Hillside Heights Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Hillside Heights Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF806Aug 30, 2024

  Based on observation, interview and record review it was determined the facility failed to ensure a system was in place to honor resident food preferences for 4 of 4 sampled residents (#s 17, 19, 21, and 37) reviewed for dietary needs. This placed residents at risk for unmet nutritional needs and lessened quality of life. 1. Resident 17 was admitted to the facility in 2016 with diagnoses including diabetes. On 8/27/24 at 10:36 AM Resident 17 stated she/he was not given a menu to select her/his preferred meals. On 8/29/24 at 10:38 AM Staff 22 (CNA) stated about one month ago the facility stopped providing residents with a menu to choose between the main or alternate meal. […]

• No harm, potential for more than minimal, widespreadF812Aug 30, 2024

  Based on observation and interview it was determined the facility failed to ensure the kitchen was cleaned, failed to ensure food was stored appropriately and discarded in a timely manner, and failed to monitor refrigerator temperatures for 1 of 1 kitchen and 1 of 2 refrigerators reviewed for sanitary conditions. This placed residents at risk for foodborne illness. Findings include: 1. On 8/26/24 at 9:29 AM during the initial tour of the kitchen the following was observed: a. Walk-in refrigerator: -A plastic container with pickle spears, opened and undated. -A cardboard box containing bananas that were dark brown in color. -A stick of margarine, open to air and undated. -Food crumbs, brown splatters, and various small debris on the floor throughout the walk-in refrigerator. b. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2023

  Based on observation, interview and record review it was determined the facility failed to ensure the kitchen was cleaned and standard food safety practices were followed for 1 of 1 kitchen. This placed residents at risk for food borne illnesses. Findings include: 1. On 3/20/23 at 10:54 AM the kitchen was toured and the following was observed: -Shelves containing spices and random small cooking tools were unfinished and had a greasy brown film on the surface. The ceiling around the spice area had brown splatters. -Drips of brown debris were located along the edge of the steam table. -The back splash of the grill had large splashes of thick brown and black streaks. -The inside of the microwave contained splatters of food debris and the microwave door had metal that was chipped. […]

• No harm, potential for more than minimal, widespreadF880Mar 4, 2022

  Based on observation, interview and record review it was determined the facility failed to appropriately handle PPE (personal protective equipment) based on infection control standards for COVID-19 for 3 of 3 facility halls and failed to handle tube feeding equipment in a sanitary manner for 1 of 2 residents reviewed for tube feeding. This placed residents at risk for contracting COVID-19 and cross contamination. Finding include: According to CDC guidance: Face shields should be disinfected and stored in plastic containers or plastic bags and face masks if reused during crisis PPE shortage should be stored separately and in paper bags. […]

• No harm, potential for more than minimal, patternF761Jan 30, 2026

  Based on observation, interview, and record review it was determined the facility failed to ensure proper labeling of biologicals for 2 of 3 treatment carts reviewed for medication storage and failed to ensure treatment carts were properly secured during a random observation. This placed residents at risk for reduced efficacy of medication and unauthorized access to medications. Findings include:1. On 1/28/26 observations were made from 11:21 AM to 11:31 AM of the treatment cart on the west hall near the nurses' station, it was left unlocked and unattended.On 1/28/26 at 11:31 AM Staff 8 (LPN) acknowledged the treatment cart was left unlocked and unattended and contained insulin and other treatments.2. […]