Nursing HomeInspections

Hilltop Health and Rehabilitation

Nursing home in Rutherfordton, NC

Medicare & Medicaid certified3★ overall (CMS)

Call (828) 286-9001Send a messageMap ↗

Public-record details

Address
188 Oscar Justice Road, Rutherfordton, NC 28139
Phone
(828) 286-9001
Listed under
For-profit
Medicare CCN
345083
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
80
Average residents per day
73
Ownership
For-profit, limited Liability company
Legal business name
Rutherfordton Nc Opco LLC
Chain
Ascent Healthcare Management (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 13, 1972
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345083. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 12, 2026. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 13, 2023 to Mar 12, 2026): 1 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 12, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 12, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jan 9, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jan 9, 2025Provide activities to meet all resident's needs.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Sep 13, 2023Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
D
Potential for more than minimal harm, isolated
Sep 13, 2023Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Sep 13, 2023Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Sep 13, 2023Ensure that residents are free from significant medication errors.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Sep 13, 2023Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Sep 13, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Sep 13, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
G
Actual harm, isolated
Sep 13, 2023Reasonably accommodate the needs and preferences of each resident.
Resident Rights
G
Actual harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $7,530 in the last three years.

Sep 13, 2023Fine: $7,530

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.05 hours
Registered nurse (RN) time per resident per day
0.34 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
2.71 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
44%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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