Hilltop Manor Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF925Aug 3, 2023

  Based on observations, resident and staff interviews, and facility policy review the facility failed to maintain an effective pest control program to prevent flying insects for four (4) of four (4) survey days. Findings Included: Record review of the facility policy titled Pest Control with an effective date of 11/30/2014 revealed under, Policy: The facility will maintain a pest control program, which includes inspection, reporting, and prevention. Also revealed under, Procedure: . 3. Treatment will be rendered as required to control insects and vermin. 4. Any unusual occurrence or sighting of insects should be reported immediately to the Supervisor (See policy- Maintenance Repair Request Form). Proper action will be taken . […]

• No harm, potential for more than minimal, widespreadF812Jan 6, 2022

  Based on observations, staff interviews, record review and facility policy review, the facility failed to provide a safe and clean environment for preparation and storage of food and ice for two (2) of three (3) kitchen tours. Findings include: Review of the facility policy titled, Equipment, revised 9/2017, revealed all food service equipment will be clean, sanitary, and in proper working order. All food contact equipment will be cleaned and sanitized after each use. All non-food contact equipment will be clean and free of debris. An observation of the kitchen on 01/4/22 at 10:05 AM, during the initial tour, revealed two (2) pitchers of tea and eight (8) glasses of milk in the refrigerator not dated. […]

• No harm, potential for more than minimal, widespreadF880Jan 6, 2022

  Based on observation, staff interviews, record review and facility policy review the facility failed to prevent the possible spread of infection as evidenced by failure to conduct hand hygiene during meal tray distribution and properly clean and disinfect a multiple use blood pressure cuff and an oxygen saturation monitor in between uses. This occurred on two (2) of (2) hallways. Findings Include: Review of the facility's policy titled, Infection Control, with a revision date of October 2018 revealed under the policy statement, This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections. […]

• No harm, potential for more than minimal, patternF565Aug 13, 2026

  Based on interviews, record review, and facility policy review the facility failed to act upon and resolve repeated Resident Council grievances related to food quality, staff attitudes, unanswered call lights, delayed assistance with care, housekeeping services, and the availability of ice water for eight (8) of 12 residents in the Resident Council meeting. Resident #13, Resident #15, Resident #17, Resident #23, Resident #32, Resident #38, Resident #41, and Resident #49 Findings Include:Review of the facility policy titled Resident and Family Grievances revised 11/14/25 revealed under, Policy: It is the policy of this facility to support each resident's and family member's right to voice grievances without discrimination, reprisal or fear of discrimination or reprisal .Policy Explanation… […]

• No harm, potential for more than minimal, patternF689Aug 13, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to provide a safe smoking environment by failing to ensure protective smoking aprons were worn during smoking activities for two (2) residents reviewed for smoking safety (Resident #4 and Resident #45) for three (3) of four (4) smoking activities observed. Findings Include:Record review of the facility policy titled, Policies and Procedures under Subject: Smoking-Supervised with an effective date of 6/1/2025 revealed, The Center will provide a safe, designated smoking area for residents.The Center will have safety equipment safety equipment available in designated smoking areas including; .smoking aprons . 2. […]