Hilltop Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Hilltop Health and Rehabilitation is a 80-bed for-profit nursing home in Rutherfordton, North Carolina, part of Ascent Healthcare Management. In the CMS August 2026 release it reported 1.96 nurse aide hours per resident per day, 16% below the North Carolina average of 2.34, and 61.0% nursing staff turnover (North Carolina average 49.0%).
Hilltop Health and Rehabilitation
188 Oscar Justice RoadRutherfordton, NC 28139
Rutherford County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Hilltop Health and Rehabilitation, nurse aides logged 1.96 hours per resident per day, 16% below the North Carolina average. With about 73 residents a day, that works out to roughly 143 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.96 | 2.34 | 2.32 |
| Licensed practical nurses | 0.74 | 0.89 | 0.86 |
| Registered nurses | 0.34 | 0.61 | 0.69 |
| All nursing staff | 3.05 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.71 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
61.0% of nursing staff at Hilltop Health and Rehabilitation left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 44.4%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $7,530 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 13, 2023 | Fine | $7,530 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Hilltop Health and Rehabilitation holds 3 of 5 overall; the North Carolina average is 2.9.
About Hilltop Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Ascent Healthcare Management, 6 homes
- Legal name: Rutherfordton NC Opco LLC
- Medicare and Medicaid certified since: Dec 13, 1972
- Councils: resident council
- Area: rural
Nursing homes near Hilltop Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Oak Grove Healthcare Rutherfordton · many days without an RN | 3.7 | 60 | 1.96 | 3.04 | 54.0% | 4 | None |
| Willow Ridge Of NC Rutherfordton | 4.1 | 150 | 2.53 | 3.88 | 56.5% | 2 | $146,939 |
| Fair Haven of Forest City, LLC Forest City | 7.7 | 100 | 2.24 | 3.52 | 27.0% | 4 | None |
| Fair Haven Home Inc Bostic | 8.3 | 30 | 1.69 | 3.64 | 28.1% | 5 | None |
| Deer Park Health and Rehabilitation Nebo · SFF candidate · abuse citation | 16.8 | 140 | 2.26 | 3.41 | 78.5% | 1 | $273,467 |
| Willowbrooke Court SC Ctr at Tryon Estates Columbus | 19.7 | 16 | 2.41 | 4.63 | — | 5 | None |
| Autumn Care of Marion Marion | 20.8 | 110 | 1.84 | 3.18 | 35.6% | 3 | $10,364 |
| White Oak Manor - Tryon Tryon | 22.4 | 70 | 2.62 | 4.11 | 62.4% | 2 | $16,153 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.