F

Hilltop Health and Rehabilitation

188 Oscar Justice Road, Rutherfordton, NC 28139
Score: 32 / 100

With a score of 32/100, Hilltop Health And Rehabilitation ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Hilltop Health And Rehabilitation, with 3.37 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 14 deficiencies at Hilltop Health And Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide activities to meet all resident's needs..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.37 3.8 Below Average
Registered Nurses (RN) 0.40 0.7 Below Average
Licensed Practical Nurses (LPN) 0.81 0.7 Above Average
Certified Nursing Assistants (CNA) 2.15 2.4 Below Average
Weekend Total Nursing 2.85 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Jan 8, 2025
Most Recent Inspection
🟠 12 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0679 Severity E
    Provide activities to meet all resident's needs.
    Jan 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jan 8, 2025 · Infection Control Deficiencies
  • Tag 0558 Severity G
    Reasonably accommodate the needs and preferences of each resident.
    Sep 12, 2023 · Resident Rights Deficiencies
  • Tag 0550 Severity G
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 12, 2023 · Resident Rights Deficiencies
  • Tag 0756 Severity E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo
    Sep 12, 2023 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.7% 4.5% Worse
Falls with major injury 4.8% 3.0% Worse
On antipsychotic medication 18.9% 14.5% Worse
Urinary tract infections 3.7% 2.5% Worse
ADL decline (daily activities) 9.7% 14.0% Better
Excessive weight loss 12.7% 7.5% Worse
New/worsened incontinence 30.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $25,812

How This Grade Was Calculated

This facility's grade of F is based on a score of 32 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
80
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 8, 2025
Deficiencies (Cycle 1)
2