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C

65/100

Average

Hilltop Health And Rehabilitation

188 Oscar Justice Road, Rutherfordton, NC 28139

CMS 3/5 stars #4 of 5 in Rutherford County (828) 286-9001
Certified beds
80
Occupancy
91%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 61%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Hilltop Health And Rehabilitation

Hilltop runs lean on nurses, 3.05 hours per resident per day against a national average of 3.86, and weekends drop another 11% below its own weekday pace. Turnover sits at 61% when the national figure is 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record shows a recent visit, a four-star health inspection and quality measure rating, but also 12 deficiencies with two at harm or jeopardy level, plus one $7,530 fine. It's a for-profit LLC. The care scores look decent on paper; the staffing numbers behind them don't hold up the same way.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing8/30Stability5/15Outcomes12/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.13 total nurse hours per resident per day (national median 3.77)
  • →0.34 RN hours per resident per day
  • →Weekend staffing drops 11% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →61% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.05 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.34 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.71 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover61.00%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: March 12, 2026 (7 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of ASCENT HEALTHCARE MANAGEMENT, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Hilltop Health And Rehabilitation

What is the ElderGrade for Hilltop Health And Rehabilitation? +

Hilltop Health And Rehabilitation holds an ElderGrade of C (65 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hilltop Health And Rehabilitation? +

Residents receive an average of 3.05 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hilltop Health And Rehabilitation been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Hilltop Health And Rehabilitation accept Medicaid? +

Yes, Hilltop Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.