Hearthstone Nursing & Rehabilitation Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
8 stated she did not know why Resident 1 was allowed to leave the facility.On [DATE REDACTED] at approximately 3:30 PM, Staff 3 (LPN, Assistant DON) verified on [DATE REDACTED] 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 REDACTED] elopement, she believed Resident 1's previous guardianship papers had expired.On [DATE REDACTED] at 3:49 PM, Staff 28 (CNA) stated Resident 1 was not safe to be in the community by herself/himself.On [DATE REDACTED] at 3:53 PM, Staff 29 (LPN Unit Manager) stated Resident 1 left AMA on [DATE REDACTED] and [DATE REDACTED] and allowing the resident to leave AMA was a misunderstanding.On [DATE REDACTED] at 4:00 PM, Staff 7 (RN) stated when Resident 1 left AMA on [DATE REDACTED], 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 REDACTED] at 5:05 PM, Staff 1 (Administrator), Staff 2 (DON), and Staff 4 (Regional RN) verified Resident 1 left the faciity on [DATE REDACTED] and [DATE REDACTED].
Event ID:
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If continuation sheet
HEARTHSTONE NURSING & REHABILITATION CENTER in MEDFORD, OR inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MEDFORD, OR, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HEARTHSTONE NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.