Deficiency Index

Hilltop Heights Health & Rehab Center

Johnstown, Pennsylvania · CCN 395812

64 surveys since 2011. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
332
Surveys
64
Harm or worse
4
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file46/64

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Corporation
Chain
SABER HEALTHCARE GROUP
County
Cambria
Medicare-certified since
1989

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 132 for-profit facilities of 100–127 beds in Pennsylvania.

Last survey on record

Jun 1, 2026

161 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.303.42
Registered-nurse hours per resident day0.52—
Annual nurse turnover56.2%47.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD5267.5%E2026.0%F22.6%
No harm, potential for minimalA—B33.9%C—
CMS’s current file: 77 of the 332 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8126×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6845×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6574×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6583×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Hilltop Heights Health & Rehab Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Mar 15, 2023

    Based on review of established infection control guidelines, the facility's documents, and residents' clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of communicable infections, by failing to follow infection control guidelines from the Centers for Disease Control (CDC) and the Pennsylvania Department of Health (PA DOH) to reduce the spread of infections and prevent cross-contamination during the COVID-19 pandemic for 12 of 18 residents reviewed (Residents 1, 6, 7, 8, 9, 10, 13, 14, 15, 16, 17, 18). […]

  • Actual harm, isolatedF689May 4, 2023

    Based on review of the facility's policies, investigation documents, residents' clinical records, and information provided by the facility, as well as staff interviews, it was determined that the facility failed to ensure that a safe environment was provided when receiving hot beverages by not following the facility's policy for one of 10 residents reviewed (Resident 2) resulting in a second-degree burn (includes blisters, a darker tone and a shiny, moist appearance). This deficiency was cited as past non-compliance. Findings include: The facility's policy regarding hot beverage temperatures, dated January 2023, indicated that all hot beverages will be prepared by the dietary department. Hot beverages will not be prepared by nursing or other ancillary staff. […]

  • No harm, potential for more than minimal, widespreadF812Nov 13, 2025

    Based on review of policies, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food under sanitary conditions. Findings include:The facility's policy for kitchen sanitation and cleaning, dated August 18, 2025, revealed that the food and nutrition services staff would maintain the sanitation of the kitchen.Observations in the main kitchen on November 13, 2025, at 09:54 a.m. revealed that eighteen out of eighteen coffee mugs as well as three coffee and two water pitchers had loose food particles and a removable brown film inside; six out of ten white dinner plates examined were noted to have a dried on egg and cheese substance on the face of the plate; three out of twenty clear plastic drinking glasses had food particles and grime… […]

  • No harm, potential for more than minimal, widespreadF812May 14, 2025

    Based on observations and staff interviews, it was determined that the facility failed to ensure that food was served under sanitary conditions in accordance with professional standards for food service safety. Findings include: Observations in the facility's kitchen area on May 12, 2025, at 9:30 a.m. revealed a garbage can near the employee sink that was overflowing with garbage and a brown, removable substance streaked across the floor beside that garbage can. A garbage can near the dietary department entrance in the hallway was overflowing with garbage and an individual-sized syrup container was opened and spilled on the floor near a nonfunctioning upright cooler in the same area. A dirty glove was observed on the floor near two garbage cans in the cooking prep area. […]

  • No harm, potential for more than minimal, patternF812Mar 4, 2026

    Based on review of policies, as well as observations and staff interviews, it was determined that the facility failed to maintain the sanitation of the kitchen regarding thermal coffee mugs. Findings include:The facility's policy for kitchen sanitation and cleaning, dated August 18, 2025, revealed that the food and nutrition services staff would maintain the sanitation of the kitchen.Observations in the main kitchen on March 4, 2026, at 09:16 a.m. revealed that 25 out of 39 maroon and/or black thermal coffee mugs observed had a moderate to large blackish brown removable substance inside. […]

Read 24 findings in full →The most serious and the most recent: 24 of 332 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 1, 2026Complaint1 finding
  • Mar 4, 2026Complaint3 findings
  • Jan 8, 2026Standard and complaint12 findings
  • Nov 13, 2025Complaint1 finding
  • Aug 11, 2025Complaint3 findings
  • Jun 12, 2025Complaint3 findings
  • May 14, 2025Complaint5 findings
  • Mar 27, 2025Complaint3 findings
Show the 56 earlier surveys
  • Dec 12, 2024Standard and complaint24 findings
  • Oct 21, 2024Complaint1 finding
  • Sep 19, 2024Complaint3 findings
  • Aug 28, 2024Complaint2 findings
  • Jun 19, 2024Complaint1 finding
  • Feb 23, 2024Complaint2 findings
  • Jan 18, 2024Standard9 findings
  • Dec 27, 2023Complaint1 finding
  • Sep 19, 2023Complaint1 finding
  • Aug 8, 2023Complaint2 findings
  • May 4, 2023Complaint2 findings · 1 harm
  • Mar 15, 2023Infection control2 findings · 1 harm
  • Mar 3, 2023Complaint2 findings
  • Feb 2, 2023Standard14 findings
  • Aug 31, 2022Complaint1 finding
  • Mar 3, 2022Standard8 findings
  • Nov 10, 2021Complaint1 finding
  • Sep 27, 2021Complaint1 finding
  • Sep 2, 2021Standard14 findings
  • Mar 25, 2021Standard15 findings
  • Jan 4, 2021Complaint3 findings
  • Nov 26, 2020Infection control5 findings · 1 harm
  • Nov 13, 2020Infection control1 finding
  • Oct 21, 2020Complaint1 finding
  • Sep 17, 2020Complaint2 findings
  • Sep 3, 2020Complaint2 findings
  • Jul 21, 2020Complaint6 findings
  • Mar 10, 2020Complaint6 findings
  • Feb 5, 2020Complaint5 findings
  • Jul 12, 2019Standard and complaint37 findings
  • May 23, 2019Complaint1 finding
  • Dec 7, 2018Complaint4 findings
  • Sep 21, 2018Complaint1 finding
  • Aug 3, 2018Standard and complaint28 findings
  • Jan 29, 2018Complaint3 findings
  • Sep 7, 2017Complaint3 findings · 1 harm
  • Aug 17, 2017Complaint4 findings
  • Jul 13, 2017Standard5 findings
  • Mar 21, 2017Complaint3 findings
  • Sep 18, 2016Complaint4 findings
  • Aug 8, 2016Complaint1 finding
  • Jul 28, 2016Standard15 findings
  • Jul 13, 2016Complaint4 findings
  • Apr 28, 2016Complaint2 findings
  • Apr 13, 2016Complaint4 findings
  • Mar 18, 2016Complaint7 findings
  • Aug 6, 2015Standard9 findings
  • Mar 26, 2015Complaint2 findings
  • Jul 31, 2014Standard10 findings
  • Nov 25, 2013—1 finding
  • Aug 28, 2013—7 findings
  • Apr 3, 2013—1 finding
  • May 3, 2012—1 finding
  • Aug 4, 2011—4 findings
  • Apr 15, 2011—2 findings
  • Mar 30, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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