Hilltop Healthcare And Rehabilitation Center
HILLTOP HEALTHCARE AND REHABILITATION CENTER in ALTOONA, PA — inspection on August 26, 2025.
Found 1 citation. 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
Based on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician orders were written and followed for one of six residents reviewed (Resident 2).Findings include:A facility policy for physician's orders, dated July 31, 2025, revealed that verbal orders are given to the nurse by the physician in person or by telephone; however, they are not written by the physician in the medical record.
Verbal orders are to be followed through by making appropriate notification.An admission Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 2, dated June 16, 2025, revealed that the resident was understood and could understand others, was cognitively intact and required assistance with daily care needs.A pharmacist recommendation for Resident 2, dated June 18 2025, reviewed and signed by the physician on June 19, 2025, revealed that aspirin and famotidine were to be discontinued.There was no documented evidence in Resident 2's clinical record to indicate that the aspirin and famotidine were discontinued as ordered.Interview with the Director of Nursing on August 26, 2025, at 12:57 p.m. revealed that Resident 2's orders for aspirin and famotidine were not discontinued and they should have been.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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