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Hilltop Health and Rehabilitation

All states › North Carolina › Rutherfordton › Hilltop Health and Rehabilitation

188 Oscar Justice Road Rutherfordton, NC 28139 · Rutherford County

(828) 286-9001

All 3 nursing homes in Rutherfordton, NC (3 take Medicaid)

Accepts Medicare Accepts Medicaid 80 certified beds For profit

CMS certification number 345083 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Hilltop Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hilltop Health and Rehabilitation as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0. Inspectors issued 12 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 2.93 hours per resident per day at Hilltop Health and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 2.61 hours, 11% below its all-week average. 62% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 2.93 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.27 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.61 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 62% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds80
Residents per day 74 About 92% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1972
Part of a chainAscent Healthcare Management
Legal business nameRUTHERFORDTON NC OPCO LLC

Paying for care at Hilltop Health and Rehabilitation: Medicare and Medicaid

Hilltop Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 12, 2026 and found 2 deficiencies. In total, inspectors issued 12 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 12 citations at Hilltop Health and Rehabilitation across 3 inspection dates. 2 were at the actual-harm level (G–I), most recently on September 13, 2023. The most common areas cited were pharmacy service (4) and infection control (2). The most serious was cited under the CMS rule to "honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights" (tag F0550, level G, September 13, 2023).

March 12, 2026 · 2 citations

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 1, 2026)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Apr 1, 2026)

January 9, 2025 · 2 citations

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jan 22, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 22, 2025)

September 13, 2023 · 8 citations, includes actual harm

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

Actual harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Sep 18, 2023)

GReasonably accommodate the needs and preferences of each resident.

Actual harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Sep 18, 2023)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Sep 18, 2023)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Sep 18, 2023)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 18, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 18, 2023)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Sep 18, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 18, 2023)

Questions to ask on a tour of Hilltop Health and Rehabilitation

  1. Inspectors cited the home at the actual-harm level on September 13, 2023 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Nursing staff turnover was 62% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 4/5 1/5 4/5
August 2026 3/5 4/5 1/5 4/5
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Location

Hospitals near Hilltop Health and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 4.1 mi
    Rutherford Hospital INC Rutherfordton
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 24m for patients treated and sent home
  • 18.4 mi
    The McDowell Hospital Marion
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 24m for patients treated and sent home
  • 20.1 mi
    Advent Health Polk Columbus
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 16m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Oak Grove Healthcare Rutherfordton · 3.7 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 60 beds · Medicaid
Willow Ridge of NC Rutherfordton · 4.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 150 beds · Medicaid
Fair Haven of Forest City Forest City · 7.7 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 100 beds · Medicaid
Fair Haven Home Bostic · 8.3 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 30 beds · Medicaid
Deer Park Health and Rehabilitation Nebo · 16.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 140 beds · Medicaid

More nursing homes near Hilltop Health and Rehabilitation ›   All nursing homes in Rutherfordton ›

Compare Hilltop Health and Rehabilitation with the 3 closest homes side by side ›

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Other Ascent Healthcare Management nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Ascent Healthcare Management nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/rutherfordton/hilltop-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.