Starfile / Oregon

HEARTHSTONE NURSING & REHABILITATION CENTER

2901 E. BARNETT ROAD, MEDFORD, OR 97504 · CCN 385091

Abuse icon

Inspection history vs Oregon & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$230,522

Number of fines

3

Number of penalties

5

Payment denials

2

Chain

Chain

VOLARE HEALTH

Facilities in chain

16

Chain avg overall

1.70 / 5

Inspection citations (72)4 immediate jeopardy2 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-25 · Health · corrected 2025-12-19

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-23 · Health · corrected 2025-06-24

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-23 · Health · corrected 2025-06-24

   Potential for more than minimal harm

4. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-05-23 · Health · corrected 2025-06-24

   Potential for more than minimal harm

5. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-23 · Health · corrected 2025-06-24

   Potential for more than minimal harm

6. DF0791Provide or obtain dental services for each resident.2025-05-23 · Health · corrected 2025-06-24

   Potential for more than minimal harm

7. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-12-07 · Health · corrected 2025-01-21

   Potential for more than minimal harm

8. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-07 · Health · corrected 2025-01-21

   Potential for more than minimal harm

9. DF0625Notify 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.2024-12-07 · Health · corrected 2025-01-21

   Potential for more than minimal harm

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

13. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

14. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

15. DF0758Implement 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.2024-12-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

16. EF0761Ensure 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.2024-12-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

17. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-11-05 · Health · corrected 2024-08-21

    Potential for more than minimal harm

18. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

19. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

20. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

21. DF0578Honor 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.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

22. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

23. EF0584Honor 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.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

24. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

27. DF0730Observe each nurse aide's job performance and give regular training.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

28. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

29. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

30. DF0758Implement 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.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

31. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

32. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

33. EF0880Provide and implement an infection prevention and control program.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

34. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-06-28 · Health · corrected 2024-08-17

    Potential for more than minimal harm

35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-31 · Health · corrected 2024-07-13

    Potential for more than minimal harm

36. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-31 · Health · corrected 2024-07-13

    Immediate jeopardy

37. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-31 · Health · corrected 2024-07-13

    Immediate jeopardy

38. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-31 · Health · corrected 2024-07-13

    Immediate jeopardy

39. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-31 · Health · corrected 2024-07-13

    Immediate jeopardy

40. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-31 · Health · corrected 2024-07-13

    Potential for more than minimal harm

41. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-31 · Health · corrected 2024-07-13

    Potential for more than minimal harm

42. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-31 · Health · corrected 2024-07-13

    Potential for more than minimal harm

43. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-27 · Health · corrected 2024-04-17

    Actual harm

44. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

45. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-02-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

46. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

47. FF0727Have 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.2024-02-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

48. EF0761Ensure 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.2024-02-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

49. DF0880Provide and implement an infection prevention and control program.2024-02-27 · Health · corrected 2024-04-17

    Potential for more than minimal harm

50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-01 · Health · corrected 2024-03-22

    Potential for more than minimal harm

51. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-01 · Health · corrected 2024-03-22

    Potential for more than minimal harm

52. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-01 · Health · corrected 2024-03-22

    Potential for more than minimal harm

53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-01 · Health · corrected 2024-05-08

    Potential for more than minimal harm

54. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-01 · Health · corrected 2024-05-08

    Potential for more than minimal harm

55. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-02-01 · Health · corrected 2024-03-22

    Potential for more than minimal harm

56. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-02-01 · Health · corrected 2024-05-08

    Potential for more than minimal harm

57. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

58. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

59. FF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

60. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

61. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

62. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

63. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-08 · Health · corrected 2024-01-23

    Potential for more than minimal harm

64. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-11-08 · Health · corrected 2023-12-28

    Actual harm

65. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-08 · Health · corrected 2024-01-23

    Potential for more than minimal harm

66. EF0727Have 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.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

67. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-08 · Health · corrected 2023-12-28

    Potential for more than minimal harm

68. DF0610Respond appropriately to all alleged violations.2023-10-23 · Health · corrected 2023-12-11

    Potential for more than minimal harm

69. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-10-23 · Health · corrected 2023-12-11

    Potential for more than minimal harm

70. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-23 · Health · corrected 2023-12-11

    Potential for more than minimal harm

71. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-06-20 · Health · corrected 2023-08-09

    Potential for more than minimal harm

72. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-20 · Health · corrected 2023-08-09

    Potential for more than minimal harm

Ownership

Other facilities in MEDFORD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.