Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Hillsboro House Nursing Home during CMS and state inspections, most recent first.
Unsanitary conditions were observed in the main kitchen, including debris, wet towels and washcloths on the floor, cloudy liquid under the rinse sink, missing laminate flooring in front of the rinse sink, and buildup of grease and debris under and around the dishwasher, sinks, oven, hood vent, and center island. Bread was stored on shelves with debris underneath, and soda and beer were stored on the floor. The ED confirmed the observations, and the cited FDA Food Code required smooth, easily cleanable, nonabsorbent surfaces.
Unlabeled medication cups were found in a med cart, including one with whole pills for one resident and one with crushed meds in pudding for another resident, and an opened, undated vial of Tuberculin solution was found in the med room refrigerator. An LPN confirmed the unlabeled cups and the undated vial, and facility policy required multi-dose vials to be labeled with the date opened and discard date and medications to be prepared one resident at a time.
Failure to perform hand hygiene during med administration: an LPN administered meds to two residents without cleaning hands before or after, then assisted another resident with wheelchair positioning and a fourth resident with meal set-up and bed positioning without hand hygiene, and later administered meds to the third resident without hand hygiene. The LPN confirmed the observations, and the facility policy required hand hygiene before preparing or administering meds, before entering a resident room, after direct resident contact, and between residents.
The facility did not implement a comprehensive infection control guideline for water management, affecting 26 residents. The program lacked essential details such as water flow descriptions and plumbing schematics. Interviews revealed that staff were unable to provide information on water management or legionella testing, and no logs for flushes or test results were available.
The facility failed to assess two residents for the clinical appropriateness of self-administering medications. One resident was observed with pills left on their tray table to take at their own pace, while another had a cup of pills left by a nurse for self-administration. Neither resident had a documented assessment or physician's order for self-administration, and the facility lacked a policy for such procedures.
The facility did not ensure that the food service director met the necessary qualifications. The administrator, acting as the food service director, admitted to not having completed a required course in food safety and management, while the dietician was only part-time.
The facility did not sanitize dishes according to the manufacturer's instructions, as observed in the main kitchen. Temperature logs from August to September 2024 showed only one recorded temperature per day, without specifying if it was for the wash or rinse cycle. The Lead Cook was unaware of the correct temperature ranges. An observation revealed a wash temperature of 150°F and a rinse temperature of 174°F, while the manufacturer's instructions required a minimum of 150°F for wash and 180°F for rinse.
A facility failed to assess a resident and obtain informed consent for the use of full-length bed rails. The resident was observed with bed rails raised on both sides of the bed, but their medical record lacked the necessary assessment and consent documentation. The facility's policy requiring periodic reviews of bed rail use was not followed, as confirmed by the DON.
The facility failed to properly label and store medications. An open vial of Lantus insulin was found without a resident identifier and past its discard date. Additionally, a resident had eye drops stored at their bedside, against facility policy requiring medications to be stored in a locked drawer. The DON confirmed the policy.
The facility did not determine the necessary time for the Infection Preventionist (IP) role in its assessment. The Director of Nursing, who serves as the IP, reported spending only one hour per week on the Infection Prevention and Control Program (IPCP), indicating a deficiency in resource planning.
Unsanitary Kitchen Conditions and Improper Food Storage
Penalty
Summary
The facility failed to store and prepare food in accordance with professional standards for food service safety. During an observation of the main kitchen with the Executive Director, multiple unsanitary conditions were identified, including a white substance buildup on the floor beside the dishwasher, a wet hand towel and a wet washcloth on the floor under the dishwasher, debris under the rinse sink, and a pink container filled with cloudy liquid sitting under the drain beneath the rinse sink. The laminate flooring in front of the rinse sink was missing in an area measuring approximately 4.5 inches by 5 inches, and there was also a large amount of debris under the sanitizing sink, dust between the wall and the left side of the oven, debris under the oven, and a buildup of debris and grease on the hood vent. Additional observations showed debris under the center island where bread was being stored, debris on the shelves under the island, and three cases of soda plus a six pack of beer stored on the floor on the corner shelf. The Executive Director confirmed all of these observations during the interview. Review of the FDA Food Code 2017 cited requirements that nonfood-contact surfaces exposed to splash or food debris be constructed of nonabsorbent materials and that floors, walls, wall coverings, and ceilings be smooth and easily cleanable.
Unlabeled Medications and Undated Tuberculin Vial
Penalty
Summary
The facility failed to follow currently accepted professional principles for labeling and storing drugs and biologicals in 1 of 1 medication rooms and 1 of 1 medication carts observed. During observation of the medication cart, two unlabeled medication cups were found in the top drawer. One cup contained whole pills and the other contained crushed medications in pudding. Staff A, an LPN, identified the cup with whole pills as Resident #7's morning medications and the cup with crushed pills as Resident #2's morning medications, and confirmed that neither cup was labeled with a resident identifier or what it contained. During observation of the medication room refrigerator, an opened and undated vial of Tuberculin solution was found. Staff A confirmed the vial was opened and not dated. Review of the facility policy on labeling and dating multi-dose vials stated that upon first access, staff must immediately label the vial with the date opened and discard date. Review of the manufacturer's instructions for Tubersol stated that an entered and in-use vial should be discarded after 30 days. Review of the facility policy on preparation of medications stated that only one resident's medications should be prepared at a time to prevent cross-contamination and medication errors.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to implement infection control policies and procedures during medication administration. During observation on 8/5/25 from approximately 8:45 a.m. to 9:05 a.m., Staff A, a Licensed Practical Nurse, prepared and administered medications to Resident #12 without performing hand hygiene before or after the medication pass. Staff A then prepared and administered medications to Resident #20 without hand hygiene before or after that administration. Immediately after administering medications to Resident #20, Staff A assisted Resident #25 with positioning in a wheelchair without performing hand hygiene before or after the contact. Staff A then took Resident #4's breakfast tray from the kitchen to the resident's room and assisted with meal set-up and bed positioning without hand hygiene before or after those tasks. Staff A later prepared and administered medications to Resident #25 without performing hand hygiene before or after the medication administration. During interview on 8/5/25 at approximately 9:10 a.m., Staff A confirmed the observations. Review of the facility policy titled, Infection Control During Medication Administration, revised in 2020, stated that hand hygiene should be performed before preparing or administering any medication, before accessing a medication cart or entering a resident's room, after direct contact with the resident or their immediate environment, and between residents.
Inadequate Water Management Program
Penalty
Summary
The facility failed to develop and implement a comprehensive infection control guideline for water management, affecting the census of 26 residents. The Facility Water Management Program, revised in January 2024, included strategies such as annual testing for legionella and weekly flushing of vacant rooms. However, it lacked a description of water flow, a schematic, or a map of plumbing, and did not identify areas of concern. During interviews, the Infection Preventionist was unable to answer questions regarding water management or legionella testing, and the Administrator Assistant revealed that there were no logs for flushes or legionella test results available.
Failure to Assess Residents for Self-Administration of Medications
Penalty
Summary
The facility failed to determine the clinical appropriateness of self-administration of medications for two residents. For Resident #19, an observation revealed that five pills were left on a tray table for the resident to take at their own pace, as per their request. However, a review of the resident's medical record showed no assessment or physician's order for self-administration of medications. Similarly, for Resident #22, a nurse left a cup of seven pills for the resident to take independently, believing the resident was cognitively capable. Yet, there was no physician's order or self-administration assessment documented in the resident's medical record. Interviews with staff confirmed these findings, and the Director of Nursing acknowledged that neither resident had been assessed for self-administration of medications. Additionally, the facility was unable to provide a policy regarding self-administration of medications, indicating a lack of procedural adherence and oversight in ensuring residents' ability to safely self-administer their medications.
Food Service Director Lacks Required Qualifications
Penalty
Summary
The facility failed to ensure that the food service director met the minimum qualifications required for the position. During an interview, the administrator, identified as Staff C, revealed that the dietician was only part-time and that Staff C had been serving as the food service director for several years. However, Staff C admitted to not having completed a course of study in food safety and management, which is a necessary qualification for the role.
Dishwasher Sanitization Deficiency
Penalty
Summary
The facility failed to ensure that dishes were sanitized according to the manufacturer's instructions for food service safety in the main kitchen. During a review of the facility's dishwasher temperature logs from August to September 2024, it was found that only one temperature per day was documented, ranging between 160 to 176 degrees Fahrenheit. The logs did not specify the acceptable temperature range or whether the temperature was recorded during the wash or rinse cycle. An interview with the Lead Cook revealed that the recorded temperatures were for the wash cycle only, and the cook was unaware of the acceptable temperatures for both the wash and rinse cycles. An observation of a dishwasher cycle with a Dietary Aide showed a wash temperature of 150 degrees Fahrenheit and a rinse temperature of 174 degrees Fahrenheit. A review of the manufacturer's instruction label for the dishwasher indicated that the minimum temperature ranges should be 150 degrees Fahrenheit for the wash cycle and 180 degrees Fahrenheit for the rinse cycle.
Failure to Assess and Obtain Consent for Bed Rail Use
Penalty
Summary
The facility failed to ensure that a resident was properly assessed and informed consent was obtained for the use of full-length bed rails. This deficiency was identified for one resident who was observed on multiple occasions throughout the day with full-length bed rails raised on both sides of the bed. A review of the resident's medical record revealed the absence of a bed rail assessment and informed consent documentation. Additionally, the facility's policy on bed rail consent, which mandates periodic and annual reviews and re-evaluations of bed rail use, was not adhered to. The Director of Nursing confirmed these findings during an interview.
Medication Labeling and Storage Deficiency
Penalty
Summary
The facility failed to ensure that medications were labeled and stored according to currently accepted professional principles. During an observation of the medication cart, an open vial of Lantus insulin was found without a resident identifier and with an expired discard date. The manufacturer's instructions for Lantus specify that opened vials should be stored at room temperature for up to 28 days, which was not adhered to in this case. Additionally, a resident was observed with Refresh eye drops stored at their bedside, contrary to the facility's policy that medications should be stored in a locked drawer in the patient's room. The Director of Nursing confirmed the facility's policy during an interview.
Inadequate Time Allocation for Infection Preventionist Role
Penalty
Summary
The facility failed to ensure that its facility-wide assessment included a determination of the amount of time required for the designated Infection Preventionist (IP) to fulfill their role. During a review of the facility's assessment, which was last updated in June 2024, it was found that there was no specified time allocation for the IP's responsibilities. An interview with the Director of Nursing, who is also the designated IP, revealed that only one hour per week is dedicated to the facility's Infection Prevention and Control Program (IPCP). This lack of a comprehensive time assessment for the IP role constitutes a deficiency in the facility's planning and resource allocation.
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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 Hillsboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pheasant Wood Center | 15.6 mi | ★★★★★ | 0 | 0 |
| Pleasant View Center | 19.1 mi | — | 9 | 0 |
| Presidential Oaks | 19.4 mi | ★★★★★ | 9 | 0 |
| Harris Hill Center, Genesis Healthcare | 20.4 mi | ★★★★★ | 11 | 0 |
| Woodlawn Healthcare Center Llc | 20.4 mi | ★★★★★ | 4 | 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.