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Hilltop Health and RehabilitationCMS ratings, inspections and fines

Address
188 Oscar Justice Road, Rutherfordton, NC 28139
CCN
345083
Ownership type
For-profit, limited liability company
Certified beds
80
Residents per day
73
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating4 of 5
Staffing rating1 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Hilltop Health and Rehabilitation an overall rating of 3 of 5 stars. The last standard survey was on 12 Mar 2026. The latest survey cycle has 2 health citations. The median for nursing homes in North Carolina is 3. CMS lists 1 fine of $7,530 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Hilltop Health and Rehabilitation, with medians
Rating (1 to 5 stars)This homeRutherford County medianNorth Carolina medianUS average (CMS)
Overall rating34.03.03.0
Health inspection rating44.03.02.8
Staffing rating13.03.02.9
Quality measure rating43.03.03.6

A median is the middle value of the homes in the group: 5 homes in the county, 419 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Hilltop Health and Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsNorth Carolina median
Cycle 1 (latest)12 Mar 202623
Cycle 29 Jan 202525
Cycle 3No date86

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 12 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 2 citations

Standard survey of this cycle: .

Health citations of Hilltop Health and Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Mar 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey1 Apr 2026
12 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey1 Apr 2026

Survey cycle 2: 2 citations

Standard survey of this cycle: .

Health citations of Hilltop Health and Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
9 Jan 2025F0679Provide activities to meet all resident's needs.EStandard survey22 Jan 2025
9 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey22 Jan 2025

Survey cycle 3: 8 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Hilltop Health and Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
13 Sep 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint investigation18 Sep 2023
13 Sep 2023F0558Reasonably accommodate the needs and preferences of each resident.GStandard survey18 Sep 2023
13 Sep 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey18 Sep 2023
13 Sep 2023F0760Ensure that residents are free from significant medication errors.EStandard survey18 Sep 2023
13 Sep 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey18 Sep 2023
13 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Sep 2023
13 Sep 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey18 Sep 2023
13 Sep 2023F0880Provide and implement an infection prevention and control program.DStandard survey18 Sep 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Hilltop Health and Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
13 Sep 2023Fine$7,530

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Hilltop Health and Rehabilitation
StaffThis homeNorth Carolina medianNorth Carolina average (CMS)
All nurse staff3.053.503.83
Registered nurses (RN)0.340.500.61
Licensed practical nurses (LPN)0.740.89
Nurse aides1.962.34
All nurse staff, weekends2.713.103.40
Nurse staff turnover in a year
61.0%
Nurse staff turnover, North Carolina median
48.6%
RN turnover in a year
44.4%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Hilltop Health and Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.6%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.5%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.5%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.7%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.6%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.2%13.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Rutherfordton NC Opco LLC
Chain
Ascent Healthcare Management (6 homes in the CMS chain file)

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Rutherford County

The 4 nearest other nursing homes in Rutherford County, North Carolina
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Oak Grove HealthcareRutherfordton4 of 51$03 Dec 2025
Willow Ridge of NCRutherfordton2 of 55$146,93919 Mar 2026
Fair Haven of Forest City, LLCForest City4 of 53$02 Apr 2026
Fair Haven Home IncBostic5 of 51$08 Jul 2025

All 5 nursing homes in Rutherford County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Hilltop Health and Rehabilitation (CCN 345083). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hilltop-health-and-rehabilitation-rutherfordton-nc-345083/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Hilltop Health and Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 12 Mar 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 9 Jan 2025.
Who operates Hilltop Health and Rehabilitation?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Ascent Healthcare Management. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Hilltop Health and Rehabilitation a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.