Hillsboro House Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 33 beds and averages 25.6 residents a day — about 78% occupied, or roughly 7 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.484 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.26 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.00 hrs/resident/day on weekends vs 3.68 on weekdays — 19% thinner on weekends. RN hours go from 0.85 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Fcited before2026-04-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety.Findings include:Observation on 4/27/26 at approximately 12:00 p.m. with Staff A (Executive Director) revealed the following unsanitary conditions in the main kitchen:a build up of a white substance on the floor to the left side of the dishwasher;a wet hand towel on the floor under the left corner of the dishwasher;a wet washcloth on the floor under the right corner of the dishwasher;a large amount of debris on the floor under the rinse sink;a pink container filled three quarters full of a cloudy liquid sitting under the drain under the rinse sink;an area missing the laminate flooring directly in front of the rinse sink, measuring approximately 4.5 inches by 5 inches;a large amount of debris under the sanitizing sink;a large amount of dust between wall and the left side of oven;a large amount of debris under the oven;a build up of debris and grease on the hood vent;the center island was noted to have debris under it and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed follow currently accepted professional principles for labeling and/or storing drugs and biologicals in 1 of 1 medication rooms and 1 of 1 medication carts observed. (Resident identifiers are #7 and #2.)Findings include:Observation on 8/5/25 at approximately 8:15 a.m. of the facility medication cart revealed two unlabeled medication cups in the top draw. One medication cup had medications crushed in pudding and the other medication cup had whole pills in it. Interview on 8/5/25 at approximately 8:15 a.m. with Staff A (Licensed Practical Nurse) revealed the medication cup with whole pills in it was Resident #7's morning medications and the medication cup with crushed pills in it was Resident #2's morning medications. Further interview confirmed that neither medication cup was labeled with a resident identifier or what it contained.Observation on 8/5/25 at approximately 8:30 a.m. of the facility medication room refrigerator revealed an opened and undated vial of Tuberculin solution. Interview…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to implement policies and procedures for infection control during medication administration. (Resident identifiers are #12, #20, #25 and #4.)Findings include:Observation on 8/5/25 at from approximately 8:45 a.m. until 9:05 a.m. with Staff A (Licensed Practical Nurse) during medication administration revealed the following: At approximately 8:45 a.m., Staff A prepared and administered medications to Resident #12. Staff A did not perform hand hygiene before or after Resident #12's medication administration. At approximately 8:50 a.m., Staff A prepared and administered medications to Resident #20. Staff A did not perform hand hygiene before or after Resident #20's medication administration. Immediately following, Staff A assisted Resident #25 with positioning in his/her wheelchair. Staff A did not perform hand hygiene before or after assisting Resident #25 with positioning in his/her wheelchair. At approximately 8:55 a.m., Staff A took Resident #4's breakfast tray from the kitchen to his/her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-09-05 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, it was determined that the facility failed to develop and implement a comprehensive infection control guideline for facility water management that had the potential to effect the facility census of 26 residents who resided at the facility. Findings include: Review on 9/5/24 of the Facility Water Management Program with a revised date of 1/2024 revealed strategies for water management to be annual testing for legionella and weekly flushing of vacant rooms. Further review revealed no description of water flow, schematic, or map of plumbing or identified areas of concern available. Interview on 9/5/24 at approximately 11:00 a.m. with Staff A (Infection Preventionist) revealed he/she was unable to answer questions regarding water management or legionella testing. Interview on 9/5/24 at approximately 1:30 p.m. with Staff G (Administrator Assistant) revealed no logs for flushes or legionella test results available.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-05 · tag F0554 — pattern
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, it was determined that the facility failed to determine clinical appropriateness of self-administration of medications for 2 of 4 residents reviewed for choices in a final sample of 13 residents (Resident Identifiers are #19 and #22). Findings include: Resident #19 Observation on 9/5/24 at approximately 8:30 a.m. in Resident #19's room revealed 5 pills in a small coaster on Resident #19's tray table. Interview on 9/5/24 at approximately 8:30 a.m. with Resident #19 revealed that the pills were his/her morning medications and that the nurse leaves the pills for him/her to take everyday. Resident #19 stated that this is done at his/her request to take the medications at his/her own pace. Review on 9/5/24 of Resident #19's medical record revealed that there was no self-administer of medication assessment or physician's order to self-administer medications. Resident #22 Observation on 9/4/24 at approximately 8:45 a.m. with Staff B (Registered Nurse (RN)) during medication administration revealed that Staff B left a cup of 7 pills that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-05 · tag F0801 — pattern
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview, it was determined that the facility failed to ensure the food service director met minimum qualifications. Findings include: Interview on 9/5/24 at approximately 11:30 a.m. with Staff C (Administrator) revealed that the dietician is part-time and that Staff C was the food service director. Staff C confirmed that he/she had been the food service director for years and had not completed a course of study in food safety and management.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to ensure that dishes were sanitized according to manufacturer's instruction for food services safety in the main kitchen. Findings include: Review on 9/4/24 of the facility's 2024 dishwasher temperature logs from August to September revealed that the facility documented one temperature per day. The temperatures ranged between 160 to 176 degrees Fahrenheit. The log did not indicate what an acceptable range would be or if the temperature was taken during wash or rinse cycle. Interview on 9/4/24 at approximately 10:45 a.m. with Staff E (Lead Cook) revealed that the above log temperatures were for wash cycle only. Staff E did not know the acceptable temperatures for wash and rinse cycle. Observation on 9/5/24 at approximately 12:00 p.m. with Staff F (Dietary Aide) of a dishwasher cycle revealed a wash temperature of 150 degrees Fahrenheit and rinse temperature of 174 degrees Fahrenheit. Review on 9/5/24 of manufacturer's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-05 · tag F0700 — isolated
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that a resident was assessed and an informed consent was obtained for the use of full-length bed rails for 1 of 1 resident reviewed for restraints in a final sample of 13 residents (Resident Identifier #18). Findings include: Observation on 9/4/24 at approximately 10:00 a.m., 12:00 p.m., 1:00 p.m., and 3:00 p.m. revealed that Resident #18 was in bed with full-length bed rails up on the right and left side of the bed. Review on 9/4/24 of Resident #18's medical record revealed that there was no bed rail assessment and informed consent for the full-length bed rails. Review on 9/4/24 of the facility's policy titled, Bed Rail Consent Form, with no date, revealed that the facility will periodically and annually review and re-evaluate the resident's use of the bed rails. Interview on 9/4/24 at approximately 3:00 p.m. with Staff A (Director of Nursing) confirmed the above findings.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-05 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, it was determined that the facility failed to ensure that medications were labeled and stored in accordance with currently accepted professional principles for 1 of 1 medication carts observed and 1 of 4 residents reviewed for choices (Resident Identifier #19). Findings include: Observation on 9/4/24 at approximately 8:20 a.m with Staff B (Registered Nurse) of the facility's medication cart revealed an open Lantus (insulin) vial with no resident identifier with an open date of 8/5/24 and discard date of 9/2/24. Review on 9/4/24 of Lantus manufacturer instructions revealed .Store in-use (opened) LANTUS vials .at room temperature .for up to 28 days . Resident #19 Observation on 9/4/24 at approximately 8:45 a.m. revealed a Refresh eye drops (lubricant eye drops) at Resident #19's bedside table. Interview on 9/4/24 at approximately 8:45 a.m. with Resident #19 confirmed the above observation. Resident #19 stated that the eye drops were stored at bedside. Review on 9/5/24 of the facility policy titled, Medication Storage Procedure, with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-05 · tag F0838 — failed to assess facility resources and resident needs — isolated
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, it was determined that the facility failed to ensure that the facility assessment determined the amount of time required to fulfill the role of the designated Infection Preventionist (IP). Findings include: Review on 9/5/24 of the facility's facility assessment with a review date of 6/2024 revealed no determination for the amount of time required to fulfill the role of the IP. Interview on 9/5/24 at approximately 1:00 p.m. with Staff A (Director of Nursing) revealed that he/she was the designated IP at the facility. Staff A stated that he/she spends 1 hour a week dedicated to the facility's Infection Prevention and Control Program (IPCP).

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$97,730 in federal fines across 17 penalties.

• $4,938 — penalty dated 2024-02-20
• $4,938 — penalty dated 2024-02-12
• $14,814 — penalty dated 2024-01-22
• $4,938 — penalty dated 2024-01-08
• $4,587 — penalty dated 2024-01-02
• $13,762 — penalty dated 2023-12-11
• $4,587 — penalty dated 2023-11-20
• $4,587 — penalty dated 2023-11-13
• $4,587 — penalty dated 2023-11-06
• $4,587 — penalty dated 2023-10-30
• $4,587 — penalty dated 2023-10-23
• $4,587 — penalty dated 2023-10-17
• $4,235 — penalty dated 2023-10-10
• $3,882 — penalty dated 2023-10-02
• $3,529 — penalty dated 2023-09-25
• $3,176 — penalty dated 2023-09-18
• $7,409 — penalty dated 2023-08-28

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

What families pay in NH