Hearthstone Nursing & Rehabilitation Center
2901 E. Barnett Road · Medford, OR · 97504 · 5417794221
87 certified beds For profit - Limited Liability company Chain: Volare Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 3.76 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 3 · $230,522 |
Inspection citations (77 in the current record)
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Potential for harm · D March 4, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2026 · found via complaint
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.
Corrected April 23, 2026 · Resident Rights
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Potential for harm · D March 4, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 24, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide or obtain dental services for each resident.
Corrected June 24, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 7, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 7, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 7, 2024
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.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 7, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 7, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 21, 2025 · Pharmacy Service
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Potential for harm · D December 7, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · E December 7, 2024
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.
Corrected January 21, 2025 · Pharmacy Service
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Potential for harm · D December 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 7, 2024 · found via complaint
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.
Corrected January 21, 2025 · Pharmacy Service
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Potential for harm · D November 5, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 28, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 17, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 17, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 17, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 31, 2024 | Fine | $88,282 |
| May 31, 2024 | Payment Denial | 48 days |
| February 1, 2024 | Fine | $82,274 |
| February 1, 2024 | Payment Denial | 7 days |
| October 23, 2023 | Fine | $59,966 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385091 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.