Hearthstone Nursing & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 2901 E. Barnett Road, Medford, OR 97504
- CCN
- 385091
- Ownership type
- For-profit, limited liability company
- Certified beds
- 87
- Chain
- Volare Health
- Residents per day
- 81
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hearthstone Nursing & Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 23 May 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Oregon is 9. CMS lists 3 fines with a total of $230,522 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Jackson County median | Oregon median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 128 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Oregon median |
|---|---|---|---|
| Cycle 1 (latest) | 23 May 2025 | 11 | 9 |
| Cycle 2 | 7 Dec 2024 | 11 | 11 |
| Cycle 3 | No date | 53 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Mar 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 16 Feb 2026 |
| 4 Mar 2026 | F0620 | 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 investigation | 23 Apr 2026 |
| 4 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 23 Apr 2026 |
| 4 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Apr 2026 |
| 4 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 23 Apr 2026 |
| 25 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Dec 2025 |
| 23 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Jun 2025 |
| 23 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Jun 2025 |
| 23 May 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 24 Jun 2025 |
| 23 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Jun 2025 |
| 23 May 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 24 Jun 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 21 Jan 2025 |
| 7 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 21 Jan 2025 |
| 7 Dec 2024 | F0625 | 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 | Standard survey | 21 Jan 2025 |
| 7 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Jan 2025 |
| 7 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Jan 2025 |
| 7 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Jan 2025 |
| 7 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Jan 2025 |
| 7 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 Nov 2024 |
| 7 Dec 2024 | F0758 | 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 investigation | 21 Jan 2025 |
| 7 Dec 2024 | F0761 | 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 | Standard survey | 21 Jan 2025 |
| 5 Nov 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 21 Aug 2024 |
Survey cycle 3: 53 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0578 | 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 | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0584 | 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 | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 17 Aug 2024 |
| 28 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0758 | 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 | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Aug 2024 |
| 28 Jun 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 17 Aug 2024 |
| 31 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0726 | 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 | Complaint investigation | 13 Jul 2024 |
| 31 May 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 13 Jul 2024 |
| 27 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 17 Apr 2024 |
| 27 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 17 Apr 2024 |
| 27 Feb 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 17 Apr 2024 |
| 27 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 17 Apr 2024 |
| 27 Feb 2024 | F0727 | 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. | F | Complaint investigation | 17 Apr 2024 |
| 27 Feb 2024 | F0761 | 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 | Complaint investigation | 17 Apr 2024 |
| 27 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Apr 2024 |
| 1 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Mar 2024 |
| 1 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 Mar 2024 |
| 1 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Mar 2024 |
| 1 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 May 2024 |
| 1 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 May 2024 |
| 1 Feb 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 22 Mar 2024 |
| 1 Feb 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 8 May 2024 |
| 8 Nov 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | F | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0690 | 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 | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 23 Jan 2024 |
| 8 Nov 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 23 Jan 2024 |
| 8 Nov 2023 | F0727 | 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 | Complaint investigation | 28 Dec 2023 |
| 8 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 28 Dec 2023 |
| 23 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Dec 2023 |
| 23 Oct 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint investigation | 11 Dec 2023 |
| 23 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 11 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 31 May 2024 | Fine | $88,282 | |
| 31 May 2024 | Payment denial | 48 | |
| 1 Feb 2024 | Fine | $82,274 | |
| 1 Feb 2024 | Payment denial | 7 | |
| 23 Oct 2023 | Fine | $59,966 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Oregon median | Oregon average (CMS) |
|---|---|---|---|
| All nurse staff | 4.41 | 5.00 | 5.03 |
| Registered nurses (RN) | 0.67 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.66 | 0.91 | |
| Nurse aides | 3.07 | 3.40 | |
| All nurse staff, weekends | 3.77 | 4.40 | 4.51 |
- Nurse staff turnover in a year
- 37.1%
- Nurse staff turnover, Oregon median
- 45.9%
- RN turnover in a year
- 57.1%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.6% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 47.4% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.6% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Medford Nursing & Rehab Center LLC
- Chain
- Volare Health (16 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pac 12 Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 1 Mar 2023 |
| Knox Healthcare Pac 12 Holdings LLC | 5% or greater indirect ownership interest | 1 Mar 2023 | |
| Pac 12 Holdings LLC | 5% or greater indirect ownership interest | 1 Mar 2023 | |
| Pac 12 Pinnacle Holdco LLC | 5% or greater indirect ownership interest | 1 Mar 2023 | |
| Medford Propco LLC | 5% or greater mortgage interest | 1 Mar 2023 | |
| Volare Health LLC | Operational/managerial control | 1 Mar 2023 | |
| Medford Propco LLC | Adp of the snf | 1 Mar 2023 | |
| Pac 12 Holdings LLC | Adp of the snf | 1 Mar 2023 | |
| Pac 12 Pinnacle Holdco LLC | Adp of the snf | 1 Mar 2023 | |
| Volare Health LLC | Adp of the snf | 20 Aug 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Jackson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Rogue Valley Manor | Medford | 5 of 5 | 6 | $0 | 24 Apr 2025 | |
| Avamere at Three Fountains | Medford | 5 of 5 | 5 | $0 | 9 Jul 2026 | |
| Avamere Health Services of Rogue Valley | Medford | 2 of 5 | 12 | $0 | 22 Aug 2025 | |
| Ashland Post Acute | Ashland | 1 of 5 | 24 | $31,369 | 9 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hearthstone Nursing & Rehabilitation Center (CCN 385091). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hearthstone-nursing-rehabilitation-center-medford-or-385091/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hearthstone Nursing & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 4 Mar 2026. It was a complaint investigation. It gave 5 citations. The standard survey before the last one was on 7 Dec 2024.
- Who operates Hearthstone Nursing & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Volare Health. The CMS ownership file names Volare Health LLC for operational or managerial control. This site does not show the names of persons.
- Is Hearthstone Nursing & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Oregon as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.