Hillsboro House Nursing Home

In the surveyor’s words

From the most serious findings on record at Hillsboro House Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 27, 2026

  Based on observation, interview and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety.Findings include:Observation on 4/27/26 at approximately 12:00 p.m. with Staff A (Executive Director) revealed the following unsanitary conditions in the main kitchen:a build up of a white substance on the floor to the left side of the dishwasher;a wet hand towel on the floor under the left corner of the dishwasher;a wet washcloth on the floor under the right corner of the dishwasher;a large amount of debris on the floor under the rinse sink;a pink container filled three quarters full of a cloudy liquid sitting under the drain under the rinse sink;an area missing the laminate flooring directly in front of the rinse sink,… […]

• No harm, potential for more than minimal, widespreadF880Sep 5, 2024

  Based on interview and record review, it was determined that the facility failed to develop and implement a comprehensive infection control guideline for facility water management that had the potential to effect the facility census of 26 residents who resided at the facility. Findings include: Review on 9/5/24 of the Facility Water Management Program with a revised date of 1/2024 revealed strategies for water management to be annual testing for legionella and weekly flushing of vacant rooms. Further review revealed no description of water flow, schematic, or map of plumbing or identified areas of concern available. Interview on 9/5/24 at approximately 11:00 a.m. […]

• No harm, potential for more than minimal, patternF554Sep 5, 2024

  Based on observation, record review, and interview, it was determined that the facility failed to determine clinical appropriateness of self-administration of medications for 2 of 4 residents reviewed for choices in a final sample of 13 residents (Resident Identifiers are #19 and #22). Findings include: Resident #19 Observation on 9/5/24 at approximately 8:30 a.m. in Resident #19's room revealed 5 pills in a small coaster on Resident #19's tray table. Interview on 9/5/24 at approximately 8:30 a.m. with Resident #19 revealed that the pills were his/her morning medications and that the nurse leaves the pills for him/her to take everyday. […]

• No harm, potential for more than minimal, patternF801Sep 5, 2024

  Based on interview, it was determined that the facility failed to ensure the food service director met minimum qualifications. Findings include: Interview on 9/5/24 at approximately 11:30 a.m. with Staff C (Administrator) revealed that the dietician is part-time and that Staff C was the food service director. Staff C confirmed that he/she had been the food service director for years and had not completed a course of study in food safety and management.

• No harm, potential for more than minimal, patternF812Sep 5, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that dishes were sanitized according to manufacturer's instruction for food services safety in the main kitchen. Findings include: Review on 9/4/24 of the facility's 2024 dishwasher temperature logs from August to September revealed that the facility documented one temperature per day. The temperatures ranged between 160 to 176 degrees Fahrenheit. The log did not indicate what an acceptable range would be or if the temperature was taken during wash or rinse cycle. Interview on 9/4/24 at approximately 10:45 a.m. with Staff E (Lead Cook) revealed that the above log temperatures were for wash cycle only. Staff E did not know the acceptable temperatures for wash and rinse cycle. […]