & REHABILITATION CENTER fined 3 times?

DateTypeAmount
2024-05-31Fine$88,282
2024-02-01Fine$82,274
2023-10-23Fine$59,966

Has HEARTHSTONE NURSING & REHABILITATION CENTER had payment denied by Medicare more than once?

Payment denial startLength in days
2024-06-3048
2024-05-017

How is HEARTHSTONE NURSING & REHABILITATION CENTER staffed relative to the OR average?

MeasureThis facilityOR average
Total nurse staffing hours per resident per day4.405425.03143
Total nursing staff turnover (%)37.147.4
Average number of residents per day80.658.1

Who owns HEARTHSTONE NURSING & REHABILITATION CENTER, and what chain is it in?

HEARTHSTONE NURSING & REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name MEDFORD NURSING & REHAB CENTER LLC and belongs to the VOLARE HEALTH chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPAC 12 OPCO HOLDCO LLCsince 03/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTKNOX HEALTHCARE PAC 12 HOLDINGS LLC, PAC 12 HOLDINGS LLC, PAC 12 PINNACLE HOLDCO LLC, HAGLER, ALEXANDER, KNOX, DONALDsince 03/01/2023
5% OR GREATER MORTGAGE INTERESTMEDFORD PROPCO LLCsince 03/01/2023
CORPORATE OFFICERKNOX, DONALD, SMITH, BRIANsince 03/01/2023
OPERATIONAL/MANAGERIAL CONTROLVOLARE HEALTH LLC, KAHN, KAREN, KNOX, DONALD, MOORE, JAMES, SCHWARTZ, ELIEZERsince 03/01/2023
ADP OF THE SNFMEDFORD PROPCO LLC, PAC 12 HOLDINGS LLC, PAC 12 PINNACLE HOLDCO LLC, VOLARE HEALTH LLC, HAGAR, CHAIM, KAHN, KAREN, KNOX, DONALD, MOORE, JAMES, SCHWARTZ, ELIEZER, SMITH, BRIANsince 03/01/2023

Were you or a family member harmed at HEARTHSTONE NURSING & REHABILITATION CENTER?