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C
Below Standard

Hilltop Health and Rehabilitation

188 Oscar Justice Road · Rutherfordton, NC 28139

8282869001 · For profit - Limited Liability company

80 beds76.3 residents91 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hilltop Health and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.3702 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4032 HPRD, below the recommended 0.75. It is 0.53 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.24% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3702 HPRD — needs 0.11 more hours per resident per day.
⚠️RN staffing (0.4032 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3702hrs/resident/day▼ 0.53
CMS benchmark: 3.48
RN HPRD
0.4032hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
20.24%
3.5747 weekday → 2.851 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.827hrs/resident/day
Direct care aides
LPN HPRD
0.8141hrs/resident/day
Licensed practical nurses
Consistency
0.4006std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Rutherford County Average-0.21 HPRD
3.58
03.37 HPRD
vs. North Carolina State Average-0.40 HPRD
3.77
03.37 HPRD
vs. National Average-0.53 HPRD
3.90
03.37 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Hilltop Health and Rehabilitation ★
Rutherfordton · This facility
—
C
3.37020.4032★★☆☆☆
Willow Ridge Of NC
Rutherfordton
4.1 mi
C
3.56810.5242★☆☆☆☆
Deer Park Health and Rehabilitation
Nebo
16.8 mi
B
3.61190.9032★☆☆☆☆
Autumn Care of Marion
Marion
20.8 mi
C
3.18610.5995★★★★★
White Oak Manor - Tryon
Tryon
22.3 mi
B
4.52770.6399★★★★☆
Cleveland Pines
Shelby
22.7 mi
C
3.28280.4341★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
14
Total Deficiencies
$25,812
Fines Assessed
Jan 9, 2025Health
2 deficiencies cited
▼
Sep 13, 2023Health
8 deficiencies cited· Includes actual harm
▼
Mar 31, 2023Health
2 deficiencies cited· Includes actual harm
▼
Apr 27, 2022Health
2 deficiencies cited
▼

Penalty History

Sep 13, 2023Fine
$7,530
Mar 31, 2023Fine
$18,282
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.