The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: G
Nursing home report
Hilltop Health and Rehabilitation
Rutherfordton, NC · Medicare-certified · 80 beds
In good standing
For-profitChain member
4 of 5 overall
Hilltop Health and Rehabilitation has an overall rating of 4 out of 5 stars, with a 4-star health inspection rating but weaker 2-star staffing and quality measures ratings. Reported nurse staffing is 3.18 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.179 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.179.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.02
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 30%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.9%Improving
Residents with a fall causing major injury
4.2%Improving
Residents with pressure ulcers (bedsores)
6%Improving
Residents with a urinary tract infection
3.9%Improving
Residents who lost too much weight
13.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6%Improving
Residents whose ability to walk got worse
6.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
37.7%Worsening
Short-stay residents newly given an antipsychotic
3.1%Improving
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
26.7%Improving
Residents with depressive symptoms
3.4%Worsening
Long-stay residents given the seasonal flu vaccine
80.8%Steady
Long-stay residents given the pneumonia vaccine
75.3%Improving
Short-stay residents given the seasonal flu vaccine
73%Steady
Short-stay residents given the pneumonia vaccine
84.6%Improving
What the inspectors found
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The home failed to provide activities that met all residents’ needs. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 679 — 42 CFR §483.24 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,530 in total fines.
- $7,530
Federal fine
Sep 13, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ASCENT HEALTHCARE MANAGEMENT · 6 homes · 2.3 stars avg
- Occupancy
- 74.6 residents on an average day (93% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.