Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Center during CMS and state inspections, most recent first.
A resident's care plan was not revised to include the correct diagnosis of restless leg syndrome and instead incorrectly listed Parkinson's disease. This error was identified during a record review and confirmed by the facility administrator.
A resident's medical record contained incorrect information, including a discharge plan referencing a non-existent toe amputation and a medication order listing Parkinson's disease as the diagnosis instead of the correct diagnosis of restless leg syndrome. These errors were confirmed by facility administration during the survey.
A resident with high risk for pressure ulcers and significant care needs was admitted without a coccyx wound, but upon discharge to another facility, was found to have a deep, foul-smelling, unreported pressure ulcer on the coccyx. Documentation and interviews revealed inconsistent turning and repositioning, lack of specific interventions for the coccyx, and no recognition or treatment of the wound by staff, resulting in actual harm and hospitalization for infection and wound care.
A resident with high risk for pressure ulcers was discharged without any documented coccyx wound, but was found at the receiving facility to have a deep, foul-smelling, unstageable pressure ulcer on the coccyx, covered by a dressing dated the day of discharge. The original facility's records lacked documentation of turning, repositioning, or assessment of the coccyx area, and staff were unaware of the wound, resulting in the resident requiring hospitalization for an infected Stage III decubitus ulcer.
A resident was transferred to another facility without accurate documentation of significant skin wounds, including deep tissue injuries and a severe coccyx wound. Discharge paperwork and assessments failed to mention these conditions, and staff at the receiving facility discovered the wounds upon admission. Facility leadership was unable to explain the omission or the presence of a dressing on the coccyx wound.
A resident's MDS assessment inaccurately documented dental status by indicating edentulism and no obvious broken natural teeth, despite observations and LPN confirmation of multiple broken lower teeth.
A resident with a known hearing deficit and use of hearing aids was not care planned for these needs. The care plan lacked documentation of the resident's hearing impairment and use of hearing aids, despite the resident reporting difficulty hearing and being observed with hearing aids. The omission was confirmed by the DON during the survey.
A resident who required large print materials was unable to access the activities calendar due to its small print and distant placement, resulting in limited participation in group activities. The facility also failed to document activity refusals, despite the resident expressing interest in attending if informed.
A resident did not receive hearing aids as ordered by her physician following an audiologist evaluation, and there was no documentation of hearing aids in her care plan or assessments. Staff were unaware of the reason for the lack of follow-through, resulting in the resident not having the necessary hearing assistance devices.
The facility did not ensure accurate medical records for two residents: one had fall history incorrectly documented in both evaluations and progress notes despite no actual falls, and another had an admission assessment stating no teeth, while observation and LPN confirmation showed broken lower teeth present.
A resident with multiple recurring open wounds did not have enhanced barrier precautions implemented, despite facility policy requiring such measures for chronic wounds. The wounds, present for several months and documented as open and sometimes bleeding, were not considered chronic by staff due to their frequent reopening and closing, resulting in a lapse in infection control practices.
Care Plan Not Updated with Correct Diagnosis
Penalty
Summary
The facility failed to revise the care plan for Resident #118 to reflect the correct diagnosis following a comprehensive assessment. During record review, it was found that the care plan listed Parkinson's disease as a diagnosis under the focus area for alterations in comfort related to chronic pain, neuropathy, left knee pain, bilateral calf pain, bladder spasms, fibromyalgia, ganglion right wrist, spondylosis, and osteoarthritis. However, the resident did not have a diagnosis of Parkinson's disease but did have a diagnosis of restless leg syndrome, which was not included in the care plan. This discrepancy was confirmed by the facility administrator during staff interview, who acknowledged the care plan contained the incorrect diagnosis.
Inaccurate Medical Record Documentation and Incorrect Diagnosis Noted
Penalty
Summary
The facility failed to maintain accurate and complete medical records for a resident, as evidenced by incorrect documentation in the discharge plan and an inaccurate diagnosis associated with a prescribed medication. Specifically, the discharge plan for the resident incorrectly listed a treatment order for a right second toe amputation site, despite the resident not having undergone such an amputation. Additionally, a physician's order for Ropinirole (Requip) was documented with a diagnosis of Parkinson's disease, when the resident's actual diagnosis was restless leg syndrome. These inaccuracies were confirmed by the facility administrator during the survey process.
Failure to Prevent and Identify Pressure Ulcer Resulting in Resident Harm
Penalty
Summary
A resident was admitted to the facility following a critical illness, with a history of recent surgeries and existing wounds to the abdomen and heels, but no wounds to the coccyx. The resident was identified as being at high risk for pressure ulcers, as indicated by multiple Braden scale assessments, and required extensive assistance with activities of daily living due to immobility, incontinence, and neurocognitive disorder. The care plan included several interventions for skin integrity and pressure ulcer prevention, such as use of a low air loss mattress, heel protection devices, and regular skin checks. However, documentation revealed that nurse aides did not consistently record turning and repositioning, and there were multiple shifts where no evidence of turning was documented. Additionally, there were no physician orders or care plan interventions specifically addressing the coccyx area, and no wound to the coccyx was documented during the resident's stay or at discharge. Upon transfer to another facility, an immediate skin assessment revealed a deep, foul-smelling wound to the coccyx, covered with a dressing dated the day of discharge. The receiving LPN described the wound as possibly exposing bone, with significant odor and necrotic tissue, and noted that the wound was not reported by the sending facility. The wound was subsequently assessed as an unstageable, necrotic pressure ulcer with signs of infection and tunneling, requiring debridement and intravenous antibiotics. The receiving facility's staff and medical records confirmed that the wound was present and untreated upon arrival, and that no prior notification or documentation of the coccyx wound had been provided by the sending facility. Interviews with the facility's DON, wound nurse, and administrator revealed a lack of awareness regarding the coccyx wound, and they could not explain how a dressing came to be applied to the area. The wound nurse and LPN responsible for wound care denied knowledge of any coccyx wound during the resident's stay, and the medical director stated he relied on staff documentation for skin assessments. The absence of documentation, lack of targeted interventions for the coccyx, and failure to identify or treat the wound resulted in the resident sustaining actual harm, as evidenced by the development of a severe, infected pressure ulcer requiring hospitalization and advanced wound care.
Failure to Prevent and Identify Pressure Ulcer Resulting in Harm
Penalty
Summary
A resident was admitted to the facility following a critical illness, with multiple surgical wounds and deep tissue injuries to both heels, but no pressure ulcer to the coccyx. The resident was identified as being at high risk for pressure ulcers, as evidenced by repeated low Braden scale scores and a care plan that included multiple interventions for skin integrity and pressure ulcer prevention. The care plan specified the need for frequent skin assessments, use of pressure-relieving devices, and regular turning and repositioning due to the resident's immobility, incontinence, and history of cerebrovascular accident with paraplegia. Despite these identified risks and interventions, documentation revealed that staff did not consistently record turning and repositioning for all shifts, with several days lacking documentation for all three shifts. There were no physician orders or documented treatments specifically for the coccyx area, and weekly skin and wound assessments provided by the facility did not note any coccyx wound prior to discharge. Upon discharge, there was no documented skin or wound evaluation for the coccyx, and the discharge report to the receiving facility did not mention any new skin issues. Shortly after transfer, the receiving facility performed a body audit and discovered a deep, foul-smelling, unstageable pressure ulcer with necrotic tissue on the coccyx, covered by a dressing dated the day of discharge. The wound was subsequently assessed as infected and requiring debridement, with the resident being hospitalized for treatment of a Stage III decubitus ulcer with osteomyelitis. Staff at the original facility, including the wound nurse and DON, denied knowledge of the coccyx wound and could not explain the presence of the dressing. The lack of documentation, assessment, and intervention for the coccyx area led to actual harm to the resident.
Failure to Accurately Communicate Resident Skin Condition During Transfer
Penalty
Summary
The facility failed to provide accurate and complete information regarding a resident's skin condition during a transfer to another nursing home. Documentation at the time of discharge indicated that a skin check was completed and no new issues were identified, and the discharge paperwork reviewed with the MPOA and receiving nurse did not mention any significant wounds. However, a skin and wound assessment from the same period documented deep tissue injuries to both heels and a surgical wound to the abdomen. Additionally, the pre-admission screening and MDS assessments did not indicate the presence of pressure ulcers. Interviews with staff at the receiving facility revealed that the resident arrived with a dressing on the coccyx, which appeared to cover a severe wound described as deep, malodorous, and possibly to the bone. The body audit conducted at admission to the receiving facility also noted a wound on the coccyx covered with a dressing and redness on both heels. When confronted with this information, the facility's administrator, wound nurse, and DON acknowledged the presence of the dressing but could not explain its origin and denied knowledge of a Stage III pressure ulcer on the coccyx.
Inaccurate MDS Assessment of Dental Status
Penalty
Summary
The facility failed to complete an accurate Minimum Data Set (MDS) assessment regarding a resident's dental status. Observation revealed that the resident had no upper teeth and several lower teeth that were broken off at the gums. However, the MDS assessment indicated that the resident was edentulous and did not have obvious broken natural teeth. This discrepancy was confirmed during an interview and observation with an LPN, who verified the presence of broken and discolored lower teeth. The deficiency was identified through observation, staff interview, and record review, specifically noting the inconsistency between the resident's actual dental condition and the documentation in the MDS assessment.
Failure to Include Hearing Deficit in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan addressing the hearing deficit and use of hearing aids for one resident. During an interview, the resident reported being hard of hearing and was observed wearing hearing aids. However, a review of the resident's care plan revealed no documentation of the hearing deficit or use of hearing aids at the time of review. The omission was confirmed when the Director of Nursing acknowledged that the hearing deficit had not been included in the care plan prior to the surveyor's request for information. This deficiency was identified through record review, staff and resident interviews, and direct observation, highlighting the lack of a complete care plan to address the resident's specific needs related to hearing.
Failure to Provide Accessible and Individualized Activity Program
Penalty
Summary
The facility failed to provide an activity program that met the needs and interests of all residents, as evidenced by the experience of one resident. The resident reported not knowing what activities were available and expressed willingness to participate if informed. Record review showed that the resident only participated in two group activities over a three-month period, despite documentation indicating that group activities were somewhat important to her. The activity participation records lacked documentation of refusals, and the Activity Director confirmed that refusals were not being documented, as staff had previously been told not to do so. Further review revealed that the resident required large print materials, as noted in her assessment and care plan. However, the activities calendar in her room was in very small print and placed across the room from her bed, making it inaccessible. The Activity Director confirmed that the calendar was not in large print, and the Assistant Administrator acknowledged recent education provided to staff about documenting refusals, indicating this had not been standard practice.
Failure to Provide Ordered Hearing Aids and Document in Care Plan
Penalty
Summary
A resident reported that her hearing aids were missing during an interview. Review of her records showed that she had an audiologist evaluation and a physician's order for hearing aids earlier in the year, but there was no documentation in her care plan or assessments regarding the hearing aids. Staff interviews revealed that the resident had never received hearing aids, and staff were unaware of the reason for the delay or lack of follow-through on the physician's order. The deficiency was identified due to the facility's failure to ensure the resident received the ordered hearing aids and to document or address the need for hearing assistance devices in her care plan.
Incomplete and Inaccurate Medical Records for Two Residents
Penalty
Summary
The facility failed to maintain complete and accurate medical records for two residents. For one resident, Fall Risk Evaluations indicated 1-2 falls in the past three months on multiple occasions, but no falls were documented in the electronic records or incident logs, and the DON confirmed that the resident had not experienced any falls in the past year. Additionally, a progress note initially documented falls that did not occur, which was later corrected. For another resident, the clinical admission assessment recorded that the resident had no teeth, but direct observation and confirmation by an LPN revealed the presence of several lower teeth that were broken off at the gums and black in color.
Failure to Initiate Enhanced Barrier Precautions for Resident with Chronic Wounds
Penalty
Summary
The facility failed to implement its infection prevention and control program by not initiating enhanced barrier precautions for a resident with recurring open wounds. According to the facility's own procedure, enhanced barrier precautions should be applied to residents with chronic wounds. The resident in question had multiple open lesions on the knees and lower leg, as documented in physician orders and wound assessments. These wounds were described as open, some bleeding, and had been present for approximately ten months, with documentation and photographs confirming their chronic and recurring nature. Despite this, there was no order for enhanced barrier precautions, and no signage was present at the resident's room to indicate such precautions were in place. The Infection Preventionist confirmed that the resident was not on enhanced barrier precautions, explaining that the wounds were not considered chronic by the facility because they closed and reopened frequently. This failure to follow the facility's own policy resulted in a lapse in infection control practices for a resident with ongoing open wounds.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hilltop
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hidden Valley Center | 4.2 mi | — | 7 | 0 |
| Pine Lodge | 9.1 mi | — | 0 | 0 |
| Fayetteville Healthcare Center | 9.4 mi | — | 4 | 0 |
| Beckley Healthcare Center | 10 mi | — | 21 | 0 |
| Majestic Care Of Beckley | 10.4 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.