HEARTHSTONE NURSING & REHABILITATION CENTER
MEDFORD, OR · 87 beds · For profit - Limited Liability company
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
Violation Timeline
November 24, 2025
2 deficiencyiesQuality 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.
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 deficiencyiesResident 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.
Quality of Life and Care Deficiencies
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
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Provide or obtain dental services for each resident.
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.
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.
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.
Quality of Life and Care Deficiencies
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
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Provide or obtain dental services for each resident.
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.
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 deficiencyiesResident Rights Deficiencies
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Ensure that residents are fully informed and understand their health status, care and treatments.
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.
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.
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.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
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.
Staffing
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, 2024Payment Denial
- Fine Jan 31, 2024$82,274
- Payment Denial Jan 31, 2024Payment Denial
- Fine Oct 22, 2023$59,966
Ownership
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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