Hilltop at Glenwood I

License status

Regular

Last survey posted

July 18, 2023

Surveys posted

2

Deficiencies cited

28

Substantiated complaints

0

Surveys

• July 18, 2023: no deficiencies cited report
• April 19, 2022 (Licensure/Complaint): 28 deficiencies cited report plan of correction
  The deficient practices resulted in the potential for harm to all residents and require a plan of correction.
  • Administration: The Specialty Care Assisted Living Facility Governing Authority. ADPH found: “The governing authority failed to ensure the facility operated in compliance with the SBOH rules for SCALFs.” 420-5-20-.03(1)(a)(b)(c)(d)
  • Administration. ADPH found: “The facility failed to follow its own policies and procedures for management and operation of the facility.” 420-5-20-.03(e)
  • Administration: Responsibility. ADPH found: “EI#2, Administrator, failed to adequately perform her (EI#2's) duties to ensure the proper and safe management of the day to day operations of the facility.” Cited as a result of a complaint investigation. 420-5-20-.03(2)(a)
  • Administration: Department Notification. ADPH found: “The facility failed to provide written notification of change in administrator to the SBOH.” 420-5-20-.03(2)(c)
  • Personnel. ADPH found: “The facility failed to maintain the minimum required staffing at all times.” Cited as a result of a complaint investigation. 420-5-20-.04(1)(2)
  Show all 28

  • Personnel: Employee Screening. ADPH found: “The facility failed to screen potential employees prior to hire and prior to resident contact.” 420-5-20-.04(3)
  • Personnel: Personnel Records. ADPH found: “The facility failed to maintain complete personnel records.” 420-5-20-.04(4)
  • Personnel: Medical Director. ADPH found: “The facility RN and Care Coordinator duties were not performed consistently to ensure the facility operated in compliance with SBOH rules for SCALFs.” 420-5-20-.04(6)(7)(8)
  • Personnel: Training. ADPH found: “The facility failed to ensure staff completed all required training.” 420-5-20-.04(9)
  • Records and Reports: Residents' Rights. ADPH found: “The facility failed to provide a safe and decent environment for all residents at all times.” Cited as a result of a complaint investigation. 420-5-20-.05(3)(d)
  • Records and Reports: Inventory of personal effects. ADPH found: “Inventory of a resident's personal property was not documented upon admission.” 420-5-20-.05(3)(f)
  • Records and Reports: Incident Investigation. ADPH found: “The facility failed to report the elopement of a resident and an outbreak of a contagious disease to the Department's Online Incident Reporting System (OIRS).” Cited as a result of a complaint investigation. 420-5-20-.05(3)(h)
  • Care of Residents: Medical Direction and Supervision. ADPH found: “Facility nurses failed to follow physicians' orders for residents' medications.” Cited as a result of a complaint investigation. 420-5-20-.06(1)
  • Care of Residents: Initial Physical Examination. ADPH found: “Residents' Physical Examination reports did not contain required information.” 420-5-20-.06(2)(a)(b)(c)
  • Care of Residents: Initial Assessment. ADPH found: “The facility failed to provide adequate health supervision of residents to determine eligibility for admission and retention as well as to determine the residents' care needs and establish appropriate interventions.” 420-5-20-.06(3)(a)(b)(c)(d)(e)
  • Care of Residents: Observation. ADPH found: “The facility failed to provide general observation and health supervision of a resident to identify changes in the resident that required medical attention and arrange for the resident to obtain necessary services.” 420-5-20-.06(3)(f)
  • Care of Residents: Personal Care and Services. ADPH found: “Residents' care plans were not current and did not contain specific interventions to address the residents' care needs.” 420-5-20-.06(4)(a)(b)
  • Care of Residents: Activity Program. ADPH found: “The facility failed to provide activities appropriate to each resident every day, including a resident who had eloped.” Cited as a result of a complaint investigation. 420-5-20-.06(4)(c)(d)(e)(f)
  • Care of Residents: Medications. ADPH found: “There was no physician's order for a resident to have custody of and manage a medication.” 420-5-20-.06(5)(a)(b)(c)(d)(e)
  • Care of Residents: Medications. ADPH found: “Facility nurses failed to document all required information on residents' MARs.” 420-5-20-.06(5)(h)
  • Care of Residents: Medications. ADPH found: “Facility nurses failed to properly utilize the system in place to account for controlled substances in the facility's possession.” 420-5-20-.06(5)(i)(j)(k)(l)(m)
  • Food Service: Food Handling Procedures. ADPH found: “Proper food handling procedures were not practiced in the facility's kitchen.” Cited as a result of a complaint investigation. 420-5-20-.07(2)
  • Food Service: Dietary Service. ADPH found: “The facility failed to post meal times and the current week's menu as required.” Cited as a result of a complaint investigation. 420-5-20-.07(3)
  • Physical Facilities: Food Service Facilities. ADPH found: “The food service facilities were not properly maintained.” Cited as a result of a complaint investigation. 420-5-20-.08(4)
  • Sanitation and Housekeeping: Sanitation. ADPH found: “Hot water accessible to residents exceeded the allowed temperature, bugs were present in the facility, odors were not controlled and the premises were not kept neat and clean.” 420-5-20-.10(1)
  • Sanitation and Housekeeping: Housekeeping and Physical Plant Maintenance. ADPH found: “Housekeeping failed to provide services necessary to maintain a sanitary, decent and comfortable interior.” Cited as a result of a complaint investigation. 420-5-20-.10(2)
  • Fire and Safety: General. ADPH found: “Fire drills were not performed monthly and quarterly on each shift.” 420-5-20-.11(1)
  • Physical Environment: General Building Requirements - Group and Congregate. ADPH found: “The building was not kept in good repair, lighting was inadequate and the residents' call system was not totally functional.” 420-5-20-.12(5)

ADPH also lists 1 earlier survey, back to 2019.

Search ADPH’s deficiency reports for license P3904 →

ADPH posts each survey’s Statement of Deficiencies as a PDF (older ones are scans, which we read by OCR). From each report we show the deficiency tags, the rules they cite, ADPH’s own one-sentence finding and the complaint outcomes ADPH states; each cited rule is named in the rule’s own words (Alabama Administrative Code, chapter 420-5-4 for assisted living and 420-5-20 for specialty care assisted living). The report, and the facility’s plan of correction when ADPH posts it, are the official record. Some reports list a complaint as substantiated with no deficiency cited; we show both as ADPH wrote them. This community is licensed for 16 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Alabama Department of Public Health, Bureau of Health Provider Standards, data as of October 15, 2026, showing surveys from the last five years. Always visit in person and ask the community about anything listed here.