HEARTHSTONE NURSING & REHABILITATION CENTER

MEDFORD, OR · 87 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 4 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm
  • $230,522 in fines over 3 years

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
6
0.6x state avg
Deficiencies
$230,522
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

November 24, 2025

2 deficiencyies
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 22, 2025

10 deficiencyies
F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

December 6, 2024

8 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

See full violation history →

Staffing

0.79
RN hrs/res/day
0.62
LPN hrs/res/day
3.39
CNA hrs/res/day
4.22
Weekend hrs/res/day
55%
Total nurse turnover
67%
RN turnover

A nurse checks on each resident roughly every 5.0 hours on average.

Fines & Penalties

  • Fine May 30, 2024
    $88,282
  • Payment Denial May 30, 2024
    Payment Denial
  • Fine Jan 31, 2024
    $82,274
  • Payment Denial Jan 31, 2024
    Payment Denial
  • Fine Oct 22, 2023
    $59,966
Total $230,522

Ownership

For profit - Limited Liability company Chain: VOLARE HEALTH
  • PAC 12 OPCO HOLDCO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    100% Organization
  • KNOX HEALTHCARE PAC 12 HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PAC 12 HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PAC 12 PINNACLE HOLDCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Organization
  • HAGAR, CHAIM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Individual
  • HAGLER, ALEXANDER

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Individual
  • KNOX, DONALD

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Individual
  • SCHWARTZ, ELIEZER

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2023

    NO PERCENTAGE PROVIDED Individual
  • VOLARE HEALTH LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2023

    Organization
  • KAHN, KAREN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/03/2023

    Individual
  • KNOX, DONALD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2023

    Individual
  • MOORE, JAMES

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/03/2024

    Individual
  • SCHWARTZ, ELIEZER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2023

    Individual
  • KNOX, DONALD

    CORPORATE OFFICER

    Since since 03/01/2023

    Individual
  • SMITH, BRIAN

    CORPORATE OFFICER

    Since since 03/27/2023

    Individual
  • MEDFORD PROPCO LLC

    5% OR GREATER MORTGAGE INTEREST

    Since since 03/01/2023

    Organization

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