Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Facility profile · CCN 395208

Hillcrest Rehabilitation & Healthcare Center

67 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $3,145.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
67
Total citations
67
Last 3 years
3
Actual harm+
1
Federal penalties
$3,145
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

67 on record
SurveyF-TagViolationSeveritySource
Dec 17, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Dec 2, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 31, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jun 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 5, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 7, 2025F610Respond appropriately to all alleged violations.DComplaint
May 7, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 7, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Mar 7, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 7, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Mar 7, 2025F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Mar 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 7, 2025F761Ensure 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
Mar 7, 2025F760Ensure that residents are free from significant medication errors.DStandard
Mar 7, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 7, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Mar 7, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 7, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 7, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 7, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Mar 7, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 7, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 7, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 7, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Mar 7, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Mar 7, 2025F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard
Feb 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 26, 2024F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.DComplaint
Nov 26, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
May 17, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
May 17, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard
May 17, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
May 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 17, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
May 17, 2024F790Provide routine and 24-hour emergency dental care for each resident.DStandard
May 17, 2024F761Ensure 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
May 17, 2024F758Implement 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.DStandard
May 17, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 17, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
May 17, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
May 17, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 17, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 17, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 17, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
May 17, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
May 17, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
May 17, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 17, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
May 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
May 17, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 10, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.LComplaint
Dec 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 9, 2023F880Provide and implement an infection prevention and control program.DStandard
Jun 9, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jun 9, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Jun 9, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 9, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.EStandard
Jun 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 9, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Jun 9, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Jun 9, 2023F558Reasonably accommodate the needs and preferences of each resident.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $3,145 .

DateTypeFinePayment denial
Jun 12, 2023Fine$3,145
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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