Federal inspection record · CMS data as of October 1, 2026
Hearthstone Nursing & Rehabilitation Center
2901 E. Barnett Road, Medford, OR · (541) 779-4221
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 87
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Volare Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 31, 1974
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Oregon homes
Hearthstone Nursing & Rehabilitation Center carries 184 inspection points. That is fewer than 2% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
75 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care19F
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights12E
- D
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
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning9E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service8E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- E
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.
Nursing and Physician Services8F
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
- F
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
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Respond appropriately to all alleged violations.
Administration3F
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-05-23
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-12-07
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2024-06-28
53 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (14 deficiencies)
5
Fines and payment denials
$230,522 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-31 | Fine | $88,282 |
| 2024-05-31 | Payment Denial · 48 day denial | $0 |
| 2024-02-01 | Fine | $82,274 |
| 2024-02-01 | Payment Denial · 7 day denial | $0 |
| 2023-10-23 | Fine | $59,966 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 100.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 98.0% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 0.0% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 2.7% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 2.3% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts better | 10.6% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 6.4% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened32.5 pts worse | 51.1% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts worse | 23.8% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.4% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.9% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts better | 15.4% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 4.7% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better | 95.2% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 13.1% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.4 pts better | 88.3% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse | 23.8% | 21.9% | 23.4% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pac 12 Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 12 facilities |
| Hagar, Chaim | Adp Of The SNF · Individual | 0% | 18 facilities |
| Hagler, Alexander | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Kahn, Karen | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Kahn, Karen | Adp Of The SNF · Individual | 0% | 6 facilities |
| Knox Healthcare Pac 12 Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Knox, Donald | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 16 facilities |
| Knox, Donald | Corporate Officer · Individual | 0% | 16 facilities |
| Knox, Donald | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Knox, Donald | Adp Of The SNF · Individual | 0% | 16 facilities |
| Medford Propco LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Medford Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Moore, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moore, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pac 12 Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Pac 12 Holdings LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Pac 12 Pinnacle Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Pac 12 Pinnacle Holdco LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Schwartz, Eliezer | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Schwartz, Eliezer | Adp Of The SNF · Individual | 0% | 26 facilities |
| Smith, Brian | Corporate Officer · Individual | 0% | 14 facilities |
| Smith, Brian | Adp Of The SNF · Individual | 0% | 14 facilities |
| Volare Health LLC | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Volare Health LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Construction1F
- F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Rogue Valley Manor
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h 22 min
- Fines
- $0
-
Avamere At Three Fountains
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 14 min
- Fines
- $0
-
Avamere Health Services Of Rogue Valley
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 43 min
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