Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hilltop Manor Nursing Center during CMS and state inspections, most recent first.
A facility failed to identify causal factors and implement effective interventions to prevent falls for two residents, resulting in multiple falls and injuries. One resident with Parkinson's disease experienced several falls leading to fractures and hospital visits, while another resident with congestive heart failure had multiple falls without thorough investigations or care plan updates. The facility's lack of adequate supervision and intervention updates placed residents at risk for further falls.
A resident with Parkinson's disease and other conditions experienced multiple unwitnessed falls resulting in injuries, including a fractured clavicle and a need for hip surgery. Despite the facility's policy requiring the reporting of suspected neglect, these incidents were not reported to the State Agency. The care plan lacked evidence of corrective actions, and the administrative staff did not recognize the falls as potential neglect, placing the resident at risk for ongoing issues.
A resident with severe cognitive impairment and multiple health conditions was transferred to the hospital without the facility providing the required written notice of transfer to the resident or their representative. Although phone notifications were made, the facility did not adhere to its policy of providing written notice, risking miscommunication and potential missed healthcare opportunities.
The facility failed to update care plans for two residents, leading to multiple falls and injuries. One resident with Parkinson's disease experienced several falls, including fractures, without effective interventions added to the care plan. Another resident with congestive heart failure and vertigo also had multiple falls, some with injuries, but the care plan lacked fall prevention strategies. The facility's policy required care plan revisions, but these were not implemented, placing residents at risk.
Failure to Prevent Falls and Update Care Plans
Penalty
Summary
The facility failed to identify causal factors for falls, provide adequate supervision, and implement effective interventions to prevent avoidable accidents for a resident with multiple falls over various dates. This resident, who had diagnoses including Parkinson's disease and major depressive disorder, experienced several falls resulting in fractures, contusions, increased pain, and multiple hospital visits. The care plans for this resident were not updated with interventions by the Interdisciplinary Team to prevent further falls, despite repeated incidents. Another resident, with diagnoses including congestive heart failure and benign paroxysmal positional vertigo, also experienced multiple falls. The facility did not complete thorough fall investigations, including root cause analyses, for this resident's falls. The care plan for this resident lacked interventions to prevent further falls, despite the resident having an unsteady gait and poor balance. The facility's Accident/Incident Committee policy was not effectively implemented, as evidenced by the lack of adequate interventions and updates to care plans following falls. The facility's failure to provide adequate supervision and implement effective interventions resulted in actual harm to one resident and placed another resident at risk for further falls and injuries.
Failure to Report Unwitnessed Falls as Potential Neglect
Penalty
Summary
The facility failed to identify and report multiple unwitnessed falls of a resident, referred to as R32, as potential neglect to the State Agency (SA) as required. R32, who had a history of Parkinson's disease, major depressive disorder, generalized anxiety disorder, and a nondisplaced intertrochanteric fracture of the left femur, experienced several falls resulting in injuries, including a fractured clavicle and a need for surgical repair of the left hip. Despite these incidents, the facility did not recognize them as possible neglect and did not report them to the SA. R32's care plan documented an increased risk for falls due to advancing Parkinson's disease and impetuous behavior. The care plan included interventions such as frequent monitoring, use of a walker, and assistance with mobility. However, the facility's records showed that R32 had multiple unwitnessed falls, including one where he tripped on a slippery floor and another where he was found on the floor with a bulge to his left thigh. These incidents were not reported as potential neglect, and the care plan lacked evidence of corrective actions or interventions to prevent further falls. The facility's policy on abuse, neglect, and exploitation required the reporting of suspected abuse or neglect to the SA and other authorities. Despite this policy, the administrative staff did not report R32's unwitnessed falls with major injuries, believing there was no neglect or abuse. This failure to report placed R32 at risk for unidentified and/or ongoing abuse or neglect, as the facility did not follow its own policy or state requirements for reporting such incidents.
Failure to Provide Written Transfer Notice
Penalty
Summary
The facility failed to provide written notice of transfer as soon as practicable to a resident or their representative for facility-initiated transfers and/or discharge. The resident, identified as R13, had a diagnosis of congestive heart failure, hypertension, and sepsis, and was documented to have severely impaired cognition, requiring substantial assistance for activities of daily living. Despite these needs, the facility did not complete the required discharge Minimum Data Set and lacked staff direction regarding discharge in the resident's care plan. On a specific date, a nurse noted frank blood in the resident's brief and, following a physician's order, transferred the resident to the hospital. Although a bed hold authorization form was signed by the resident's representative, the facility could not provide the required written notification of transfer/discharge. Interviews with facility staff revealed that while phone notifications were made to the resident's family, no written form of transfer or discharge was provided, contrary to the facility's policy that required such notice to be given in a language and manner understandable to the resident and their representative.
Failure to Update Care Plans for Fall Prevention
Penalty
Summary
The facility failed to revise the care plans for two residents, R32 and R22, who experienced multiple falls, some resulting in injuries. R32, diagnosed with Parkinson's disease, major depressive disorder, and other conditions, had a history of falls with injuries, including fractures. Despite several falls documented in the electronic medical record, the care plan for R32 was not updated with effective interventions to prevent further falls. The care plan lacked corrective actions noted in the fall investigation summaries, such as ensuring non-skid socks were worn, monitoring R32's whereabouts, and providing therapy services. R22, diagnosed with congestive heart failure, glaucoma, and benign paroxysmal positional vertigo, also experienced multiple falls, some resulting in injuries. Despite having intact cognition and requiring supervision with transfers and walking, R22's care plan lacked interventions to address fall prevention. The fall investigations for R22 documented unwitnessed falls, some resulting in injuries, but lacked root cause analyses and updates to the care plan with new interventions. The facility's policy required the interdisciplinary team to evaluate and revise care plans based on the resident's condition and response to treatment. However, the care plans for R32 and R22 were not updated with necessary interventions to prevent further falls, placing both residents at risk for ongoing falls and injuries due to uncommunicated care needs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cunningham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grand Plains Skilled Nursing By Americare | 15.7 mi | — | 3 | 0 |
| Pratt Health And Rehab | 16.3 mi | — | 6 | 0 |
| The Wheatlands Health Care Center | 16.8 mi | — | 0 | 0 |
| Leisure Homestead At Stafford | 23.6 mi | — | 12 | 0 |
| Prairie Sunset Home Inc | 24.7 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.