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Complaint Investigation

Hilltop Heights Health & Rehab Center

Inspection Date: November 13, 2025
Total Violations 1
Facility ID 395812
Location JOHNSTOWN, PA
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Inspection Findings

F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

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

Based on review of policies, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food under sanitary conditions. Findings include:The facility's policy for kitchen sanitation and cleaning, dated August 18, 2025, revealed that the food and nutrition services staff would maintain the sanitation of the kitchen.Observations in the main kitchen on November 13, 2025, at 09:54 a.m. revealed that eighteen out of eighteen coffee mugs as well as three coffee and two water pitchers had loose food particles and a removable brown film inside; six out of ten white dinner plates examined were noted to have a dried on egg and cheese substance on the face of the plate; three out of twenty clear plastic drinking glasses had food particles and grime on them; five out of five large full size sheet pans were noted to have dried on and loose food particles on them; two frying pans were examined, one had a build up of removable brown food particles inside and the other had a moderate amount (five inches by two inches) of a soft yellowish substance inside; one cooking pot for the double broiler had a whiteish brown removable substance on the inside; ten out of ten black movable serving carts, eight of which had clean plates and serving dishes on them, had a large amount of built up removable dirt and food particles on them. The walk in freezer was noted to have an area on the floor to the left of the entrance with a dried on sticky/brownish white substance measuring approximately twelve by six inches, with the shelf above it having areas of the same substance noted on it. In addition, there was found to be a moderate to large amount of dirt and debris throughout the entire floor of the kitchen. Interview with the Dietary Manager, Dietician and Dietary Consultant on November 13, 2025, at 12:50 p.m. confirmed that the above dirty items were in circulation and ready to be used for the residents, and that the floor and all items mentioned above were dirty and needed cleaned.Interview with the Nursing Home Administrator on November 13, 2025, at 14:50 p.m. confirmed that the kitchen floor should be clean, and all items used for preparing, cooking and serving food should be clean, and they were not. In addition, she indicated that she was moving her office into the kitchen area so that she can better monitor the situation. 28 Pa. Code 211.6(f) Dietary Services.

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.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

HILLTOP HEIGHTS HEALTH & REHAB CENTER in JOHNSTOWN, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JOHNSTOWN, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HILLTOP HEIGHTS HEALTH & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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