Hearthstone Nursing & Rehabilitation Center
HEARTHSTONE NURSING & REHABILITATION CENTER in MEDFORD, OR — inspection on November 25, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
8 stated she did not know why Resident 1 was allowed to leave the facility.On [DATE] at approximately 3:30 PM, Staff 3 (LPN, Assistant DON) verified on [DATE] she allowed Resident 1 to leave AMA and did not call the guardian's emergency number to notify the guardian of the situation but instead left a voice message on her main number.
Staff 3 stated at the time of the [DATE] elopement, she believed Resident 1's previous guardianship papers had expired.On [DATE] at 3:49 PM, Staff 28 (CNA) stated Resident 1 was not safe to be in the community by herself/himself.On [DATE] at 3:53 PM, Staff 29 (LPN Unit Manager) stated Resident 1 left AMA on [DATE] and [DATE] and allowing the resident to leave AMA was a misunderstanding.On [DATE] at 4:00 PM, Staff 7 (RN) stated when Resident 1 left AMA on [DATE], there was no stopping her/him.
Staff 7 stated he attempted to notify the guardian's primary number and not the emergency number because he was unaware there were additional contact numbers to reach the guardian.
Staff 7 stated he did not call the police as he felt the resident was alert and oriented and was not aware the resident was not allowed to leave the facility. On [DATE] at 5:05 PM, Staff 1 (Administrator), Staff 2 (DON), and Staff 4 (Regional RN) verified Resident 1 left the faciity on [DATE] and [DATE].
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