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Hearthstone Nursing & Rehabilitation Center

2901 E. Barnett Road, Medford, OR 97504 · 5417794221 · 87 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★☆ 4/5
Quality measures★★★☆☆ 3/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Volare Health, a group operating 16 facilities in 3 states. Group record: average rating 1.7/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $1,414,045 in federal fines. This facility rates below its group average (1.7/5).

See all 16 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.41 (Oregon median: 4.96). RN hours: 0.67. Weekend total: 3.77. Nursing staff turnover: 37%.

Inspection deficiencies

All-time on record: 75 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-04Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2026-02-16
2026-03-04Not 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. Dcomplaintcorrected 2026-04-23
2026-03-04Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2026-04-23
2026-03-04Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2026-04-23
2026-03-04Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2026-04-23
2025-11-25Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-12-19
2025-05-23Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-06-24
2025-05-23Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-06-24
2025-05-23Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. DHealthcorrected 2025-06-24
2025-05-23Provide safe, appropriate dialysis care/services for a resident who requires such services. DHealthcorrected 2025-06-24
2025-05-23Provide or obtain dental services for each resident. DHealthcorrected 2025-06-24
2024-12-07Ensure 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. EHealthcorrected 2025-01-21
2024-12-07Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2025-01-21
2024-12-07Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. DHealthcorrected 2025-01-21
2024-12-07Notify 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. DHealthcorrected 2025-01-21
2024-12-07Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-01-21
2024-12-07Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2025-01-21
2024-12-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-01-21
2024-12-07Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2025-01-21
2024-12-07Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2024-11-26
2024-12-07Implement 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. Dcomplaintcorrected 2025-01-21
2024-11-05Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2024-08-21
2024-06-28Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-08-17
2024-06-28Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2024-08-17
2024-06-28Honor 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. EHealthcorrected 2024-08-17
2024-06-28Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2024-08-17
2024-06-28Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2024-08-17
2024-06-28Provide and implement an infection prevention and control program. EHealthcorrected 2024-08-17
2024-06-28Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2024-08-17
2024-06-28Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2024-08-17
2024-06-28Honor 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. DHealthcorrected 2024-08-17
2024-06-28Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2024-08-17
2024-06-28Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2024-08-17
2024-06-28Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2024-08-17
2024-06-28Observe each nurse aide's job performance and give regular training. DHealthcorrected 2024-08-17
2024-06-28Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2024-08-17
2024-06-28Implement 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. DHealthcorrected 2024-08-17
2024-06-28Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. DHealthcorrected 2024-08-17
2024-06-28Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. DHealthcorrected 2024-08-17
2024-05-31Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2024-07-13

Federal penalties

DateTypeAmount
2024-05-31Fine$88,282
2024-05-31Payment Denial48 days payment denial
2024-02-01Fine$82,274
2024-02-01Payment Denial7 days payment denial
2023-10-23Fine$59,966

Ownership & control records (CMS filings)

NameRoleType%Since
PAC 12 OPCO HOLDCO LLC5% Or Greater Direct Ownership InterestOrganization100%since 03/01/2023
KNOX HEALTHCARE PAC 12 HOLDINGS LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2023
PAC 12 HOLDINGS LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2023
PAC 12 PINNACLE HOLDCO LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2023
HAGLER, ALEXANDER5% Or Greater Indirect Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 03/01/2023
KNOX, DONALD5% Or Greater Indirect Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 03/01/2023
KNOX, DONALDCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2023
SMITH, BRIANCorporate OfficerIndividualNOT APPLICABLEsince 03/27/2023
VOLARE HEALTH LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 03/01/2023
KAHN, KARENOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/03/2023
KNOX, DONALDOperational/Managerial ControlIndividualNOT APPLICABLEsince 03/01/2023
MOORE, JAMESOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/03/2024
SCHWARTZ, ELIEZEROperational/Managerial ControlIndividualNOT APPLICABLEsince 03/01/2023

Compare nearby (Jackson County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385091. Corrections: data@carerecords.org.