Above average — CMS composite of the measures below.
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 Hill View Skilled Nursing And Rehabilitation Cente during CMS and state inspections, most recent first.
A resident with a history of bone demineralization experienced severe pain after a transfer, repeatedly expressing that her arm was broken. Despite multiple CNAs reporting the incident and the resident's ongoing distress, the LPN delayed reassessment and further intervention after administering acetaminophen. The resident continued to suffer severe pain for several hours before being sent to the ER, where a new displaced humerus fracture was diagnosed. The facility failed to follow its pain management policy, resulting in actual harm.
Surveyors found that the facility environment was not maintained in good repair, with missing ceiling sections, discolored and mold-like ceiling tiles, active water leaks, and rusted vents in multiple areas. Water was leaking into trash cans in hallways and resident rooms, and wet carpets were observed, indicating ongoing water intrusion and lack of timely repairs.
The facility failed to update the PASARR for two residents diagnosed with serious mental illnesses after their initial assessments. One resident, initially admitted with various conditions, was later diagnosed with unspecified psychosis, which was not reflected in the PASARR. Another resident, with multiple diagnoses, was diagnosed with psychosis, but the PASARR remained unchanged. The Admissions Director confirmed these oversights, indicating a failure to complete new PASARRs for both residents.
A facility failed to provide adequate nail care to a dependent resident with a history of congestive heart failure, dementia, and diabetes. Despite documentation indicating nail care was completed, observations revealed the resident's nails were long and dirty. An RN confirmed the resident's dependency on staff for nail care and the need for attention to the resident's fingernails.
Failure to Provide Adequate Pain Management Following Resident Injury
Penalty
Summary
A deficiency occurred when a resident with a history of osteoporosis, osteopenia, atherosclerosis, and prior bone demineralization experienced severe pain following a transfer using a mechanical lift. The resident began screaming in pain during the transfer, repeatedly stating that her arm was broken. Multiple CNAs responded to the resident's distress, and the incident was reported to the LPN on duty. Despite the resident's complaints and visible distress, the initial nursing assessment did not identify any dislocation or swelling, and the resident was administered acetaminophen as ordered for pain rated at nine out of ten. The post-administration pain level was documented as seven, but the time of reassessment was not recorded, and no further interventions were documented to address the ongoing pain. The resident continued to complain of severe pain for several hours, with staff interviews confirming that the resident was left in pain and that the nurse did not promptly reassess or provide additional interventions. The physician was not notified until approximately three hours after the initial complaint, at which point an order was given to send the resident to the emergency room. Upon arrival at the hospital, the resident was found to have a new, acute displaced transcondylar humerus fracture, which required immobilization and narcotic pain medication. The facility's pain management policy required documentation of pre- and post-pain levels, timely reassessment, and the use of non-pharmacological interventions, none of which were fully implemented in this case. Staff interviews revealed a lack of timely response and follow-up to the resident's pain complaints, with CNAs reporting the incident to the nurse and the nurse delaying assessment and intervention. The DON was unaware of any follow-up or reassessment after the initial administration of pain medication. The failure to provide adequate pain management and timely medical intervention resulted in actual harm to the resident, as evidenced by the prolonged period of severe pain and the need for emergency medical care.
Failure to Maintain Facility Environment in Good Repair Due to Water Damage
Penalty
Summary
Surveyors observed that the facility failed to maintain the environment in good repair, as evidenced by multiple areas with significant water damage and disrepair. A large section of the ceiling in the second-floor dining room was missing, with yellow caution tape placed to prevent access underneath. In the second-floor hallway outside a resident's room, ceiling tiles were discolored, water was actively leaking into trash cans, and the tiles had a black substance resembling mold or mildew. On the third floor, outside another resident's room, ceiling tiles were also discolored from apparent water damage, and the carpet below was wet. Additionally, water was observed dripping from ceiling vents inside the doorways of 14 residents' rooms, with rust present on many vents and trash cans used to collect the leaking water. During interviews, the Maintenance Director confirmed that the ceiling collapse in the dining room occurred due to water damage and, while the leak had been repaired, the drywall had not yet been replaced. The Maintenance Director also verified ongoing water leaks in the hallway ceilings and resident room vents, all of which required repair. Review of the facility's policy indicated a requirement to provide a safe, clean, and comfortable environment, which was not met according to the findings. The facility census at the time was 64 residents.
Failure to Update PASARR for Residents with New Mental Illness Diagnoses
Penalty
Summary
The facility failed to update the Preadmission Screening and Resident Review (PASARR) for two residents who were diagnosed with serious mental illnesses after their initial assessments. Resident #28 was admitted with diagnoses including congestive heart failure, hypertension, encephalopathy, and major depressive disorder. On a later date, the resident was diagnosed with unspecified psychosis, which was not reflected in the PASARR document. The plan of care for Resident #28 indicated symptoms such as paranoia, hallucinations, and increased anxiety, requiring monitoring and documentation. Despite these developments, the PASARR document remained unchanged, as confirmed by the Admissions Director. Similarly, Resident #33 was admitted with multiple diagnoses, including multisystem inflammatory syndrome, hypothyroidism, paranoid personality disorder, and dementia. The resident was later diagnosed with psychosis, a serious mental illness, which was not updated in the PASARR document. The quarterly Minimum Data Set (MDS) assessment revealed severe cognitive impairment and the use of antipsychotic medication. The Admissions Director confirmed that the PASARR document for Resident #33 did not reflect the new diagnosis, indicating a failure to complete a new PASARR for the resident.
Inadequate Nail Care for Dependent Resident
Penalty
Summary
The facility failed to provide adequate nail care to a dependent resident, identified as Resident #13, who was unable to perform activities of daily living independently. Resident #13 had a medical history that included congestive heart failure, dementia, and type two diabetes mellitus. The care plan for this resident, dated 08/31/22, specified that staff were responsible for cleaning and trimming the resident's nails weekly, as needed, and when soiled. However, observations made on multiple occasions revealed that the resident's fingernails were long, uncut, and had a black substance underneath them, indicating a lack of proper nail care. Despite documentation on a shower sheet indicating that nail care was completed on 06/30/24, subsequent observations on 06/30/24, 07/01/24, and 07/02/24 showed that the resident's nails remained untrimmed and dirty. An interview with RN #87 on 07/02/24 confirmed that Resident #13 was dependent on staff for nail care and that the resident's fingernails were indeed long and dirty, requiring attention. This deficiency affected one of the five dependent residents reviewed for bathing and nail care in a facility with a census of 53 residents.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Portsmouth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Run Healthcare Of Portsmouth | 1.2 mi | ★★★★★ | 1 | 1 |
| Portsmouth Health And Rehab | 1.7 mi | ★★★★★ | 0 | 0 |
| Bridgeport Health Care Center | 1.8 mi | ★★★★★ | 9 | 0 |
| South Shore Nursing And Rehabilitation | 2.8 mi | ★★★★★ | 0 | 0 |
| Ayden Healthcare Of Rosemount Pavilion | 3.1 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.