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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.