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 Hillsville Health & Rehab Center during CMS and state inspections, most recent first.
Two residents in an LTC facility did not receive care according to their medical orders. One resident did not receive a scheduled dose of Paxlovid for COVID-19, and another resident was found with a straw in their drink despite orders against it due to swallowing safety concerns. These deficiencies were noted by surveyors and discussed with facility leadership.
A resident with multiple respiratory and cardiac conditions was observed receiving oxygen at 3 l/m instead of the ordered 2 l/m. The resident, who was cognitively intact, stated they used oxygen only when needed and did not adjust the concentrator settings. The discrepancy was confirmed by the resident's nurse and discussed with facility leadership.
Failure to Administer Medication and Follow Dietary Orders
Penalty
Summary
The facility staff failed to administer Paxlovid, an antiviral medication for COVID-19, according to medical provider orders for Resident #157. The resident, who was moderately cognitively impaired, tested positive for COVID-19 and was prescribed Paxlovid to be taken twice daily for five days. However, on the first day of treatment, only one dose was administered, and the second dose was not given as scheduled. The Medication Administration Record indicated a code for 'Other/See Nurse Notes,' but no corresponding nursing note was found to explain the omission. The Director of Nursing acknowledged the scheduling issue, but the nurse responsible was no longer employed at the facility. For Resident #11, the facility staff did not adhere to provider orders that specified no straws should be used to promote swallowing safety and reduce the risk of aspiration. The resident, who was severely cognitively impaired and had a history of dysphagia, was observed with a straw in a cup of water at their bedside. Despite the care plan and tray tickets clearly stating 'no straws,' a straw was found and later removed after being brought to the attention of a registered nurse. The Speech Therapy Treatment Encounter Note had previously indicated that the resident experienced coughing when using a straw, reinforcing the need for this precaution. Both deficiencies were discussed with the facility's administration and clinical leadership, but no further information or corrective actions were provided to the survey team before the exit conference. The facility's policy on physician/provider orders requires charge nurses to review all orders, but this was not effectively implemented in these cases.
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility staff failed to administer supplemental oxygen as ordered by the medical provider for a resident diagnosed with Chronic Obstructive Pulmonary Disease, Hypertensive Heart Disease with Heart Failure, Multiple Sclerosis, Acute and Chronic Respiratory Failure, and Congestive Heart Failure. The resident, who was cognitively intact with a BIMS score of 15 out of 15, had a comprehensive person-centered care plan that included an intervention for oxygen as ordered. However, observations by the surveyor on two occasions revealed that the resident was receiving oxygen at a delivery rate of 3 liters per minute, contrary to the provider's order of 2 liters per minute. Further investigation showed that the resident's July 2024 Medication Administration Record indicated the resident was supposed to receive oxygen at 2 liters per minute. During an interview, the resident mentioned using oxygen only when needed and confirmed they did not adjust the oxygen setting on the concentrator. The resident's nurse, LPN #1, verified the order for oxygen at 2 liters per minute. The survey team discussed the discrepancy with the facility's Administrator, Director of Nursing, and Regional Director of Clinical Services, but no additional information was provided before the exit conference.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 32 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hillsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Galax Health And Rehab | 11.5 mi | ★★★★★ | 0 | 0 |
| Waddell Nursing And Rehab Center | 13.1 mi | ★★★★★ | 4 | 0 |
| Heritage Hall - Laurel Meadows | 14.3 mi | ★★★★★ | 0 | 0 |
| Surry Community Health Center By Harborview | 17.5 mi | ★★★★★ | 0 | 0 |
| Northern Regional Hospital | 20 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.