Nursing home
Hilltop Health and Rehabilitation
188 Oscar Justice Road, Rutherfordton, NC 28139 · Map
For profit - Limited Liability company · Part of Ascent Healthcare Management (6 facilities) · 80 certified beds
Hilltop Health and Rehabilitation is a Medicare-certified nursing home in Rutherfordton, North Carolina. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.37 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jan 9, 2025 cited 2 deficiencies.
- 2 fines totaling $25,812In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hilltop Health and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.37 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.40 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.15 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 51.9% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 12, 2026 inspection was corrected by April 1, 2026
Penalties in CMS records: 2 fines totaling $25,812, 2 total penalties.
What inspectors found at Hilltop Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Jan 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 9, 2025 · Full report (PDF) - Actual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 13, 2023
Show all 12 deficiencies
- Actual harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Sep 13, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 13, 2023 - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Sep 13, 2023 - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 13, 2023 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Sep 13, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 13, 2023 - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Sep 13, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 188 Oscar Justice Road
Rutherfordton, NC 28139 - CMS certification #
- 345083
- Ownership
- For profit - Limited Liability company
- Certified beds
- 80
- Avg residents/day
- 76.3
- Provider type
- Medicare and Medicaid
- First certified
- 1972-12-13
- Chain
- Ascent Healthcare Management (6 facilities)
- Setting
- Rural
Part of Ascent Healthcare Management
Ascent Healthcare Management operates 6 nursing facilities across the United States. View all Ascent Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hilltop Health and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Rutherford Regional Medical Center, Rutherfordton. 4.0 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Oak Grove Healthcare, Rutherfordton. 3.7 miles away, straight line.
- Nearest home health agency office
- Carolina Home Care, Spindale. 3.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 3.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28139 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Dialysis Care Of Rutherford County, Forest City, 5.5 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 28139.
Carepartners Hospice & Palliative Care Services, office in Marion, 20.2 miles away, straight line (CMS family survey rating 5 of 5 stars)
Via Health Partners - Cleveland, office in Shelby, 23.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Blue Ridge Healthcare Medical Group Inc, Morganton. 26.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Hilltop Health and Rehabilitation a good nursing home?
CMS gives Hilltop Health and Rehabilitation an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hilltop Health and Rehabilitation staffed?
Hilltop Health and Rehabilitation reports 3.37 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Hilltop Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Hilltop Health and Rehabilitation have?
Hilltop Health and Rehabilitation is certified for 80 beds.