Hilltop Healthcare and Rehabilitation Center in Altoona has a 2-star overall rating, with a 2-star health inspection rating and staffing below the federal benchmark (3.47 vs. 4.1 hours per resident per day). It has no fines in the last 24 months and a stronger 4-star quality measures rating.
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4711.
Staffing detail
Registered nurses
0.50
Licensed practical nurses
0.83
Nurse aides
2.14
Weekend nursing
3.20
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 36%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.7%Improving
Residents with a fall causing major injury
3.3%Worsening
Residents with pressure ulcers (bedsores)
4.4%Improving
Residents with a urinary tract infection
4.6%Worsening
Residents who lost too much weight
4.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25.8%Worsening
Residents whose ability to walk got worse
21.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.7%Worsening
Short-stay residents newly given an antipsychotic
0.6%Steady
Residents with a long-term catheter
4.2%Improving
Residents with new or worsening incontinence
28.4%Improving
Residents with depressive symptoms
10.1%Steady
Long-stay residents given the seasonal flu vaccine
88.8%Steady
Long-stay residents given the pneumonia vaccine
99.1%Worsening
Short-stay residents given the seasonal flu vaccine
57.6%Steady
Short-stay residents given the pneumonia vaccine
81.1%Improving
What the inspectors found
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — 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 4 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
For profit - Individual
Chain
Part of ABRAHAM SMILOW · 7 homes · 1.6 stars avg
Occupancy
106.7 residents on an average day (80% of 133 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 48 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.