Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Aperion Care Hillside during CMS and state inspections, most recent first.
A resident with intellectual disabilities and a history of elopement risk exited a facility through a first-floor window, found 700 feet away by police. Despite wearing a monitoring device, the resident left without triggering alarms. The facility lacked a specific elopement protocol, relying on individualized care plans. Staff failed to detect the resident's absence until police intervention, and maintenance issues with window security contributed to the incident.
A facility failed to provide adequate supervision for residents, resulting in incidents involving a fall and an altercation. A cognitively impaired resident fell and injured his head while attempting to stand unassisted, despite being a known fall risk. Another resident was struck by a peer with poor impulse control during a smoke break, with no clinical staff present to monitor the situation. The care plans lacked sufficient interventions to prevent these incidents.
A resident experienced a fall, but the facility failed to conduct a timely and thorough investigation as required by its fall prevention policy. The Director of Nursing was informed of the fall the day after it occurred, and necessary assessments and notifications were delayed. The resident had a bruise on the forehead, but no immediate documentation or fall risk assessments were completed as per the facility's guidelines.
The facility failed to follow their medical waste disposal policy by not securely sealing seven full biohazard sharps containers, not placing thirty-seven full sharps containers in a biohazardous waste container, and not storing biohazardous waste containers in a secure area. Observations revealed sharps containers improperly stored in the soiled linen room and outside the facility, accessible to pests and people. The Maintenance Director admitted to forgetting to check the soiled linen room and not locking the mobile storage container.
The facility failed to perform hand hygiene before entering the kitchen area, potentially affecting all 52 residents receiving food. The Director of Dietary Services, a cook, and a dietary aide were observed entering the kitchen without washing their hands, contrary to the facility's policy on Proper Hand Washing and Glove Use.
The facility failed to make the state survey binder readily accessible to residents. Five residents stated they did not know what a state survey binder is or where to find it. Although the binder was at the front desk, there was no sign to inform residents and family members of its location. The Administrator confirmed the lack of notification signs.
A resident with a history of quadriplegia and peripheral vascular disease was observed multiple times without compression stockings, despite physician's orders. Staff cited difficulty in applying the stockings, and the facility lacked a policy on following physician's orders.
The facility failed to assess a resident currently smoking for safety and did not follow care plan recommendations to keep smoking materials locked in a designated area. The resident was observed with smoking materials in an unlocked nightstand and dresser, posing a fire hazard in a room with an oxygen tank and concentrator.
A facility failed to follow medication administration guidelines by crushing an extended-release medication for a resident with hypertension, despite clear instructions not to crush. The error was acknowledged by the LPN and confirmed by the DON and pharmacist, highlighting a significant medication error.
Resident Elopement Due to Inadequate Supervision and Security
Penalty
Summary
The facility failed to adequately supervise a resident diagnosed with intellectual disabilities and at risk for elopement, resulting in the resident exiting the facility unauthorized through a first-floor window. The resident, who had a history of exit-seeking behavior, was found 700 feet away in a residential backyard by local police. The resident was confused and expressed a desire to go home, carrying personal items in a tote bag and a garbage bag. Despite wearing a facility bracelet and an electronic monitoring device, the resident managed to leave the premises without triggering any alarms. The resident's medical history included schizoaffective disorder, anxiety, bipolar disorder, major depressive disorder, and intellectual disabilities. Assessments indicated the resident frequently checked the status of facility exits and had documented episodes of elopement attempts. The resident was known to respond poorly to staff redirection and displayed poor judgment, making them unable to safely care for themselves outside the facility. Despite these risks, the facility did not have a specific elopement risk protocol in place, relying instead on individualized care plans. On the night of the incident, staff observed the resident in their room near a window, but later rounds failed to detect the resident's absence until police intervention. The window through which the resident exited was found open, with the screen removed. Maintenance staff later reported that the window was missing from its frame and had been found in the bushes. The facility's elopement policy required immediate reporting and intervention, but the lack of a specific protocol and the failure to secure windows contributed to the resident's unauthorized exit.
Inadequate Supervision Leads to Resident Incidents
Penalty
Summary
The facility failed to provide adequate supervision for three residents, resulting in accidents and unsafe conditions. One resident, R4, who was cognitively impaired and had a history of falls, attempted to stand up from his wheelchair unassisted in the dining room and fell, sustaining a head injury that required stitches. Despite being identified as a fall risk, R4 was not provided with one-to-one supervision, and the staff were rotating their duties without a dedicated person to monitor the dining area. The incident occurred while the CNA staff were doing rounds, and no staff member was exclusively assigned to supervise the dining area. Another incident involved R2, who was struck by R3, a resident with known poor impulse control and a history of aggressive behavior. R3, who had cognitive impairments and involuntary movements, was allowed to move around the facility independently. During a smoke break, R3 attempted to pass R2 in a wheelchair and struck R2's arm when she grabbed his wheelchair. The facility had no clinical staff monitoring the residents during the smoke break, and the Director of Maintenance and Housekeeping was the only staff present, who did not witness the incident. The facility's care plans for both R4 and R3 lacked adequate interventions to prevent such incidents. R4's care plan did not include one-to-one monitoring despite his impulsivity and fall risk, while R3's care plan acknowledged his potential for aggression but did not ensure appropriate supervision during activities like smoke breaks. The facility's failure to provide adequate supervision and implement effective interventions contributed to these incidents, compromising the safety and well-being of the residents involved.
Failure to Timely Investigate Resident Fall
Penalty
Summary
The facility failed to ensure a timely and thorough investigation of a fall incident involving a resident. The incident log indicated that the resident experienced a fall during the night shift, but the Director of Nursing (V2) was only made aware of it the following day. Despite the facility's policy requiring immediate assessment and documentation after a fall, including a fall risk assessment and 72-hour monitoring, these procedures were not completed at the time of the incident. The Director of Nursing confirmed that the necessary assessments and notifications were not conducted immediately after the fall. Upon becoming aware of the fall, the Director of Nursing performed a physical assessment, obtained witness statements, and notified the family and doctor. However, these actions were delayed and not in accordance with the facility's fall prevention program, which mandates immediate response and documentation. The resident sustained a bruise on the forehead, but no other injuries were noted. The surveyor did not receive any documentation of the required assessments during the survey, indicating a lapse in the facility's adherence to its fall prevention policy.
Failure to Follow Medical Waste Disposal Policy
Penalty
Summary
The facility failed to follow their medical waste disposal policy by not securely sealing seven full biohazard sharps containers, not placing thirty-seven full sharps containers in a biohazardous waste container, and not storing biohazardous waste containers in a secure area until removed by contract service personnel for final disposal. Observations in the soiled linen room revealed that sharps containers were placed on a shelf, on the floor, on the counter, and on top of the biohazard bin, which was only 1/4 full of what appeared to be garbage. Additionally, ten biohazard bins were observed outside the facility, unprotected from the elements and without locks, making them accessible to pests and people. The Maintenance Director admitted to forgetting to check the soiled linen room and not locking the mobile storage container where sharps containers were placed. The Director of Nursing confirmed that full sharps containers should be sealed and stored directly in a biohazard container with a secure lid, and it is not the facility's practice to pile up sharps containers due to safety concerns. The Administrator stated that the nurse was supposed to inform the Maintenance Director when sharps containers were full, and the Maintenance Director could also check the soiled utility room. However, the sharps containers were stored outside next to a shed instead of in a secure trailer. The facility's Medical Waste Disposal Policy and CDC guidelines emphasize the importance of securely sealing and properly storing medical waste to prevent contamination and access by unauthorized individuals or pests. The facility census documented 58 residents at the time of the survey.
Failure to Perform Hand Hygiene Before Entering Kitchen
Penalty
Summary
The facility failed to perform hand hygiene before entering the kitchen area, which has the potential to affect all 52 residents receiving food from the kitchen. During an initial brief tour and observation of the kitchen, the Director of Dietary Services, a cook, and a dietary aide were all observed entering the kitchen and proceeding to their assigned areas without performing hand hygiene. The Director of Dietary Services admitted to not performing hand hygiene upon entering and acknowledged that all staff should wash their hands first before going to their assigned areas. The facility's policy on Proper Hand Washing and Glove Use, copyrighted 2020, indicates that all employees must wash hands upon entering the kitchen from any other location, after all breaks, and between all tasks, with hand washing occurring at a minimum of every hour.
State Survey Binder Accessibility Issue
Penalty
Summary
The facility failed to make the state survey binder readily accessible to residents. During a resident council meeting, five residents stated that they did not know what a state survey binder is or where to find it. Although the binder was located at the front desk, there was no sign to inform residents and family members of its location. During a facility tour, no notification signs were observed. The Administrator confirmed that there was no sign to notify residents and family members of the binder's location.
Failure to Follow Physician's Orders for Compression Stockings
Penalty
Summary
The facility failed to follow physician's orders for applying compression stockings for a resident (R40) who was reviewed for edema. On multiple observations, R40 was seen without compression stockings on both legs, despite having an order for TED hose to be applied daily from 8 AM to 9 PM. During interviews, R40 mentioned that staff argued about applying the stockings due to difficulty in putting them on. A Licensed Practical Nurse (V4) confirmed that R40's legs were swollen and that the stockings should have been applied. The Director of Nursing (V2) stated that nurses are expected to follow physician's orders as written. The facility was unable to provide a policy on following physician's orders. R40's medical history includes quadriplegia, extrapyramidal and movement disorder, and other specified peripheral vascular disease, with no documented refusals for TED hose application in the progress notes from January to February 2024.
Failure to Assess Smoking Safety and Properly Store Smoking Materials
Penalty
Summary
The facility failed to assess a resident currently smoking for safety. On multiple occasions, a resident was observed with a cigarette and lighter, and smoking materials were found in the resident's unlocked nightstand and dresser. The resident's room was a 4-bed room with an oxygen tank and concentrator, posing a significant fire hazard. The resident's most recent smoking safety risk assessment was outdated, and the care plan recommendations were not followed, as smoking materials were supposed to be kept locked in a designated area. Interviews with the Social Service Director confirmed that the smoking safety risk assessment should be done quarterly, annually, and with significant changes. The resident's care plan indicated that smoking materials should not be kept at the bedside, yet the resident had access to them. The facility's policy on smoking safety, which requires assessments and proper storage of smoking materials, was not adhered to, leading to the deficiency.
Failure to Follow Medication Administration Guidelines
Penalty
Summary
The facility failed to follow the manufacturer's specifications regarding the preparation and administration of medications for one resident. Specifically, an LPN was observed crushing Metoprolol Succinate ER, an extended-release medication, despite the medication's packaging clearly indicating 'Do not crush.' The LPN acknowledged the error upon reading the medication specification. The Director of Nursing confirmed that medications labeled 'Do not crush' should not be crushed for administration. The pharmacist further explained that crushing an extended-release medication could cause it to act quicker than intended, potentially impacting the resident's treatment for hypertension. The resident involved had a diagnosis of Essential (Primary) Hypertension and had been receiving the crushed Metoprolol Succinate ER from 2/21/2024 through 2/28/2024. The facility's policy on medication administration explicitly states that long-acting or enteric-coated dosage forms should not be crushed and that an alternative should be sought if a resident has difficulty swallowing. This incident highlights a failure to adhere to the facility's medication administration guidelines, resulting in a significant medication error.
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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 Hillside
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pearl Of Hillside,the | 0.7 mi | ★★★★★ | 8 | 0 |
| Aperion Care Westchester | 1.9 mi | ★★★★★ | 4 | 0 |
| Park Place Christian Community | 2.5 mi | ★★★★★ | 0 | 0 |
| Grove Of Lagrange Park, The | 2.7 mi | ★★★★★ | 12 | 0 |
| Plymouth Place | 3.2 mi | ★★★★★ | 3 | 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.