Hilltop Health And Rehabilitation
Hilltop Health and Rehabilitation in Rutherfordton, NC — inspection on March 12, 2026.
Found 2 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
#1 stated she had opened the insulin injector pen for Resident #6 at 12:00 PM on 03/09/26 and
opened.
Nurse #1 stated she did not know why the insulin injector pen for Resident #59 was still in
did not know why the Liraglutide injector pen for Resident #69 was still in the medication cart.
She verbalized she thought it should be discarded after 28 days.
During an interview conducted with the Director of Nursing (DON) on 03/12/26 at 10:42 AM, she stated all nursing staff should be attentive during medication administration to ensure no medications were left unattended within reach of residents or visitors.
The DON verbalized the nurse opening an injector pen was responsible for labeling all medications with the opened date and expiration date at the time it was opened.
Labeled injector pens ensured that nurses did not use expired medications.
The DON stated that insulin expired 28 days after opening, and GLPˆ1 medications expired 30 days after opening per manufacturer's and pharmacy recommendations.
Expired medications were required to be removed from the medication cart, discarded, and replaced with new ones.An interview conducted with the Administrator on 03/12/26 at 11:06 PM.
The Administrator stated all nursing staff should ensure no medications were left unattended during medication administration.
The facility should remain free of unsecured medications.
Also, all nursing staff should label medication with the date and expiration date when it was opened.
Nursing staff should not use expired medication and should dispose of and replace expired medication.
345083 03/12/2026
Hilltop Health and Rehabilitation 188 Oscar Justice Road Rutherfordton, NC 28139
Review of the March 2026 Treatment Administration Record (TAR) revealed compression hose had been initialed by staff each day indicating that the compression hose had been put on the resident every morning and removed every evening except the evening of March 4, 2026.
Further review of the March 2026 TAR revealed that Nurse Aide (NA) #1 had initialed the compression hose 7 out of 11 days as being put on.
An observation of Resident #8 was made on 3/11/26 at 1:16 PM and there were no compression hose in place at that time.
An interview was conducted with NA #1 on 3/11/26 at 3:19 PM. NA #1 was responsible for treatments of Resident #8. NA #1 revealed that Resident #8 did not wear compression hose.
Nurse aide #1 stated she was not sure why she had marked on the TAR that her compression hose were being put on.
An interview was conducted with Nurse #2 on 3/11/26 at 3:30 PM who frequently cared for Resident #8.
Nurse #2 stated that Resident #8 refused her compression hose frequently and she could not remember the last time she had worn them.
She reported that if a resident refused treatment, it should have been marked as a refusal on the TAR and not initialed as being done on the TAR.
An interview was conducted with the Assistant Director of Nursing (ADON) on 3/11/26 at 3:22 PM.
She indicated that Resident #8 refused her compression hose a lot.
She reported that she could not remember the last time Resident #8 had worn the compression hose.
The ADON stated that if a resident refused a treatment, then it should have been marked on the TAR as a refusal and should not have been initialed as being done.
An interview was conducted with the Director of Nursing on 3/11/26 at 4:30 PM.
The Director of Nursing stated she would have expected her nursing staff to not mark a treatment on the TAR had it not been performed.
She reported there was a code for refusal and that is what she expected to be used when a treatment was refused.