Hearthstone Nursing & Rehabilitation Center, Medford, Oregon
- 75
- Citations from health inspectionsOregon average: 34 a home
- 6
- Residents harmed or put in dangerOregon average: 1.5 a home
- $230,522
- Fines from the federal governmentOregon average: $27,522 a home
- 1 out of 5
- Overall rating in starsOregon average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
11 inspection visits produced 75 citations. Residents were in immediate danger in four findings. Residents were found hurt in two cases. Federal fines came to $230,522 (three fines). Two times, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 4 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 4.41 hours each dayThe Oregon average is 5.03 hours
- Time from registered nurses
- 0.67 hours each dayThe Oregon average is 0.72 hours
- Nursing staff who left during one year
- 37.1%against the Oregon average of 47.4%
- Beds that are certified
- 87
- Ownership
- Limited Liability company (for profit)
- Chain
- Volare Health, with 16 homes
- Street address
- 2901 E. Barnett Road, Medford, Oregon 97504
- County
- Jackson
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Five citations dated March 4, 2026
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F620 Fair Admission Without Giving Up Benefits: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 25, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated May 23, 2025
- F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
10 citations dated Dec. 7, 2024
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
One citation dated Nov. 5, 2024
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
17 citations dated June 28, 2024
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F847 Right to Refuse Binding Arbitration: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.
Eight citations dated May 31, 2024
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Feb. 27, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Seven citations dated Feb. 1, 2024
- F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
11 citations dated Nov. 8, 2023
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Oct. 23, 2023
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 31, 2024 | Fine | $88,282 |
| May 31, 2024 | Payment denial for new admissions | 48 days |
| Feb. 1, 2024 | Fine | $82,274 |
| Feb. 1, 2024 | Payment denial for new admissions | seven days |
| Oct. 23, 2023 | Fine | $59,966 |
Ownership and Management of the Home
- The home is run by Volare Health LLC (operational or managerial control).
- The direct 100% owner is Pac 12 Opco Holdco LLC.
- Owns a share through another company: Knox Healthcare Pac 12 Holdings LLC.
- Owns a share through another company: Pac 12 Holdings LLC.
- Owns a share through another company: Pac 12 Pinnacle Holdco LLC.
Two people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 385091. Other homes in Oregon.