Hilltop Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Hilltop Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF809Mar 19, 2026

  Based on a review of the facility's meal schedule, and resident and staff interview, it was determined that the facility failed to ensure that meals were served at regularly scheduled times on the nursing unit. Findings include: The facility's policy for meal distribution, dated June 26, 2025, reported that meals are transported to the dining locations in a manner that ensures proper temperature maintenance, protects against contamination, and are delivered in a timely and accurate manner. Review of the facility's tray delivery logs revealed that lunch meals to be delivered to the B wing at 11:55 a.m., C wing at 12:10 p.m., main dining room at 12:20 p.m., D wing at 12:30 p.m., and A wing at 12:40 p.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 1, 2024

  Based on review of policies, as well as observations and staff interviews, it was determined that the facility failed to serve and store food in accordance with professional standards for food service safety by failing to ensure that outdated or expired food was removed from the refrigerator and failing to ensure that dietary staff wore hair coverings that completely covered their hair during food handling. Findings include: Observations in the main cooler on [DATE], at 9:09 a.m. revealed a container of strawberries with a white substance (mold) all over them. Interview with the Dietary Director on [DATE], at 9:09 a.m. […]

• No harm, potential for more than minimal, patternF803Mar 19, 2026

  Based on facility policies and observations, as well as staff and resident interviews, it was determined that the facility failed to ensure that dietary staff served the appropriate planned portion sizes. Findings include: The facility's policy regarding food quality and palatability, dated June 26, 2025, revealed that menu items are prepared according to the menu, production guidelines, and standardized recipes. The posted lunch menu outside of the main dining room for February 18, 2026, indicated that residents had a choice of ham or chicken. Review of the facility's dietary guide sheet for the lunch menu on March 18, 2026, revealed that the portion of honey glazed ham was to be 3-ounces. […]

• No harm, potential for more than minimal, patternF804Mar 19, 2026

  Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to serve palatable food that was at appropriate temperatures and consistencies.Findings include: The facility's policy regarding food preparation, dated June 26, 2025, stated all foods are prepared in accordance with the Food and Drug Administration Food Code. All foods will be held at appropriate temperatures, greater than 135 degrees Fahrenheit (F) for hot holding and less than 41 degrees F for cold food holding. The facility's policy regarding food quality and palatability, dated June 26, 2025, stated food will be prepared by methods that conserve nutritive value, flavor, and appearance. Food will be palatable, attractive, and served at a safe and appetizing temperature. […]

• No harm, potential for more than minimal, patternF684Dec 11, 2025

  Based on clinical record reviews and staff interviews, it was determined that the facility failed to administer medications as ordered by the physician for three of 36 residents reviewed (Residents 11, 13, 124). Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 11, dated November 12, 2025, revealed that the resident was cognitively impaired, required assistance from staff for daily care needs and had diagnoses that included coronary artery disease (a disease that limits blood flow to the heart caused by plaque buildup in the arteries) and orthostatic hypotension (low blood pressure when standing quickly). […]