Hilltop Health and Rehabilitation

188 Oscar Justice Road, Rutherfordton, NC 28139 · CCN 345083 · 80 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections4 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

12 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-09-13 — ACTUAL HARM (tag F0558, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

Reasonably accommodate the needs and preferences of each resident.

2023-09-13 — ACTUAL HARM (tag F0550, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Staffing, from payroll records

Nursing hours / resident / day

2.69

state median 3.11

Weekend staffing gap

−9%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.19

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

61%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $7,530 in fines.

Date	Type	Amount
2023-09-13	Fine	$7,530

Ownership

Ownership type: For profit - Limited Liability company. Part of the ASCENT HEALTHCARE MANAGEMENT chain.

Other facilities under the same ownership, with their CMS overall ratings:

Bear Mountain Health and Rehabilitation (Asheville, NC) — CMS overall3 of 5
Elevate Health and Rehabilitation (Asheville, NC) — CMS overall1 of 5
Sapphire Ridge Health and Rehabilitation (Brevard, NC) — CMS overall2 of 5
Orchard Valley Health and Rehabilitation (Hendersonville, NC) — CMS overall1 of 5
Swannanoa Valley Health and Rehabilitation (Swannanoa, NC) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 10

Survey date	Tag	Category	Severity	Corrected
2026-03-12	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-03-12	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-09	F0679	Quality of Life and Care Deficiencies	E	not recorded
2025-01-09	F0880	Infection Control Deficiencies	D	not recorded
2023-09-13	F0550	Resident Rights Deficiencies	G	not recorded
2023-09-13	F0558	Resident Rights Deficiencies	G	not recorded
2023-09-13	F0756	Pharmacy Service Deficiencies	E	not recorded
2023-09-13	F0760	Pharmacy Service Deficiencies	E	not recorded
2023-09-13	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-09-13	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-09-13	F0867	Administration Deficiencies	D	not recorded
2023-09-13	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Hilltop Health and Rehabilitation, Rutherfordton” at medicare.gov/care-compare.