Hillside Manor

Penalties

• Mar 12, 2026 — Fine ($45,220)
• Jun 24, 2025 — Fine ($148,132)
• Nov 14, 2024 — Payment Denial · payment denial 20 days

Inspection findings

1. Mar 12, 2026 Health · 9 findings
   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 4, 2026 · CMS health inspection

   • Serious Scope/severity G

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 4, 2026 · CMS health inspection

2. Jul 21, 2025 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jul 22, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 22, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0712 Nursing and Physician Services Deficiencies

     Ensure that the resident and his/her doctor meet face-to-face at all required visits.

     Corrected Jul 24, 2025 · CMS health inspection

3. Jun 24, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Jul 24, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jul 24, 2025 · CMS health inspection

4. Nov 14, 2024 Fire Safety · 16 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Dec 31, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Dec 31, 2024 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Dec 31, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Dec 31, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0753 Miscellaneous Deficiencies

     Have restrictions on the use of highly flammable decorations.

     Corrected Nov 19, 2024 · CMS fire safety

5. Sep 7, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Sep 19, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 28, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 7, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0131 Construction Deficiencies

     Meet requirements for sections of health care facilities separated by fire resistive construction.

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected Oct 2, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 27, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0781 Miscellaneous Deficiencies

     Have restrictions on the use of portable space heaters.

     Corrected Sep 22, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BALTUS, JOHN — corporate director, NOT APPLICABLE, since 02/04/2016
• BALTUS, JOHN — corporate officer, NOT APPLICABLE, since 09/08/2023
• BUSWELL CLEARY, LINDSEY — adp of the snf, NOT APPLICABLE, since 12/02/2023
• BUSWELL CLEARY, LINDSEY — operational/managerial control, NOT APPLICABLE, since 12/02/2023
• FERNANDEZ, EDWARD — corporate director, NOT APPLICABLE, since 09/08/2023
• FERNANDEZ, EDWARD — corporate officer, NOT APPLICABLE, since 01/01/2025
• HOERNEMAN, BRIAN — corporate director, NOT APPLICABLE, since 09/01/2023
• HOERNEMAN, BRIAN — corporate officer, NOT APPLICABLE, since 04/04/2023
• KLEBE, SAMANTHA — corporate director, NOT APPLICABLE, since 09/08/2023
• KLEBE, SAMANTHA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• KLEBE, SAMANTHA — corporate officer, NOT APPLICABLE, since 01/01/2025
• MATHISON, DOUGLAS — corporate director, NOT APPLICABLE, since 12/15/2020
• MCKUEN, LAURIE — operational/managerial control, NOT APPLICABLE, since 08/23/2024
• MCKUEN, LAURIE — adp of the snf, NOT APPLICABLE, since 08/23/2024
• MORRISON, TONY — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• MUNSON, JOLYN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• NEWCOMB, EVERETT — corporate director, NOT APPLICABLE, since 09/13/2024
• OLSON, NICHOLAS — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• POPPEN, JEFFREY — operational/managerial control, NOT APPLICABLE, since 06/12/2025
• POPPEN, JEFFREY — corporate officer, NOT APPLICABLE, since 06/12/2025
• POPPEN, JEFFREY — adp of the snf, NOT APPLICABLE, since 06/12/2025
• PROCCI, LINDA — corporate director, NOT APPLICABLE, since 01/14/2025
• SMITH, DENNIS — corporate director, NOT APPLICABLE, since 01/14/2025
• VENTLING-HERRMANN, MARNIE — trustee of the snf, NOT APPLICABLE, since 01/01/2025
• MARSHFIELD CLINIC HEALTH SYSTEM INC — 5% or greater indirect ownership interest, since 05/01/2019
• MARSHFIELD CLINIC HEALTH SYSTEM INC — adp of the snf, NOT APPLICABLE, since 05/01/2019
• MCHS HOSPITALS INC — operational/managerial control, NOT APPLICABLE, since 05/01/2019
• MCHS HOSPITALS INC — adp of the snf, NOT APPLICABLE, since 05/01/2019
• MCHS HOSPITALS INC — 5% or greater direct ownership interest, 100%, since 05/01/2019
• SANFORD — adp of the snf, NOT APPLICABLE, since 01/01/2025
• SANFORD — 5% or greater indirect ownership interest, since 01/01/2025