Hilltop Healthcare and Rehabilitation Center
700 S. Cayuga Avenue, Altoona, PA 16602 · Blair County · 133 certified beds · avg 111 residents/day · certified since May 1, 1978
Part of chain: ABRAHAM SMILOW (7 facilities, chain avg rating 1.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
All citations in the current public record (43)
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 |
|---|---|---|
| May 19, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 19, 2026 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint |
| Dec 11, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 11, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Dec 11, 2025 | D · Potential for harm, one-off | 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. |
| Aug 26, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 1, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 17, 2025 | E · Potential for harm, repeated | 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. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jan 17, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 23, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 1, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 1, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Feb 1, 2024 | 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. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 1, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 25, 2024 | 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. · from a complaint |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 15 | 0 | F |
| 2025 | 23 | 0 | E |
| 2026 | 5 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.16 | 3.94 | 3.95 | bottom 19% in Pennsylvania; bottom 20% in the U.S. |
| Registered Nurse hours | 0.46 | 0.80 | 0.69 | bottom 18% in Pennsylvania; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.97 | 3.58 | 3.50 | bottom 26% in Pennsylvania; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.56 | 0.48 | bottom 42% in Pennsylvania; bottom 50% in the U.S. |
| Total nursing staff turnover (%) | 40.8 | 44.5 | 45.8 | top 39% in Pennsylvania; top 38% in the U.S. |
| RN turnover (%) | 37.5 | 39.9 | 42.9 | top 47% in Pennsylvania; top 42% in the U.S. |
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 3.40, RN 0.49, weekend 3.19. Staffing rating: 2/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| GHC SNF Opco Holding Company LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2023 |
| Hillel Tropper 2016 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| Lads Avenue Associates LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| Moshe Trooper 2016 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| Smilow, Abraham | Individual | 5% or Greater Indirect Ownership Interest | 95% | 04/01/2023 |
| T3 Initiatives LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| Travitsky, Baruch | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| Andolina, Melissa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2023 |
| Andolina, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Andolina, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| GHC Consulting Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| GHC SNF Propco Holding Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Hillel Tropper 2016 Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Hillview SNF Propco Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| HMTL LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/30/2025 |
| Lads Avenue Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Moshe Trooper 2016 Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Scharf, Brett | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2023 |
| Scharf, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Scharf, Brett | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you explain health changes and treatment options to residents and their families?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "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 |
|---|---|---|---|---|---|
| Midtown Oaks Health & Rehab Center | 1.9 mi | Altoona, PA | ★☆☆☆☆ | 1/5 | |
| Maybrook Hills Rehabilitation and Healthcare Cente | 2.2 mi | Altoona, PA | ★★☆☆☆ | 2/5 | |
| Garvey Manor | 2.8 mi | Hollidaysburg, PA | ★★★★☆ | 3/5 | |
| Hollidaysburg Veterans Home | 3.7 mi | Hollidaysburg, PA | ★★★☆☆ | 2/5 | abuse |
| Lutheran Home at Hollidaysburg | 3.8 mi | Hollidaysburg, PA | ★★☆☆☆ | 2/5 | |
| Presbyterian Homes-Presby | 4.4 mi | Hollidaysburg, PA | ★★★★☆ | 3/5 | |
| Homewood Living Martinsburg, INC | 13.3 mi | Martinsburg, PA | ★★★★☆ | 4/5 | |
| Morrisons Cove Home | 13.3 mi | Martinsburg, PA | ★★★★★ | 4/5 | |
| Cedarwood Rehabilitation & Healthcare Center | 15.1 mi | Tyrone, PA | ★☆☆☆☆ | 1/5 | |
| Maple Heights Health & Rehab Center, LLC | 15.8 mi | Ebensburg, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 395241.