Hillside Heights Rehabilitation Suites
HILLSIDE HEIGHTS REHABILITATION SUITES in AMARILLO, TX — inspection on April 29, 2026.
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
resident sleeping in view of the hallway on a couch in just a t-shirt and brief or just a t-shirt she
described above. DON stated the resident could fall off of the couch.
She stated leaving a resident as
lead to skin breakdown or infection.
During an interview on 04/29/26 at 10:23 AM ADM stated she would hope her staff would assist a resident who was sleeping on the couch in view of the hallway in just a t-shirt and brief or just a t-shirt to make sure that resident was appropriately dressed and clean.
She stated any staff member with knowledge of the condition of the resident mentioned above was responsible to intervene. ADM stated leaving the resident as described above would be a dignity issue.
She stated leaving residents in wet or soiled briefs could lead to skin breakdown.
Record review of facility admission packet page titled Texas Department of Aging and Disability Services revealed the following: You, the resident do not give up any rights when you enter a nursing facility. If anyone . violates your dignity, you have the right file a complaint.
You have a right to: . 2. safe, decent and clean conditions; . 4. be treated with courtesy, consideration, and respect; . 6. privacy, .
Record review of the facility admission packet page 14-21 titled Resident Rights revealed the following: .
The facility protects and promotes the rights of each resident in our care. 1.
Basic Rights.
Each resident has the right to a dignified existence . 15.
Privacy.
Each resident has the right to privacy with regard to accommodations, treatment, communications, personal care . 49.
Resident Dignity.
The facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment, that maintains or enhances his/her quality of life .
Record review of facility policy titled Patient/Resident Rights and dated 10/01/20 revealed the following: .
The Facility employs measures to ensure patient and resident personal dignity, well-being, and self-determination are maintained .
The Facility treats each resident with respect and dignity.
The Facility provides care for each resident in a manner that promotes, maintains, or enhances quality of life .
675498 04/29/2026
Hillside Heights Rehabilitation Suites 6650 South Soncy Road Amarillo, TX 79119
CMA G stated leaving residents in wet briefs was an example of neglect and could lead to UTIs,
interview on 04/28/26 at 08:39 AM DT stated not checking on resident every 2 hours was an example
07:33 AM LVN J stated not changing a resident's brief was an example of neglect.
She stated leaving a resident on a couch in a soaked brief and t-shirt overnight was not acceptable because the resident might fall and was not supposed to be out in public undressed.
She stated, Another resident can go by and see somebody naked. LVN J stated a possible negative outcome of leaving a resident in an unchanged brief was skin breakdown or sores.
She stated she remembered working on the night of 04/19/26 and ADON A asking her to send her CNAs to hall 400 to help LVN D.
She stated her CNAs did not go as they had just enough time to finish their last round on her hall. LVN J stated she answered a call light for LVN D because it had been going off for a long time.
She stated she was not sure how long but that she had administered a medication and charted and it was still going off.
She described the location of Resident #1's room.
She stated he was confused and asking about his car. LVN D stated she noticed several of the call lights for hall 400 went off for long periods of time that evening.
She stated not answering a call light within 15 minutes, not changing resident briefs, and not dressing residents were examples of neglect. LVN J stated, That is inhumane.
You don't do that to anybody.
During an interview on 04/29/26 at 09:02 AM SC stated staff were responsible to ensure residents were not left sleeping overnight on a couch in view of the hallway wearing only a t-shirt and brief or just a t-shirt.
She stated this could negatively impact the dignity of the resident. SC stated, She has a bed she needs to be in.
She stated not assessing a resident for injury after a professed fall could be a form of neglect. SC stated sitting in wet or soiled briefs all night was a form of neglect and resident skin could breakdown.
During an interview on 04/29/26 at 09:06 AM LVN K stated it was not okay for a resident to be left overnight sleeping on a couch in just a t-shirt and brief or just a t-shirt.
He stated, For one, other patients can see them; invades their privacy and their dignity, self-esteem.
We have to advocate for the patient. He stated all facility staff were responsible for ensuring this did not happen to a resident. He stated even if housekeeping walked by and noticed a resident in that position, they were responsible to let the nurse know. He stated not assessing a resident who said they fell could lead to pain, compartment syndrome, and death. LVN K stated the nurse on duty was responsible for assessing the resident.
During an interview on 04/29/26 at 09:18 AM RN S stated it was not okay for a resident to be left sleeping on the couch in view of the hallway with just a t-shirt and brief or just a t-shirt for dignity and privacy reasons.
She stated the nurse was ultimately responsible to ensure this did not happen to a resident. RN S stated the nurse on duty was responsible for assessing a resident who said they fell.
She stated not assessing the resident could lead to the resident having an injury staff did not know about.
She stated leaving residents in wet or soiled briefs was a form of neglect.
During an interview on 04/29/26 at 09:24 AM LVN T stated it was not okay for a resident to be left sleeping on the couch in view of the hallway with just a t-shirt and brief or just a t-shirt.
She stated, It is a dignity issue for one and plus they need to be able to sleep in their bed and g
675498 04/29/2026
Hillside Heights Rehabilitation Suites 6650 South Soncy Road Amarillo, TX 79119
During an interview on 04/29/26 at 9:37 AM, the ADM stated she was responsible for ensuring reports to the state were made.
She stated the incident was reported to the on-call nurse on 04/19/26 but was not reported to her until 04/20/26.
She identified a breakdown in communication and stated delayed reporting could allow abuse to continue.
Record review of facility provided policy titled Abuse, Neglect, Exploitation or Mistreatment revised March 2026, revealed the following in part.The facility's leadership prohibits neglect, mental, physical and/or verbal abuse and are reported immediately. 2.
The facility shall report immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not result in serious bodily injury to the administrator of the facility and to other officials (including to the State Survey Agency in accordance with state law though established procedures.
Record review of facility provided policy titled Resident Rights, from admissions handbook revision date of September 2020 revealed the following in part .#47.
Protection from Abuse.
The facility must develop and implement written policies and procedures and training that prohibit and prevent the mistreatment, neglect, and exploitation and abuse of residents.
The facility must ensure that all alleged violations involving exploitation, mistreatment, neglect or abuse, are reported immediately.
All alleged violations-immediately but not later than 1) 2 hours if the alleged violation involves abuse or results in serious bodily injury and 2) 24 hours if the alleged violation does not involve abuse and does not result in serious bodily injury, to the administrator of the facility and to other officials including state survey agency and adult protective services here state law provides for jurisdiction in long term care facilities) in accordance with state law through established procedures.
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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.