Hilltop Center: Medical Record Errors Found in Inspection - WV
Inspectors caught the error during a complaint survey on October 21, 2025. When they flagged the documentation to the facility's administrator, she confirmed it. The record was wrong.
That was the first error. There was a second.
The same resident had a physician's order for Ropinirole, a medication sold under the brand name Requip. Listed alongside it, as the diagnosis justifying the prescription, was Parkinson's disease. The resident did not have Parkinson's disease. The correct diagnosis was restless leg syndrome, a separate condition Ropinirole is also prescribed to treat. The administrator confirmed that error as well, shortly before noon on the same day.
Both findings appeared in a federal inspection report filed under citation F0842, which covers the accuracy and completeness of medical records. Inspectors reviewed two residents' records during the survey and found problems in one of them. Hilltop Center, a 116-bed facility, received a deficiency rating of minimal harm or potential for actual harm.
The rating reflects the lower end of the federal harm scale, and nothing in the inspection report indicates Resident 118 was injured as a direct result of either error. But the nature of what was wrong matters beyond the severity designation.
A discharge plan is the document that follows a resident out the door. It tells the next care setting, the home health nurse, the family member managing medications, what the person needs and why. A wound care order for an amputation site that does not exist is not a minor clerical mismatch — it describes a category of injury, a specific location on the body, and a detailed clinical protocol for managing it. Anyone reading that document without independent knowledge of the resident would have no reason to question it.
The Ropinirole error points in a different direction but raises its own questions. Parkinson's disease and restless leg syndrome are not interchangeable diagnoses. Parkinson's is a progressive neurological disorder. Restless leg syndrome is a condition characterized by uncomfortable sensations in the legs and an urge to move them, often disrupting sleep. The two conditions can overlap — Ropinirole is used for both — but the distinction matters in how a patient's overall condition is understood and communicated. A chart that lists Parkinson's disease for a resident who does not have it shapes how every subsequent reader interprets that person's health.
The discharge plan documentation carrying the amputation error was dated July 9, 2025, more than three months before inspectors reviewed it. The inspection report does not say when the Ropinirole diagnosis error was introduced into the record or how long it had been there.
What the report does say is that the administrator confirmed both errors on the same morning they were identified, without dispute.
Hilltop Center sits in a community of 116 residents. The inspection covered two of them for this particular citation. The report does not describe whether a broader records review was conducted, or whether similar errors exist for other residents whose files were not part of this survey.
Resident 118 left the facility in July. Where they went, and whether anyone reading that discharge plan acted on the amputation wound care instructions, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hilltop Center from 2025-10-23 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 7, 2026 · Our methodology
HILLTOP CENTER in HILLTOP, WV was cited for violations during a health inspection on October 23, 2025.
Inspectors caught the error during a complaint survey on October 21, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.