Complaint Investigation

Hilltop Park Rehabilitation And Care Center

February 14, 2025 · Weatherford, TX · 970 Hilltop Dr

Citations 1

CMS Rating 1/5

Beds 132

Provider ID 675988

Healthcare Facility

Hilltop Park Rehabilitation And Care Center

Weatherford, TX · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 25 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

HILLTOP PARK REHABILITATION AND CARE CENTER in WEATHERFORD, TX — inspection on February 14, 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

FF580

Immediate Some was provided by the Corporate Quality Improvement Nurse to DON/ADON, (The policy was reviewed, and affected

The facility failed to ensure CNA J washed or sanitized her hands before and during incontinent care for Resident #2.

The facility failed to ensure CNA D washed or sanitized her hands before and during incontinent care for Resident #7

This deficient practice placed residents at risk for cross contamination and/or acquiring an infection.

Findings include:

Review of Resident 2's Significant Change in Status MDS assessment dated [DATE] revealed Resident #2 was an [AGE] year-old female originally admitted to the facility on [DATE].

Her cognitive skills for daily decision making were severely impaired with a BIMS score of 2. Resident #2 required maximum assistance with the staff providing over one half of the support of toileting. Resident #2 was always incontinent of bladder and occasionally incontinent of bowel.

Review of Resident #2' s Face sheet included the following diagnoses: dementia with behavioral disturbance, urinary tract infection with an onset date of 01/08/2025, diarrhea with an onset date of 01/06/2025

Review of the Care Plan dated revised on 01/04/2025 for Resident #2 revealed the following focus: resident has bowel and bladder incontinence and interventions: check every 2 hours and wash and dry peri area as necessary for incontinent episodes.

Report and document for signs and symptoms of UTI pain, burning, blood-tinged urine, deepening of urine color or foul-smelling urine.

675988

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675988 B.

Wing 02/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Hilltop Park Rehabilitation and Care Center 970 Hilltop Dr Weatherford, TX 76086

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 WEATHERFORD, TX, (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 PARK REHABILITATION AND CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

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.