Nursing homes › Oregon › Hearthstone Nursing & Rehabilitation Center
2901 E. Barnett Road, Medford, OR 97504 · 5417794221 · 87 certified beds
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).
Total nurse staffing: 4.41 (Oregon median: 4.96). RN hours: 0.67. Weekend total: 3.77. Nursing staff turnover: 37%.
All-time on record: 75 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-04 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | 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. | D | complaint | corrected 2026-04-23 |
| 2026-03-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-04-23 |
| 2026-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-06-24 |
| 2025-05-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | Health | corrected 2025-06-24 |
| 2025-05-23 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-06-24 |
| 2025-05-23 | Provide or obtain dental services for each resident. | D | Health | 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. | E | Health | corrected 2025-01-21 |
| 2024-12-07 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-01-21 |
| 2024-12-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-01-21 |
| 2024-12-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | complaint | 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. | D | Health | 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. | D | Health | 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. | D | complaint | corrected 2025-01-21 |
| 2024-11-05 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | 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. | F | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | 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. | E | complaint | corrected 2024-08-17 |
| 2024-06-28 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-08-17 |
| 2024-06-28 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-08-17 |
| 2024-06-28 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | 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. | D | Health | corrected 2024-08-17 |
| 2024-06-28 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | 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. | D | Health | corrected 2024-08-17 |
| 2024-06-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-08-17 |
| 2024-06-28 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2024-08-17 |
| 2024-06-28 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | 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. | D | Health | corrected 2024-08-17 |
| 2024-06-28 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | 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. | D | Health | 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. | J | complaint | corrected 2024-07-13 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-31 | Fine | $88,282 |
| 2024-05-31 | Payment Denial | 48 days payment denial |
| 2024-02-01 | Fine | $82,274 |
| 2024-02-01 | Payment Denial | 7 days payment denial |
| 2023-10-23 | Fine | $59,966 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PAC 12 OPCO HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/01/2023 |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| PAC 12 HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| PAC 12 PINNACLE HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| HAGLER, ALEXANDER | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| KNOX, DONALD | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| KNOX, DONALD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2023 |
| SMITH, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 03/27/2023 |
| VOLARE HEALTH LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2023 |
| KAHN, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/03/2023 |
| KNOX, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| MOORE, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/03/2024 |
| SCHWARTZ, ELIEZER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385091. Corrections: data@carerecords.org.