Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Hillebrand Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A facility failed to maintain complete documentation for a resident with Alzheimer's disease, affecting records of meal consumption, repositioning, and fluid intake. The EHR showed missing entries for these care activities, confirmed by interviews with the DON and Administrator.
A resident was injured during transportation in a facility bus when the Activity Director abruptly stopped the vehicle, causing the resident to fall out of an unsecured wheelchair. The resident sustained a degloving/laceration to the right leg and a chest contusion. The facility bus had a missing seatbelt in the fourth wheelchair spot, and staff had been instructed to use a gait belt as a substitute. The resident was not properly secured, leading to the fall and injuries.
Incomplete Documentation of Resident Care
Penalty
Summary
The facility failed to ensure that the medical record for Resident #216 contained complete documentation of care and services provided by staff. Resident #216, who was admitted for respite care due to Alzheimer's disease, was discharged home with private caregivers and hospice, and later expired at home. The review of the medical record revealed that the discharge Minimum Data Set (MDS) assessment was not completed at the time of the survey. Additionally, the baseline plan of care included interventions for managing activities of daily living, incontinence, medication, and risks, but there were gaps in documentation related to these interventions. Specifically, the electronic health record (EHR) for Resident #216 showed incomplete documentation by certified nursing assistants (CNAs) regarding meal consumption, turning and repositioning, and fluid intake and output. For instance, there were missing entries for meal consumption percentages on several dates, and inadequate documentation for turning and repositioning, which should have been recorded every two hours. Similarly, there were missing entries for oral fluid intake on certain dates. Interviews with the Director of Nursing and the Administrator confirmed the lack of proper documentation for these care activities, leading to the identified deficiency.
Resident Injury Due to Inadequate Wheelchair Restraint on Facility Bus
Penalty
Summary
The facility failed to ensure a resident was safely secured in a wheelchair with an appropriate seat belt during transportation in a facility bus from an activity department outing. This resulted in Immediate Jeopardy when a resident was placed at potential risk for serious life-threatening harm and/or injuries. The incident occurred when the Activity Director abruptly stopped the facility bus, causing the resident to fall forward out of his wheelchair, hitting another resident, and then landing on the floor. During the fall, the resident sustained a degloving/laceration to his right lower leg, requiring 35 sutures, and a right chest contusion near his chemotherapy port-a-cath port. The resident involved had a medical history that included morbid obesity, cirrhosis of the liver, dementia, chronic atrial fibrillation, bradycardia, malignant neoplasm of the vertebral column and kidney, congestive heart failure, peripheral vascular disease, depression, anxiety, and vascular dementia. The resident required supervision or touching assistance for bed mobility, transfers, and ambulation, and utilized a walker and wheelchair for mobility. On the day of the incident, the resident was not secured into the wheelchair with a seat belt, which led to the fall and subsequent injuries. Interviews with staff revealed that the facility bus had a missing seatbelt in the fourth wheelchair spot, and staff had been instructed to use a gait belt as a substitute. The Activity Director confirmed that the resident was placed in the spot without a seatbelt and was not restrained with anything on the way back from the outing. The Director of Transportation had previously informed staff that a new seatbelt would be ordered, but it had not been installed at the time of the incident. The Administrator was unaware of the missing seatbelt and confirmed that using a gait belt in place of a seatbelt was not appropriate practice.
Removal Plan
- All education was completed for staff, including that the transportation bus was not to be driven, and competency checks were completed on staff authorized to drive the other facility vehicle, ensuring proper securing of residents during transport.
- The facility implemented an auditing system for the facility van and reviewed and updated the inspection checklist and competency skill list for drivers and maintenance staff.
- In-servicing staff regarding gait belts and abuse, neglect, and misappropriation was completed.
- Facility management decided TD #335 and MD #325 would return to work and be educated prior to resuming their work duties.
- CO #345 educated TD #335, MD #325, and MA #305, including viewing a vehicle safety video, reviewing and signing education packets, review of competency, vehicle checklists, and audit forms.
- MA #305 performed competency checks on the facility van with assistance from ADON #320 and LPN/UM #350.
- TD #335 began audits of the facility van, signed off by MA #305, to be completed on days of driving the van, prior to driving the van.
- CO #345 reviewed and updated the policy regarding transportation drivers and outings, including staff bringing information regarding resident's code status on the outing and the driver completing a final walk-through safety check of the residents before driving off.
- MA #305 educated employees permitted to drive the facility bus on how to properly secure residents into the facility bus, and completed facility bus competencies with MD #325 and TD #335.
- Facility bus audits were initiated, with TD #335 performing these audits.
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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 Cincinnati
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bridgetown Nursing And Rehabilitation Centre | 0 mi | — | 1 | 0 |
| Terrace View Gardens | 0.9 mi | — | 6 | 0 |
| Aventura At West Park | 2.2 mi | — | 2 | 0 |
| Covenant Village Care Center | 2.3 mi | — | 6 | 0 |
| Edith Lane Of Cincinnati | 2.4 mi | — | 4 | 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.