Hillsboro Post Acute
1141 Northview Drive, Hillsboro, OH 45133
Hillsboro Post Acute is a nursing home in Hillsboro, Ohio. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 4 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (937) 393-5766
- Last standard health inspection
- May 8, 2025 (1 year ago)
- Certified beds
- 99
- Residents per day, on average
- 76
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Hillsboro SNF Healthcare LLC
- Chain
- Pacs Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Ohio average (9 vs 31).
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.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of June 24, 2026
Name
CMS lists a new legal business name for this home.
CMS update of May 27, 2026
Ownership
CMS lists this home under a new chain.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new name for this home. It was LEGACY HILLSBORO.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5.
3 citations
Health inspection on May 8, 2025
CMS lists this as a standard inspection.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on May 23, 2025.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on May 23, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 23, 2025.
4 citations
Fire safety inspection on May 8, 2025
CMS lists this as a standard inspection.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on May 23, 2025.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on May 23, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
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 May 23, 2025.
CMS has cited this home for K0321 2 times since 2022.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on May 23, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of March 26, 2025
Name
CMS lists a new legal business name for this home.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
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 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of June 26, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of April 25, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
CMS update of February 29, 2024
Name
CMS lists a new name for this home. It was PROMEDICA SKILLED NURSING & REHAB HILLSBORO.
1 citation
Health inspection on November 15, 2023
CMS lists this as a complaint inspection.
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 November 17, 2023.
CMS has cited this home for F0812 2 times since 2022.
2 citations
Health inspection on December 15, 2022
CMS lists this as a standard inspection.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on January 11, 2023.
Citation F0812. Severity B: potential for 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 January 11, 2023.
6 citations
Fire safety inspection on December 15, 2022
CMS lists this as a standard inspection.
Citation K0232. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on January 11, 2023.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
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 January 11, 2023.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on January 11, 2023.
CMS has cited this home for K0345 2 times since 2019.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
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 January 11, 2023.
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 January 11, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on January 11, 2023.
3 citations
Health inspection on September 26, 2019
CMS lists this as a standard inspection.
Citation F0550. Severity D: potential for more than minimal 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 November 1, 2019.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 1, 2019.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on November 1, 2019.
4 citations
Fire safety inspection on September 26, 2019
CMS lists this as a standard inspection.
Citation K0226. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have horizontal exits used in accordance with safety requirements.
CMS lists it as corrected on November 1, 2019.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 1, 2019.
Citation K0711. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on November 1, 2019.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on November 1, 2019.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PROVIDENCE GROUP NH, LLCOperational/managerial control · not applicable · since 12/01/2024
- JERGENSEN, JOSHUAOperational/managerial control · not applicable · since 12/01/2024
- MITCHELL, JOHNOperational/managerial control · not applicable · since 12/01/2024
- WRIGHT, ADAMOperational/managerial control · not applicable · since 12/01/2024
Questions
When was Hillsboro Post Acute last inspected?
CMS lists May 8, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Hillsboro Post Acute have?
CMS lists 9 health citations since September 26, 2019. CMS also calls these deficiencies.
Has Hillsboro Post Acute been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Hillsboro Post Acute?
Its CMS overall star rating is 4 of 5.
Is Hillsboro Post Acute a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.