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Complaint Investigation

Hilltop Center

October 23, 2025 · Hilltop, WV · 152 Saddleshop Road
Citations 2
CMS Rating 3/5
Beds 120
Provider ID 515061
Healthcare Facility
Hilltop Center
Hilltop, WV  ·  View full profile →
Inspection Summary

HILLTOP CENTER in HILLTOP, WV — inspection on October 23, 2025.

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.

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Inspection Findings

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Based on record review and staff interview, the facility failed to revise the care plan with a correct diagnosis for Resident #118.

This was true for one (1) of 20 residents reviewed during the survey process.

Resident Identifier: #118.

Facility Census: 116.Findings Include: a) Resident #118On 10/21/25 at 10:00 AM, a record review was completed for Resident #118.

The review found the care plan had not been revised with the correct diagnosis of restless leg syndrome.

Under the focus area of Resident exhibits or is at risk for alterations in comfort related to chronic pain, neuropathy, left knee pain, bilateral calf pain, bladder spasms, Parkinsons disease, fibromyalgia, ganglion right wrist, spondylosis, osteroarthritis., the resident did not have a diagnosis of Parkinson's disease but did have a diagnosis of restless leg syndrome. On 10/21/25 at 11:45 AM, the Administrator #22 confirmed the care plan was incorrect.

The Administrator #22 confirmed the diagnosis of Parkinson's disease was incorrect and should have been restless leg syndrome.

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Hilltop Center

152 Saddleshop Road Hilltop, WV 25855

SUMMARY STATEMENT OF DEFICIENCIES

Based on record review and staff interview, the facility failed to provide an accurate and complete record for Resident #118's discharge and diagnosis for a medication.

This was true for for one (1) of two (2) residents reviewed during the survey process.

Resident Identifier: #118.

Facility Census: 116.Findings Include: a1) Resident #118On 10/21/25 at 9:00 AM, a record review was completed for Resident #118.

The review found the discharge plan documentation dated 07/09/25 was incorrect.

Under section C entitled Recreation, a physician's order for treatment was listed as: Cleanse right 2nd toe amputation site with wound cleanser, pat dry, cover with betadine soaked gauze calcium alginate, wrap with kerlix.

Upon further review, the resident did not have an amputation of the second toe.On 10/21/25 at 10:00 AM, the Administrator #22 confirmed this information listed on the discharge plan documentation was incorrect. a2) Resident #118On 10/21/25 at 9:00 AM, a record review was completed for Resident #118.

The review found a physician's order for the medication Ropinirole (Requip) was listed with a diagnosis of Parkinson's disease.

The resident did not have a diagnosis of Parkinson's disease.

The correct diagnosis should have been listed as restless leg syndrome. On 10/21/25 at 11:45 AM, the Administrator #22 confirmed the diagnosis of Parkinson's disease was incorrect and the diagnosis of restless leg syndrome was correct.

Facility ID:

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 HILLTOP, WV, (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 CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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