Hilltop Nursing & Rehabilitation Center
Hilltop Nursing & Rehabilitation Center in Pineville, LA — inspection on August 28, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
medications, if indicated.Additional in-services will be initiated for all nurses by the DON and/or ADON
jeopardy to resident health or neglect-examples of neglect will be reviewed, which will include the following, at a minimum; Failing safety to notify the MD of a fall with injury, failing to document a fall, failing to document as assessment following a fall, and failing to promptly send the resident to the ER.Nurses will not be allowed to work
cared for following a fall and no neglect has occurred, a QAPI Monitor had been implemented and will begin on 08/28/2025 to ensure the MD was notified, an assessment was documented, the resident was sent to the ER in a timely manner, if ordered or required, and pain medication was administered, if ordered and indicated.
This monitor will be completed by the DON or designee on each fall that occurs 3 times a week for 6 weeks, and then monthly thereafter until compliance is reached.To ensure residents are promptly cared for, falls are addressed and no neglect has occurred, and additional QAPI Monitor has been created.
The DON or designee will randomly interview 5 CNA's and 3 nurses, questioning their knowledge of any recent falls. If the staff member recalls a fall, this information will be reconciled with the medical record for compliance.
This monitor will be completed 3 x week for 6 weeks, and then monthly thereafter until compliance is reached.To ensure continued understanding of the in-service related to neglect, the DON or designee will interview a random sample of at least 3 nurses 3 x a week for 6 weeks, and them monthly thereafter until compliance is reached.
This interview will contain questions related to neglect, notification of MD with falls, documentation of falls in the medical record, documentation of assessments related to falls and sending a resident to the ER promptly when ordered or as required.The effectiveness of the corrective actions will be discussed weekly for 6 weeks at the Quality Assurance and Performances Improvement Meeting with findings added to the QAPI minutes.
Additional in-services and/or corrective actions will be implemented as needed.
195390 08/28/2025
Hilltop Nursing & Rehabilitation Center 336 Edgewood Drive Pineville, LA 71360
been in-serviced.
Monitoring of Implemented Actions: A QAPI Monitor had been implemented and will
jeopardy to resident health or MD was notified, an assessment was documented, the resident was sent to the ER in a timely safety manner, if ordered or required, and pain medication was administered, if ordered and indicated.
This monitor will be completed by the DON or designee on each fall that occurs 3 times a week for 6
created to ensure Professional Standards are maintained following a fall by ensuring that falls have been addressed in the medical record.
The DON or designee will randomly interview 5 CNA's and 3 nurses, questioning their knowledge of any recent falls. If the staff member recalls a fall, this information will be reconciled with the medical record for compliance.
This monitor will be completed 3 x week for 6 weeks, and then monthly thereafter until compliance is reached.To ensure continued understanding of the in-service related to Professional Standards, the DON or designee will interview a random sample of at least 3 nurse, 3 x a week for 6 weeks, and then monthly thereafter until compliance is reached.
This interview will contain questions related to Professional Standards, notification of MD with falls, assessing residents with falls, administering pain medications if needed and available and promptly sending residents to the ER when ordered or required.To further ensure Professional Standards are maintained, the DON or ADON will complete Performance Evaluations on 4 nurses weekly for 6 weeks, and then monthly thereafter until compliance is reached.
The Corporate nurse will oversee the plan of removal and plan of correction and will also ensure that follow-up regarding the specific areas will be conducted.
The effectiveness of the corrective actions will be discussed weekly for 6 weeks at the Quality Assurance and Performances Improvement Meeting with findings added to the QAPI minutes.
Additional in-services and/or corrective actions will be implemented as needed.
195390 08/28/2025
Hilltop Nursing & Rehabilitation Center 336 Edgewood Drive Pineville, LA 71360
Observation and interview on
abruptly and she was responsible for the daily posting of the facility's staffing pattern. S2 DON confirmed the posted facility staffing sheet was dated 08/13/2025 and did not reflect the current date or staffing, and it should.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.