Hillsboro Health and Rehab LLC
175 Chillicothe Avenue, Hillsboro, OH 45133 · Highland County · 99 certified beds · avg 86 residents/day · certified since Mar 8, 1995
Part of chain: RHG HEALTHCARE SERVICES (2 facilities, chain avg rating 1.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 29, 2025 · F-0627 · triggered by a complaint
The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Why it matters: A rushed or poorly planned move can leave a resident somewhere that can't meet their needs.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 30, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Oct 5, 2023 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Dec 8, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 31, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 13, 2023 (Past Non-Compliance)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 29, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Dec 29, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Aug 13, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Oct 31, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 5, 2023 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Jun 9, 2022 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Jun 9, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 9, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 9, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | D |
| 2022 | 4 | 0 | E |
| 2023 | 7 | 2 | L ▲ |
| 2025 | 3 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $119,308, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Oct 5, 2023 | Fine | $119,308 |
| Oct 5, 2023 | Payment Denial | 38 days from Oct 31, 2023 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.14 | 3.45 | 3.95 | bottom 1% in Ohio; bottom 1% in the U.S. |
| Registered Nurse hours | 0.30 | 0.60 | 0.69 | bottom 5% in Ohio; bottom 10% in the U.S. |
| Weekend total nurse staffing | 1.95 | 3.07 | 3.50 | bottom 1% in Ohio; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.42 | 0.48 | bottom 16% in Ohio; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 48.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.11, RN 0.30, weekend 1.93. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Frankenberg, Sean | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/30/2025 |
| Greenspan, Conner | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/30/2025 |
| Lamp Post Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/30/2025 |
| Relavix Health Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/30/2025 |
| RHG Healthcare Services LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/30/2025 |
| Baumann, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2025 |
| Baumann, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Financing VI Healthcare Property, LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 02/01/2016 |
| Financing VI Healthcare Property, LP | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2016 |
| Frankenberg, Sean | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/30/2025 |
| Frankenberg, Sean | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2025 |
| Frankenberg, Sean | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Greenspan, Conner | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/30/2025 |
| Greenspan, Conner | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2025 |
| Greenspan, Conner | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Gunderman, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2025 |
| Gunderman, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Oak Medical SC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Oxford Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/30/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hillsboro Post Acute | 1.3 mi | Hillsboro, OH | ★★★★★ | 5/5 | |
| Crestwood Ridge Skilled Nursing and Rehab | 1.5 mi | Hillsboro, OH | ★★★★☆ | 3/5 | |
| Edgewood Manor of Greenfield | 15.0 mi | Greenfield, OH | ★★☆☆☆ | 2/5 | |
| Greenfield Skilled Nursing and Rehabilitation | 15.6 mi | Greenfield, OH | ★★★★☆ | 4/5 | |
| Monarch Meadows Nursing and Rehabilitation | 16.6 mi | Seaman, OH | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365994.