Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Hilliard during CMS and state inspections, most recent first.
Surveyors found multiple opened food items in dry storage and the freezer with no labels or dates, including vegetables, fruit, pasta, fries, cauliflower, and biscuits. Dietary staff and the CDM stated that opened items were supposed to be dated and given a use-by date, but the observed items were not marked as required.
Failure to Notify LTC Ombudsman of Transfers and Discharges: The facility did not provide required CMS Form 3120 transfer/discharge notices or evidence of LTC Ombudsman notification for multiple residents who were transferred to acute care hospitals or discharged home. Records for residents with diagnoses including fracture, intracranial injury, metabolic encephalopathy, stroke-related hemiplegia, sepsis, CHF, and aortic valve stenosis lacked the required documentation, and staff interviews confirmed the March notices had not been sent until later.
Oxygen was not consistently administered at the ordered flow rates for four residents. One resident with COPD and SOB was observed receiving oxygen at 3 LPM despite an order for 1 LPM PRN, another resident with emphysema and HF was observed at 2.5 LPM despite an order for 2 LPM continuously, a third resident with CHF was repeatedly observed at 3 LPM or 1.5 LPM and sometimes without the NC in place despite an order for 2 LPM PRN, and a fourth resident with COPD was observed at 3 LPM despite an order for 2 LPM PRN. Staff interviews confirmed mismatches between observed settings and physician orders.
Medication administration observations identified a 7% error rate, with 2 errors in 26 opportunities. An LPN gave one resident fewer eye drops than ordered, and an RN prepared one tablet of sertraline when the order called for two tablets. The facility policy required medications to be administered per the prescriber’s order.
The facility failed to thoroughly investigate abuse allegations for two residents. One resident with a fractured humerus reported rough handling by a CNA, but the investigation lacked interviews with other staff or residents. Another resident with severe cognitive impairment had unexplained bruising, and the investigation did not determine the cause. The facility did not fully adhere to its policies on conducting investigations and communicating outcomes.
The facility failed to maintain sanitary conditions in shower rooms on multiple hallways, with unlabeled personal hygiene items like razors and deodorants scattered throughout. CNAs were unable to identify the ownership of these items, contributing to the disorderly environment.
The facility failed to maintain proper infection control practices during insulin administration, dining, and linen handling. An LPN did not clean the insulin pen hub before use, and CNAs improperly handled residents' meals and linens. The Infection Preventionist acknowledged the issues and planned to address them.
The facility failed to uphold resident dignity during dining, with staff standing while assisting residents and meal trays not being served simultaneously to tablemates. Several residents experienced delays in receiving meals, particularly those not dining in the dining room, due to a change in meal service order. This affected residents with varying levels of cognitive impairment and dependency on staff for meal assistance.
Unlabeled and Undated Food Items in Storage
Penalty
Summary
The facility failed to follow proper sanitation and food handling practices by not ensuring that food items in the main kitchen were properly labeled and dated. During an observation on 04/20/2026 at 10:33 AM, surveyors found opened boxes of cabbage, zucchini, potatoes, sweet potatoes, bananas, an open crate of onions, and an opened bag of pasta in the dry storage room with no label or date. The same observation also identified an opened bag of French fries, an opened bag of cauliflower, and an opened bag of biscuits in the reach-in freezer in the cook area with no labels or dates. A second observation on 04/22/2026 at 11:19 AM found the same opened boxes of potatoes, sweet potatoes, bananas, the crate of onions, and the bag of pasta still without labels or dates, along with the same unlabeled and undated frozen items in the reach-in freezer. Interviews on 04/23/2026 with Dietary Aides G and H and with [NAME] I showed that staff understood opened food items were supposed to be dated and discarded after a set period, but the items observed were not marked. The Certified Dietary Manager confirmed that all dietary staff were responsible for dating and labeling food items and stated that opened items placed back in storage should have an open date and a use-by date two days later, with perishable items discarded on the third day.
Failure to Notify LTC Ombudsman of Transfers and Discharges
Penalty
Summary
The facility failed to provide transfer/discharge notification to the Office of the State Long-Term Care Ombudsman for 7 of 21 residents reviewed for transfer or discharge. The missing notifications involved residents who were either transferred to acute care hospitals for evaluation or discharged home, and the electronic medical records did not contain a Nursing Home Transfer/Discharge Notice (CMS Form 3120) or evidence that the Ombudsman was notified for those residents. Resident #129 was admitted with a fracture of the superior rim of the right pubis and had a care plan for a short stay with discharge home after rehabilitation. The record showed a planned discharge home, a Discharge/Return Not Anticipated MDS assessment, and a discharge summary, recapitulation, and discharge disposition completed on 03/20/2026, but no CMS Form 3120 or evidence of Ombudsman notification was present. Resident #127, admitted with an intracranial injury without loss of consciousness, was transferred to an acute care hospital on 03/13/2026, and Resident #48, admitted with metabolic encephalopathy, was transferred to an acute care hospital on 03/27/2026; neither record contained the required notice or evidence of notification. Resident #8, admitted with hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, was transferred to an acute care hospital on 03/22/2026. Resident #91, admitted with sepsis, was transferred on 03/20/2026, and Resident #98, admitted with congestive heart failure, was transferred on 03/03/2026. Resident #135, admitted with nonrheumatic aortic valve stenosis, was discharged home, and its record also lacked the required notice and evidence of Ombudsman notification. The Administrator stated the Social Services Director was responsible for sending the notices, while the Social Services Director stated the Ombudsman was notified monthly by certified mail but confirmed she had not sent the March 2026 notices and was unaware of where the certified mail receipts were kept. The Administrator later provided the March 2026 notices and confirmed they were emailed to the Ombudsman on 04/22/2026, and the Ombudsman confirmed no notices had been received from the facility for March 2026 until that day.
Oxygen Not Administered at Ordered Flow Rates
Penalty
Summary
The facility failed to ensure that residents who required respiratory care received oxygen at the ordered flow rate. During observations, Resident #95 was seen receiving oxygen at 3 LPM from both a concentrator and a portable tank, although the active physician order and care plan directed oxygen at 1 LPM via nasal cannula as needed for shortness of breath. The resident had COPD and shortness of breath, and her record showed moderate cognitive impairment with a BIMS score of 12 out of 15. She stated she was not aware of what her oxygen flow rate setting should be. Resident #115 was observed wearing a nasal cannula with oxygen infusing at 2.5 LPM, while the active order directed oxygen at 2 LPM continuously via nasal cannula. Her record showed emphysema and heart failure, and her annual MDS indicated severe cognitive impairment with a BIMS score of 3 out of 15. Resident #119 was repeatedly observed with oxygen running at 3 LPM or 1.5 LPM, and at times without the nasal cannula in place, despite an active order for oxygen at 2 LPM via nasal cannula as needed. She stated that she took the cannula out sometimes and acknowledged that nursing was aware she removed it. Resident #6 was observed receiving oxygen at 3 LPM via nasal cannula, although the active order was for 2 LPM via nasal cannula as needed for shortness of breath related to COPD. He stated that he believed his flow rate should be 2 liters. When the LPN was asked to verify the setting, she initially stated 3 LPM, then reviewed the physician order and confirmed the resident was supposed to receive 2 LPM as needed. The facility policy titled Oxygen Administration was reviewed as part of the investigation.
Medication Error Rate Exceeded Allowed Threshold
Penalty
Summary
The facility failed to ensure that its medication error rate remained below 5 percent. Surveyors identified 2 medication errors out of 26 opportunities for error, resulting in a 7 percent error rate and involving two residents observed during medication administration. One LPN administered Refresh Tears Ophthalmic Solution as 1 drop in each eye for Resident #6, even though the current physician's order was for 2 drops in each eye. In a separate observation, an RN prepared Sertraline HCL 100 mg as 1 tablet for Resident #99, although the current physician's order was for 2 tablets. The facility policy stated that medications are to be administered safely and appropriately per physician's order, and defined a medication error as preparation or administration not in accordance with the prescriber's order.
Inadequate Investigation of Abuse Allegations
Penalty
Summary
The facility failed to thoroughly investigate allegations of abuse for two residents. Resident #1, who had a fracture of the left humerus, reported an incident involving a CNA who allegedly handled her roughly and did not assist her adequately with toileting. Despite the resident's complaint and fear of retaliation, the investigation was limited. The facility's investigation did not include interviews with other staff or residents who might have had interactions with the CNA, and the final outcome of the investigation was not communicated to the resident or her family. Resident #5, who had severe cognitive impairment and a history of orthopedic aftercare, was found with unexplained bilateral bruising on her hands. The investigation into this incident was also insufficient, as it did not include interviews with other residents on the same hall or a comprehensive review of staff interactions. The resident's inability to explain the bruising due to cognitive deficits further complicated the investigation, and the facility did not determine the cause of the bruising. The facility's policies on conducting investigations and handling grievances were not fully adhered to in these cases. The policies require thorough investigations, including interviews with all relevant staff and residents, and communication of the investigation's outcome to the resident and their family. However, these steps were not fully implemented, leading to deficiencies in the investigation process for both residents.
Unsanitary Conditions in Facility Shower Rooms
Penalty
Summary
The facility failed to maintain a sanitary and orderly environment in the shower rooms located on the 100, 200, and 600 hallways. During a tour with the Housekeeping and Laundry Director, surveyors observed numerous unlabeled personal hygiene items such as used razors, deodorant sticks, and hairbrushes scattered throughout the shower rooms. Additionally, in the 100-hallway shower room, there was a pile of soiled laundry and two bags of linens on the floor near the toilet. Photographic evidence was obtained to document these findings. Interviews with Certified Nursing Assistants (CNAs) revealed that they were unable to identify which residents the bath products belonged to, raising concerns about the potential misuse of these items. CNA V, who assists in showering residents, confirmed her inability to determine ownership of the products in the 600-hallway shower room. Similarly, CNA T, responsible for assisting residents in the 100 and 200-hallway shower rooms, also could not confirm the ownership of the bath products. This lack of organization and labeling of personal items contributed to the unsanitary conditions observed in the facility's shower rooms.
Infection Control Deficiencies in Insulin Administration and Dining Practices
Penalty
Summary
The facility failed to maintain proper infection control practices during insulin administration, resident dining, gloving, and linen handling. An LPN was observed administering insulin to a resident without cleaning the hub of the insulin pen with alcohol, which was acknowledged as an infection control issue by both the LPN and the Director of Nursing (DON). The facility's policy and manufacturer's guidance require cleaning the pen tip with an alcohol pad before use, which was not followed in this instance. Additionally, a resident with severe cognitive impairment was assisted with meals by CNAs who sat on the resident's bed, which was identified as a concern by the DON and Administrator. The facility's infection control practices were further compromised by dietary staff and CNAs handling cups and trays improperly, touching the top rim of cups with bare hands, and failing to perform hand hygiene between serving residents. A CNA was also observed wearing gloves inappropriately in the hallway and handling clean linens against her clothing, contrary to infection control policies. The Infection Preventionist confirmed that recent education on infection control was provided to CNAs and housekeeping staff, but not to all staff members. The infection control concerns, including improper handling of food trays, linens, and insulin administration, were shared with the Infection Preventionist, who was out of the facility at the time but planned to address the issues upon return.
Failure to Maintain Resident Dignity During Dining
Penalty
Summary
The facility failed to maintain residents' dignity during dining, as observed in multiple instances where staff assisted residents with meals while standing, and residents were not served their meal trays simultaneously with their tablemates. This deficiency was noted for six residents out of eight reviewed for dignity. For instance, Resident #106, who has moderate cognitive impairment and requires setup assistance for meals, was repeatedly assisted by CNAs who stood while helping him eat, despite his expressed preference for staff to sit with him. Additionally, Resident #4, who has severe cognitive impairment and is dependent on staff for meal assistance, was observed being assisted by CNAs who sat on her bed rather than using a chair. This practice was consistent over several days. Similarly, Resident #8, with severe cognitive impairment and requiring moderate assistance, was left without assistance for nearly 30 minutes after her meal tray was delivered late, due to the assigned CNA being occupied in the dining room. The facility's meal service process also contributed to the deficiency, as residents like Resident #75 and Resident #6 experienced significant delays in receiving their meals if they did not go to the dining room. This was due to a change in the meal service order, which prioritized serving residents in their rooms first, leading to long wait times for those who stayed in their rooms. The facility's Certified Dietary Manager acknowledged the inefficiency of the current process and the lack of communication regarding the issue of roommates not being served together.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hilliard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Folkston Park Care And Rehabilitation Center | 11.5 mi | ★★★★★ | 9 | 4 |
| Lakeside Center For Rehabilitation And Healing | 20.8 mi | ★★★★★ | 6 | 0 |
| Jacksonville Nursing And Rehab Center | 21.3 mi | ★★★★★ | 0 | 0 |
| Senior Care Center - St Marys | 21.6 mi | ★★★★★ | 12 | 0 |
| River City Nursing And Rehab Center | 22 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.