Hilltop Park Rehabilitation And Care Center

Penalties

• Feb 14, 2025 — Fine ($102,810)

Inspection findings

1. Mar 17, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Apr 10, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected Apr 10, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Apr 10, 2026 · CMS health inspection

2. Sep 4, 2025 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0022 Emergency Preparedness Deficiencies

     Establish policies and procedures for sheltering.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     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 Sep 22, 2025 · 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 Sep 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 22, 2025 · CMS fire safety

3. Feb 14, 2025 Health · 3 findings
   • Serious Scope/severity K 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 Feb 15, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Feb 15, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 15, 2025 · CMS health inspection

4. Aug 22, 2024 Fire Safety · 14 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Sep 9, 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 Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Oct 25, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 25, 2024 · CMS fire safety

5. May 22, 2024 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 21, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jun 21, 2024 · CMS health inspection

   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected May 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jun 21, 2024 · CMS health inspection

6. Feb 1, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Feb 2, 2024 · CMS health inspection

7. Jul 14, 2023 Health · 3 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 14, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Aug 14, 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 Aug 14, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BACUS, RANDY — corporate officer, NOT APPLICABLE, since 01/15/2015
• BAUDER, KELLY — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BAUDER, KELLY — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BAUDER, MADISON — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BAUDER, MADISON — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BAUDER, PARKER — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BAUDER, PARKER — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BAUDER, WILLIAM — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 01/15/2015
• BAUDER, WILLIAM — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BOULWARE, DOUGLAS — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BOULWARE, DOUGLAS — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BOULWARE, SANDRA — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BOULWARE, SANDRA — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BOULWARE, STEVEN — adp of the snf, NOT APPLICABLE, since 01/15/2018
• BOULWARE, STEVEN — operational/managerial control, NOT APPLICABLE, since 01/15/2015
• BOULWARE, STEVEN — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BOULWARE, THOMAS — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BOULWARE, THOMAS — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• WALKER, KATIE — adp of the snf, NOT APPLICABLE, since 01/15/2015
• WALKER, KATIE — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• WARD, NORMAN — adp of the snf, NOT APPLICABLE, since 01/15/2015
• WUSTERHAUSEN, KRIS — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BAUDER FAMILY INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BAUDER FAMILY INVESTMENTS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BOULWARE ST JAMES LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• BOULWARE ST JAMES LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• BRIDGEPOINTE FINANICAL SERVICES, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• INNOVATIVE NURSE CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• PARKER COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 01/15/2015
• PMG OPCO - HILLTOP LLC — adp of the snf, NOT APPLICABLE, since 02/20/2025
• PMG OPCO - HILLTOP LLC — operational/managerial control, NOT APPLICABLE, since 01/15/2015
• PMG REALCO-HILLTOP, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• PMG REALCO-HILLTOP, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015
• PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• PROGRESSIVE REHAB SOLUTIONS, LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 01/15/2015
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/15/2015