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
Nursing home report
Hilltop Health and Rehabilitation
Rutherfordton, NC · Medicare-certified · 80 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Hilltop Health and Rehabilitation has an overall rating of 3 out of 5 stars. It has a 1-star staffing rating, with reported nurse staffing of 3.05 hours per resident per day versus the federal benchmark of 4.1, while its health inspection and quality measures ratings are both 4 stars and it had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0462 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 3.0462.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.74
- Nurse aides
- 1.96
- Weekend nursing
- 2.71
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19.2%9.1%Improving
Residents with a fall causing major injury
4.2%2.9%Improving
Residents with pressure ulcers (bedsores)
6.4%3.3%Improving
Residents with a urinary tract infection
2.8%2.9%No change
Residents who lost too much weight
13.8%12.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.8%9.4%Worsening
Residents whose ability to walk got worse
3.8%9.4%Worsening
Long-stay residents on antianxiety or sleep medication
36.2%44.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
25.7%23.7%Improving
Residents with depressive symptoms
1.6%3.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—80.8%—
Long-stay residents given the pneumonia vaccine
68.1%84.3%Improving
Short-stay residents given the seasonal flu vaccine
—73%—
Short-stay residents given the pneumonia vaccine
84.2%75.5%Worsening
What the inspectors found
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
The home failed to provide activities that met all residents’ needs. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
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.
View the original federal record
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
Recent ownership change · Jan 1, 2024
Now operated by Rutherfordton Nc Opco LLC, previously Accordius Health at Rutherford LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ASCENT HEALTHCARE MANAGEMENT · 6 homes · 2.3 stars avg
- Occupancy
- 72.8 residents on an average day (91% 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.