Nursing Home Alerts

Hilltop Health and Rehabilitation

188 Oscar Justice Road, Rutherfordton, NC 28139

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Hilltop Health and Rehabilitation is a nursing home in Rutherfordton, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 4 of 5.

  2. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  3. Health inspection on March 12, 2026

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure 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.

      CMS lists it as corrected on April 1, 2026.

      CMS has cited this home for F0761 2 times since 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on April 1, 2026.

    See this home on CMS Care Compare

  4. Fire safety inspection on March 12, 2026

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on July 31, 2026.

      CMS has cited this home for K0161 2 times since 2023.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on July 31, 2026.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on July 31, 2026.

    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on July 31, 2026.

      CMS has cited this home for K0511 2 times since 2025.

    See this home on CMS Care Compare

  5. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  6. CMS update of November 20, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  8. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  9. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  10. Health inspection on January 9, 2025

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on January 22, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 22, 2025.

      CMS has cited this home for F0880 2 times since 2023.

    See this home on CMS Care Compare

  11. Fire safety inspection on January 9, 2025

    8 citations

    CMS lists this as a standard inspection.

    Show the 8 citations
    • Citation K0511. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on May 7, 2025.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on May 7, 2025.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on May 7, 2025.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on May 7, 2025.

    • Citation K0521. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on May 7, 2025.

    • Citation K0911. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet requirements for the installation and maintenance of electrical systems.

      CMS lists it as corrected on May 7, 2025.

    • Citation K0914. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on May 7, 2025.

      CMS has cited this home for K0914 2 times since 2023.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on May 7, 2025.

    See this home on CMS Care Compare

  12. CMS update of July 31, 2024

    • Name

      CMS lists a new legal business name for this home.

  13. CMS update of April 25, 2024

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  14. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from September 13, 2023 from $11,585 to $7,530.

  15. Health inspection on September 13, 2023

    8 citations

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    37 of 419 North Carolina homes (9%) got a citation at the actual harm level in 2023.

    Show the 8 citations
    • Citation F0550. Severity G: actual harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0558. Severity G: actual harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure 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.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on September 18, 2023.

    • Citation F0867. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 18, 2023.

    See this home on CMS Care Compare

  16. Fire safety inspection on September 13, 2023

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on December 8, 2023.

    • Citation K0914. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on December 8, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(828) 286-9001
Last standard health inspection
March 12, 2026 (7 months ago)
Certified beds
80
Residents per day, on average
73.5
Ownership type
For profit - Limited Liability company
Legal business name
Rutherfordton Nc Opco LLC
Chain
Ascent Healthcare Management
Takes part in
Medicare and Medicaid

Fewer health citations than the North Carolina average (12 vs 18).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Hilltop Health and Rehabilitation last inspected?

CMS lists March 12, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Hilltop Health and Rehabilitation have?

CMS lists 12 health citations since September 13, 2023. CMS also calls these deficiencies.

Has Hilltop Health and Rehabilitation been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Hilltop Health and Rehabilitation?

Its CMS overall star rating is 3 of 5.

Is Hilltop Health and Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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