Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 The Hilltop On Main during CMS and state inspections, most recent first.
Surveyors found that food items in the kitchen's freezer, cooler, and refrigerator were not labeled with product names or use-by dates, and some were improperly sealed. The industrial can opener was observed to have a black sticky residue, indicating it was not properly cleaned. Additionally, the dishwasher's sanitizer concentration was below the required level, as confirmed by a failed test strip. Staff interviews confirmed that these practices did not meet facility policy or professional standards.
A DON failed to don a gown while administering a gastrostomy feeding to a resident with severe cognitive impairment and a history of aspiration pneumonia. The resident was dependent on tube feeding, and facility policy required gown and glove use for such high-contact care activities. The DON, new to the facility, had not yet addressed the lack of enhanced barrier precautions, and the administrator confirmed responsibility for staff education and monitoring.
A facility failed to update a resident's care plan, leading to severe weight loss and a suicide attempt. The resident exhibited self-isolating behavior and signs of depression, but no care plan was developed to address these issues. The facility's policies on comprehensive, person-centered care plans were not followed, resulting in an Immediate Jeopardy situation.
A resident experienced a severe weight loss of 16.1% over two months due to the facility's failure to follow physician's orders for monthly weights and to address the resident's refusal to eat and take medications. The care plan was not updated, and health shakes were reduced without proper documentation.
A facility failed to provide appropriate treatment and services to a resident with a mental disorder, leading to a suicide attempt. The resident displayed signs of depression and refused psychiatric services and medications, but the facility did not develop or implement a care plan. Staff interviews revealed a lack of proper reporting and documentation of the resident's changes in behavior and mood.
A resident was prescribed Seroquel for behavioral disturbance without a specific diagnosis, contrary to the facility's policy. The medication was administered following an incident where the resident exhibited unusual behavior, but no proper diagnosis was documented. Interviews revealed that the previous DON did not confirm a diagnosis, and the Hospice Medical Director was not properly consulted.
Deficiencies in Food Storage, Equipment Sanitation, and Dishwashing Practices
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards in its only kitchen. Observations revealed that multiple food items in the walk-in freezer, walk-in cooler, and side-by-side refrigerator were not labeled with product names or use-by dates. Specifically, bags of frozen chicken, green beans, and cooked bread were found without proper labeling, and one bag of chicken was left unsealed and open to air. Frost and ice buildup were also noted inside the bags, and none of the items had the required information to ensure safe storage and timely use. Additionally, the kitchen's only industrial can opener was found to be unclean, with a black sticky substance present on the underside of the handle mechanism and the piercing metal piece. This residue was easily removed with gloved fingers, indicating a lack of proper cleaning and sanitization. The can opener, which comes into direct contact with food containers, was not maintained in a sanitary condition as required by professional standards and facility policy. The facility's only dishwasher was also found to be deficient, as the sanitizer concentration in the rinse cycle was below the required 50 PPM. Testing with a chemical test strip showed no color change, indicating insufficient sanitizer to properly sanitize dishes. Staff interviews confirmed that food should be labeled and dated, equipment should be kept clean, and the dishwasher should be checked for proper sanitizer levels, but these practices were not consistently followed, leading to the cited deficiencies.
Failure to Use Enhanced Barrier Precautions During Tube Feeding
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program as evidenced by the Director of Nursing (DON) not using enhanced barrier precautions during a gastrostomy feeding for a resident. Specifically, during an observed gastric tube bolus feeding, the DON did not don a gown prior to administering the feeding, which was required by the facility's policy for high-contact resident care activities involving device care such as feeding tubes. The resident involved was a female with severe cognitive impairment, a history of aspiration pneumonia, and was dependent on tube feeding for nutrition and hydration. Interviews revealed that the DON, who had recently started employment, was aware that enhanced barrier precautions were not being implemented but had not yet addressed the issue due to working as a charge nurse. The administrator, who also served as the infection preventionist, confirmed responsibility for staff education and monitoring of enhanced barrier precautions, and acknowledged that gown and gloves should be used during such high-contact activities. Facility policy required the use of gown and gloves for device care to prevent the spread of multi-drug resistant organisms.
Failure to Implement Comprehensive Care Plan Leads to Resident's Suicide Attempt
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident, leading to severe weight loss and a suicide attempt. The resident, who had diagnoses including hypertension, cardiomyopathy, and hyperlipidemia, experienced a 16.1% weight loss and refused to eat over a two-month period. Despite physician orders for monthly weight checks and health shakes, the care plan was not updated to address these issues. Additionally, the resident exhibited self-isolating behavior, blocked his room door, and showed signs of depression, but no care plan was developed to address these behaviors. This culminated in the resident attempting suicide by cutting his wrists with broken glass from a picture frame. The resident's progress notes indicated that he had turned his bedside table upside down to block his door and believed his TV was brainwashing him. Despite these clear signs of distress, no care plan was developed to address his mental health needs. On the day of the suicide attempt, the resident was found with lacerations on his wrists and blood on the floor. He admitted to trying to kill himself and expressed feelings of guilt and distress over a past inappropriate relationship. The facility's failure to update the care plan to address these behaviors and mental health issues directly contributed to the resident's suicide attempt. Interviews with staff revealed that the MDS nurse worked off-site and did not know the residents, leading to delays in updating care plans. The Director of Nursing (DON) and the Administrator acknowledged that care plans should be updated within 24 hours of a significant change in condition. However, this was not done for the resident in question. The facility's policies on comprehensive, person-centered care plans were not followed, resulting in an Immediate Jeopardy situation that placed residents at risk for accidents, diminished quality of life, and suicide.
Failure to Maintain Nutritional Status
Penalty
Summary
The facility failed to ensure that a resident maintained acceptable parameters of nutritional status, resulting in a severe weight loss of 16.1% over a two-month period. The resident, who had diagnoses including hypertension, cardiomyopathy, hyperlipidemia, and protein-calorie malnutrition, was not weighed monthly as per the physician's orders. Additionally, the facility did not document a weight taken on 01/16/2024 and failed to identify a decrease in the administration of health shakes from three times a day to two times a day. The resident's care plan did not include updated weights or address the resident's refusal to eat and take medications. Despite multiple progress notes indicating the resident's refusal to eat and take medications, the facility did not take timely action to address these issues. Interviews with staff revealed that the resident often refused meals and health shakes, and no substitutions were provided. The dietician confirmed that a nutritional assessment showed weight loss, but weekly weights were not consistently conducted. The facility's Director of Nursing (DON) and other staff members acknowledged that proper monitoring and documentation of the resident's weight were not performed. The facility's policy required the nursing staff to monitor and document weight and dietary intake, but this was not followed. The failure to monitor and address the resident's weight loss led to the identification of an Immediate Jeopardy situation, which was later removed after corrective actions were initiated.
Failure to Address Resident's Mental Health Needs
Penalty
Summary
The facility failed to ensure a resident diagnosed with a mental disorder or psychosocial adjustment difficulty received appropriate treatment and services. The resident, who had a history of hypertension, cardiomyopathy, and hyperlipidemia, displayed signs of depression and refused psychiatric services and medications on multiple occasions. Despite these signs, the facility did not develop or implement a care plan to address the resident's mental health needs, nor did they document any attempts to provide or encourage psychiatric treatment. This lack of action persisted even after the resident expressed feelings of being tired and ready to die to a CMA, who failed to report these statements to the appropriate staff. The resident's condition deteriorated further, culminating in a suicide attempt. On one occasion, the resident was found with lacerations on both wrists and blood on the floor, having used broken glass from a picture frame to harm himself. The resident expressed feelings of guilt and mentioned a troubled relationship with his RP, which he believed was the reason for his distress. Despite these clear signs of severe mental distress, the facility's staff did not take timely or adequate measures to address the resident's mental health needs. Interviews with various staff members, including LVNs, CNAs, and the DON, revealed a lack of proper reporting and documentation of the resident's changes in behavior and mood. The facility's policy on behavioral health services was not followed, leading to a failure in providing the necessary care and treatment for the resident's mental and psychosocial well-being. This deficiency placed the resident at significant risk, ultimately resulting in a serious incident that could have been prevented with appropriate intervention and care planning.
Inappropriate Prescription of Seroquel Without Specific Diagnosis
Penalty
Summary
The facility failed to ensure that a resident was prescribed Seroquel for a specific diagnosis, instead prescribing it for behavioral disturbance at bedtime. This failure was identified during a review of the resident's medical records and interviews with facility staff. The resident, an elderly male with moderate cognitive impairment, was noted to have no hallucinations or delusions that would indicate psychotic behaviors. Despite this, the resident was prescribed Seroquel following an incident where he turned his overbed table upside down and placed it in front of his door, believing his TV was brainwashing him. The facility did not place the resident on one-to-one supervision and instead opted to administer Seroquel without a specific diagnosis documented in the clinical record. The medication was continued for several days without adverse reactions noted, but the lack of a proper diagnosis was a significant oversight. Interviews with the Director of Nursing (DON) and the Administrator (ADM) revealed that the previous DON, who was no longer employed, had not confirmed a diagnosis for the Seroquel prescription. The Hospice Medical Director was also not properly consulted for a specific diagnosis. The facility's policy on antipsychotic medication, which requires medications to be clinically indicated to treat a specific condition, was not followed. The resident's medical records showed no diagnosis of psychosis, schizophrenia, bipolar disorder, anxiety, depression, or insomnia, making the prescription of Seroquel inappropriate according to the facility's policy.
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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 Meridian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Park Rehabilitation Health Care Center | 10.8 mi | — | 14 | 1 |
| Sunset Home | 11.8 mi | — | 0 | 0 |
| Goodall Witcher Nursing Facility | 13.2 mi | — | 0 | 0 |
| Whitney Nursing And Rehabilitation Center | 20 mi | — | 1 | 0 |
| Cherokee Rose Nursing And Rehabilitation | 21.3 mi | — | 11 | 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.