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.
Record summary
Federal record · Q1 202667
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 17, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Dec 2, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 31, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jun 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 5, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| May 7, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 7, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| May 7, 2025 | F585 | Honor 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. | D | Complaint |
| Mar 7, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 7, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Mar 7, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Mar 7, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 7, 2025 | F761 | 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. | D | Standard |
| Mar 7, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Mar 7, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Mar 7, 2025 | F700 | Try 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. | E | Standard |
| Mar 7, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 7, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 7, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 7, 2025 | F688 | Provide 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. | D | Standard |
| Mar 7, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Mar 7, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 7, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Mar 7, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 7, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Mar 7, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Mar 7, 2025 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard |
| Feb 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 26, 2024 | F620 | Not 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. | D | Complaint |
| Nov 26, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint |
| May 17, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard |
| May 17, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| May 17, 2024 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard |
| May 17, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 17, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| May 17, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| May 17, 2024 | F761 | 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. | D | Standard |
| May 17, 2024 | F758 | 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. | D | Standard |
| May 17, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| May 17, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| May 17, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| May 17, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 17, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 17, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 17, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| May 17, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 17, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 17, 2024 | F625 | Notify 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. | E | Standard |
| May 17, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| May 17, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | Standard |
| May 17, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| May 17, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard |
| May 17, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| May 17, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Apr 17, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 10, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | L | Complaint |
| Dec 20, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 20, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 9, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 9, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jun 9, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Jun 9, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 9, 2023 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | E | Standard |
| Jun 9, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jun 9, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Jun 9, 2023 | F585 | Honor 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. | E | Standard |
| Jun 9, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $3,145 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 12, 2023 | Fine | $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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