Hillside Manor Nursing Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure adequate supervision was provided to prevent a resident with a history of exit-seeking behavior and elopement from exiting the facility and leaving the property for 1 of 1 resident reviewed for elopement. This deficient practice resulted in an elopement that occurred on the evening of August 30, 2025. The resident was located with the assistance of the local police department, approximately 0.6 miles from the nursing facility, hiding behind an air conditioning unit near the intersection of National Highway and State Road 57. […]

• Actual harm, isolatedF686May 19, 2026

  Based on interview and record review, the facility failed to ensure residents did not develop new pressure ulcers and ensure services were provided for treatment of pressure ulcers for 2 of 3 residents reviewed for pressure ulcers (Resident B and Resident C). Resident B developed a Stage III pressure ulcer, and routine wound care orders were not followed. Full wound assessments were not completed routinely, and wound treatments were not documented as completed. Findings include:1. A record review on 5/18/26 at 10:30 A.M., indicated Resident B's diagnoses included, but were not limited to acquired absence of right and left leg below knee, type II diabetes, and peripheral vascular disease (PVD). […]

• No harm, potential for more than minimal, widespreadF727Dec 10, 2025

  Based on interview and record review, the facility failed to ensure a registered nurse was serving as the Director of Nursing (DON) on a full time basis (40 hours per week) for 1 of 1 DON reviewed. The facility had an interim DON that was not working on a full-time basis. (DON)Finding includes:On 12/8/25 at 1:00 P.M., the employee records were reviewed and indicated the DON was interim. On 12/10/25 at 9:54 A.M., the Administrator provided copies of the posted nurse staffing form from 11/1/25 through 12/7/25 which indicated the DON worked the following hours per week:November 1-7=36 hoursNovember 8-14=36 hoursNovember 15-21=34 hoursNovember 22-30=31 hours December 1-7=39 hours The facility assessment, last revised 11/26/25, indicated facility staff would include 1 full-time DON. […]

• No harm, potential for more than minimal, widespreadF728Dec 10, 2025

  Based on interview and record review, the facility failed to ensure staff were certified to fill the role of a Certified Nurse Aide (CNA) for 1 of 5 CNA licenses reviewed. An employee was working as a CNA without being certified. (CNA 24)Finding includes: On 12/8/25 at 1:00 P.M., the employee records were reviewed. There was not a license found on CNA 24. She was hired 8/28/24 and her 120 days would have been up 12/26/24.During an interview on 12/9/25 at 9:50 A.M., the Administrator provided a certificate of completion for the 105 hour nurse aide training from the Indiana State Department of Health and said that was what was provided to them. […]

• No harm, potential for more than minimal, widespreadF801Dec 10, 2025

  Based on interview and record review, the facility failed to ensure appropriate certification of the Kitchen Manager for 1 of 1 employee identified as Kitchen Manager. The current Kitchen Manager was not certified in food safety or food service management. (Kitchen Manager)Finding includes:On 12/1/25 at 9:50 A.M., the Kitchen Manager indicated she did not have a certification in kitchen management. She indicated she started in the facility about 3 months ago and had experience in the kitchen, but did not have any type of certification. On 12/10/25 at 12:10 P.M., the Administrator indicated the Kitchen Manager was hired on 9/16/25. She indicated the plan was to train in the kitchen first, then obtain certification the first of the year. […]