Hilltop Healthcare and Rehabilitation Center

700 S. Cayuga Avenue · Altoona, PA · 16602 · 8149460471

133 certified beds For profit - Individual Chain: Abraham Smilow

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 100
Staffing 20% 66
Federal penalties 15% 100
Trend 10% 62
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.473.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day3.20≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (42 in the current record)

  • Potential for harm · D March 19, 2026 · found via complaint

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected April 17, 2026 · Nutrition and Dietary

  • Potential for harm · E March 19, 2026 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected April 17, 2026 · Nutrition and Dietary

  • Potential for harm · E March 19, 2026 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 17, 2026 · Nutrition and Dietary

  • Potential for harm · F March 19, 2026 · found via complaint

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected April 17, 2026 · Nutrition and Dietary

  • Potential for harm · D December 11, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected January 23, 2026 · Resident Rights

  • Potential for harm · D December 11, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected January 23, 2026 · Resident Rights

  • Potential for harm · D December 11, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 11, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 23, 2026 · Quality of Life and Care

  • Potential for harm · E December 11, 2025

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

    Corrected January 23, 2026 · Nutrition and Dietary

  • Potential for harm · D December 11, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 11, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected January 23, 2026 · Administration

  • Potential for harm · D December 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 23, 2026 · Infection Control

  • Potential for harm · D August 26, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 1, 2025 · found via complaint

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

    Corrected April 20, 2025 · Nutrition and Dietary

  • Potential for harm · E January 17, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 17, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 17, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · E January 17, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · E January 17, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · E January 17, 2025

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

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · D January 17, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 5, 2025 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395241 · certified since May 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.