Johnstown, PA

Hilltop Heights Health & Rehab Center

1-star overall rating with 1-star inspections with $13,128 in total fines with 27 recent health deficiencies

100 Woodmont Road, Johnstown, PA

(814) 255-1488

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1989-11-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

126 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.50

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,876

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9820

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.97

Baseline 66.67% · Performance 56.34% · Measure score 1.97 · Achievement 1.80 · Improvement 1.97

Adjusted total nurse staffing

1.79

Baseline 3.36 hours · Performance 3.59 hours · Measure score 1.79 · Achievement 1.79 · Improvement 0.44

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.67%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 13.33% · Lower 95% interval 7.04%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	86.49%	95.27% 8.8 pts worse	Numerator 32 · Denominator 37
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 37
Discharge self-care score	48.15%	53.69% 5.5 pts worse	Numerator 13 · Denominator 27
Discharge mobility score	48.15%	50.94% 2.8 pts worse	Numerator 13 · Denominator 27
Pressure ulcers or injuries, new or worsened	5.56%	2.29% 3.3 pts worse	Numerator 2 · Denominator 36 · Adjusted rate 4.64%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0.97%	8.2% 7.2 pts worse	Numerator 1 · Denominator 103
Staff flu vaccination coverage	23.18%	42% 18.8 pts worse	Numerator 35 · Denominator 151
Discharge function score	51.85%	56.45% 4.6 pts worse	Numerator 14 · Denominator 27
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	25%	25.2% 0.2 pts worse	Numerator 5 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	86.9% 9.5 pts better	93.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 95.8% · Q3 95.7% · Q4 98.6% · 4Q avg 96.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	93.5% 3.9 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	0.4%	3.2% 2.8 pts better	3.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.7%	6.5% 0.2 pts worse	11.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.5% · Q3 10.0% · Q4 8.7% · 4Q avg 6.7%
Percentage of long-stay residents who lose too much weight	6.7%	6.5% 0.2 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.6% · Q3 5.5% · Q4 8.8% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.6%	19.9% 8.7 pts worse	19.6% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 24.2% · Q3 30.4% · Q4 41.4% · 4Q avg 28.6%
Percentage of long-stay residents who received an antipsychotic medication	13.5%	18.7% 5.2 pts better	16.7% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 12.5% · Q3 12.2% · Q4 10.9% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.6%	19.6% 6 pts better	16.3% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q3 8.5% · Q4 24.6% · 4Q avg 13.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.0%	18.3% 2.3 pts better	14.9% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 19.6% · Q3 15.1% · Q4 3.7% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	1.7% 0.1 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.0%	26.4% 12.4 pts better	19.8% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 21.3% · Q3 13.6% · Q4 8.6% · 4Q avg 14.0%
Percentage of long-stay residents with pressure ulcers	13.5%	5.3% 8.2 pts worse	5.1% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 11.9% · Q3 13.9% · Q4 18.6% · 4Q avg 13.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.2%	68.9% 5.7 pts worse	81.7% 18.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 67.7% · Q2 64.2% · Q3 64.1% · Q4 55.7% · 4Q avg 63.2%
Percentage of short-stay residents who had an outpatient emergency department visit	7.9%	9.8% 1.9 pts better	12.0% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 9.1% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.5% 0.7 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	70.3%	68.7% 1.6 pts better	79.7% 9.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 70.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.5%	23.1% 10.4 pts worse	23.9% 9.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.5% · Observed 40.9% · Expected 29.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-08 · Fire 2026-01-08

27 health deficiencies

Top issue: Nutrition and Dietary (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-12-12 · Fire 2024-12-12

31 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2024-01-18 · Fire 2024-01-18

21 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

13 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-13

C · Minimal harm 2024-12-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-13

F · Potential for more than minimal harm 2024-01-18

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-03-19

F · Potential for more than minimal harm 2024-01-18

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-03-19

E · Potential for more than minimal harm 2024-01-18

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-19

E · Potential for more than minimal harm 2024-01-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-19

E · Potential for more than minimal harm 2024-01-18

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-02-26

E · Potential for more than minimal harm 2024-01-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-26

C · Minimal harm 2024-01-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-08

F585 · Resident Rights Deficiencies

Health

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 2026-01-30

E · Potential for more than minimal harm 2026-01-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-08

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-08

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-08

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-08

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-01-30

B · Minimal harm 2026-01-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-30

F · Potential for more than minimal harm 2025-11-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-08-11

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-08-26

D · Potential for more than minimal harm 2025-08-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-08-26

D · Potential for more than minimal harm 2025-08-11

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-08-26

E · Potential for more than minimal harm 2025-06-12

F694 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-02

D · Potential for more than minimal harm 2025-06-12

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-07-02

D · Potential for more than minimal harm 2025-06-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-02

F · Potential for more than minimal harm 2025-05-14

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-05-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-05-14

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-05-14

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-05-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-03-27

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-27

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-17

E · Potential for more than minimal harm 2024-12-12

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-12

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-12

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-12

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-12

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-14