Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Hillcrest Healthcare Center during CMS and state inspections, most recent first.
A resident with a Full Code status was found unresponsive and without vital signs. An LPN and a nurse aide initiated CPR but discontinued resuscitation efforts several minutes before EMS arrived, contrary to facility policy and the resident's POST form. The failure to continue CPR until EMS arrival resulted in the resident's death and was confirmed through staff interviews and facility investigation.
A resident with a history of falls, poor safety awareness, and multiple medical conditions was left unsupervised on a shower bed after a nursing assistant lowered the bed rail and turned away. The resident slid off the bed, sustaining a head laceration and hematoma that required ER treatment. The care plan's fall prevention interventions were not followed in this instance, resulting in injury.
Staff served beans that were scorched, with a strong smoky odor and visible burnt bits, resulting in an overcooked, burnt taste. The Culinary Account Manager confirmed awareness of the issue, stating the cook had scraped the bottom of the pan, leading to the burnt beans being served to residents.
Surveyors observed that staff did not consistently use barriers when placing multi-dose medication containers on resident surfaces during medication administration, and these containers were then returned to the medication cart, increasing the risk of cross-contamination. Enhanced Barrier Precautions were not implemented for a resident with pressure ulcers, and two residents used wheelchairs with damaged coverings that could not be properly cleaned, all of which were acknowledged by staff as infection control issues.
The facility failed to provide the required SNF ABN and NOMNC forms to two residents prior to the end of their Medicare Part A skilled services. In both cases, therapy services ended after residents met their goals, but the necessary beneficiary protection notifications were not issued, as confirmed by staff interviews and record review.
A resident with pressure ulcers did not receive modular protein and multivitamin with zinc supplements as recommended by the wound care service. Review of the medical record showed these supplements were not ordered, and there was no documentation explaining the omission. The DON confirmed the lack of documentation and noted that the physician typically does not order the multivitamin with zinc.
A resident with broken and missing teeth was identified as needing all remaining teeth extracted, with a referral made for oral surgery. Despite documentation of the referral and staff awareness, an LPN reported being unable to confirm that an appointment with an oral surgeon was ever scheduled, resulting in a failure to provide timely dental services as recommended.
Failure to Continue CPR Until EMS Arrival for Full Code Resident
Penalty
Summary
The facility failed to ensure that Cardio-Pulmonary Resuscitation (CPR) was initiated and continued for a resident with a Full Code status who was found unresponsive and without vital signs. The resident had a documented Physician Orders for Scope of Treatment (POST) form indicating the desire to receive CPR in the event of cardiac or respiratory arrest. Despite this, staff members started CPR but discontinued it prior to the arrival of emergency medical services (EMS). On the night of the incident, an LPN and a nurse aide discovered the resident unresponsive during a routine check. They reportedly performed three to four rounds of CPR but stopped several minutes before EMS arrived. The nurse aide left the room to answer another resident's call light, and the LPN did not continue resuscitation efforts. The crash cart was obtained, and 911 was called, but CPR was not maintained until EMS took over, as required by the facility's policy and the resident's code status. The facility's investigation confirmed that the staff did not follow the established CPR policy, which mandates that CPR be provided and continued until EMS arrives unless there are obvious signs of irreversible death. Written statements from staff and interviews corroborated that CPR was stopped prematurely, and the responsible staff members were subject to disciplinary action. The deficiency resulted in the death of the resident and had the potential to affect all residents with a Full Code status.
Failure to Provide Adequate Supervision During Shower Results in Resident Injury
Penalty
Summary
The facility failed to provide adequate supervision to prevent avoidable accidents, resulting in harm to a resident. The incident occurred when a nursing assistant was showering a resident with a history of falls, poor safety awareness, impulsive movements, and diagnoses including epilepsy, early onset dementia, altered mental status, and muscle weakness. While the resident was lying on a shower bed, the nursing assistant lowered the bed rail and turned away to place a blanket on a nearby chair. During this time, the resident sat up and slid off the shower bed, falling to the floor and striking her head. The fall resulted in a laceration and hematoma to the resident's head, requiring emergency room treatment and sutures. The resident's care plan included multiple interventions to prevent falls, such as bed in the lowest position, fall mats, hip protectors, and ensuring the environment was free of hazards. However, these interventions were not followed in the shower room, as the bed rail was lowered and the resident was left unsupervised, directly leading to the accident and injury.
Scorched Beans Served to Residents
Penalty
Summary
The facility failed to provide palatable food by serving scorched beans to residents. During observation, the beans were noted to have a strong smoky smell and contained small bits of black burnt substance. Upon tasting, the beans had an overcooked, burnt flavor. The Culinary Account Manager confirmed that the beans had been scorched during preparation and acknowledged that the cook had scraped the bottom of the pan, resulting in the burnt product being served. This deficiency was identified as a random opportunity of discovery and had the potential to affect a limited number of residents in the facility.
Failure to Maintain Infection Control Practices and Equipment Integrity
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by multiple observed lapses during medication administration and equipment maintenance. Nursing staff were observed placing multi-dose medication containers and their packaging directly on resident surfaces, such as overbed tables and bedside tables, without using barriers. These items were then returned to the medication cart, creating a risk for cross-contamination. Staff also placed medication containers on the edge of sinks and on top of the medication cart without barriers. Interviews confirmed that staff understood the risk of transferring infectious agents but did not consistently use barriers, and the Director of Nursing acknowledged that while it was standard practice to use barriers, there was no written policy in place to support this practice. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for a resident with pressure ulcers, as required by facility policy. The resident did not have an order for EBP, nor was there signage on the door to indicate the need for these precautions. Furthermore, two residents were observed using wheelchairs with rips and tears in the plastic coverings, exposing the inner padding, which staff acknowledged could not be adequately cleaned to prevent infection. These findings demonstrate a lack of adherence to infection control protocols and failure to maintain equipment in a condition that supports infection prevention.
Failure to Provide Required Medicare Coverage and Liability Notices
Penalty
Summary
The facility failed to provide the required Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) and Notification of Medicare Non-Coverage (NOMNC) forms to two residents who were reviewed for beneficiary protection notification practices. For one resident, there was no evidence that either the SNF ABN or NOMNC forms were provided or signed prior to the last covered day of Medicare Part A skilled services for both occupational and physical therapy. Discharge summaries indicated that therapy services ended because the resident had achieved the highest practical level or met all goals, but the required notifications were not issued. Staff interviews confirmed that the social worker was not made aware by therapy that the resident was at maximum potential and would be completing services, resulting in the failure to provide the necessary forms. For another resident, the required NOMNC form was not issued prior to the last covered day of Medicare Part A services, as confirmed by a review of the electronic medical record and staff interviews. Therapy discharge summaries indicated that all goals were met or the highest practical level was achieved, but the social worker was unaware that the NOMNC needed to be presented due to the resident's decision to go home. The therapy manager confirmed that the resident was discharged from services after meeting maximum potential, but the required notification was not provided.
Failure to Implement Wound Care Recommendations for Pressure Ulcer Management
Penalty
Summary
The facility failed to implement recommendations made by the wound care service for a resident with pressure ulcers. The wound care service had recommended the addition of modular protein and a multivitamin with zinc supplements to the resident's care plan, as documented in a progress note. However, a review of the resident's orders showed that these supplements were not added, and there was no documentation explaining the omission. The DON confirmed that there was no information in the chart regarding the absence of the modular protein and noted that the facility's physician typically does not order the multivitamin with zinc and vitamin C. The resident reported having pressure ulcers that seemed to be improving but was unaware of how they developed.
Failure to Schedule Oral Surgery Following Dental Referral
Penalty
Summary
The facility failed to provide necessary dental services for a resident by not scheduling oral surgery in a timely manner as recommended by the dentist. The resident was observed to have broken and missing teeth, and the care plan identified a risk for oral/dental health problems, requiring staff assistance with oral care and dental consults as needed. A dental exam summary recommended extraction of all remaining teeth and included a referral to an oral surgeon. Nursing documentation confirmed a referral was to be sent to a specific facial surgeon, with instructions to seek another oral surgeon if the first would not accept the resident. However, an LPN who previously worked in medical records reported being unable to find any information confirming that an appointment with an oral surgeon was ever made, indicating a lapse in follow-through on the dental referral.
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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 Danville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Trinity Health Care Of Logan | 15.3 mi | ★★★★★ | 23 | 0 |
| Logan Center | 16.9 mi | ★★★★★ | 0 | 0 |
| Marmet Center | 18.8 mi | ★★★★★ | 19 | 0 |
| Valley Center | 18.8 mi | ★★★★★ | 2 | 0 |
| Lincoln Healthcare Center | 20.1 mi | ★★★★★ | 0 | 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.