Inspection·July 1, 2024

F 0600 Level of Harm - Minimal harm or potential for actual harm Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on interview and record review, the facility failed to ensure residents had the right to be free from verbal abuse for 3 of 7 residents (Residents #1, #2, and #3) reviewed for abuse. Residents Affected - Some 1. The facility failed to prevent RN A from verbally abusing Resident #1 and Resident #2 when RN A yelled at both residents. 2. The facility failed to protect Resident #3 when OT called resident a liar and yelled at her. These failures could place residents at risk of verbal abuse from facility staff. Findings include: 1. Record review of the Facility Incident Report, dated 3/22/2024, reflected RN A was witnessed telling Resident #1, I want to spray you with Ativan spray because you are getting on my nerves. Furthermore, it was also witnessed that RN A told Resident #2 that you can't get your ass clean or your shit because the girls are busing feeding. During an interview on 6/28/2024 at 10:18 am with CNA B, she stated that Resident #1 was just asking questions when she witnessed RN A became upset and yelled at Resident #1. CNA B also witnessed RN A tell Resident #2 that you can't get your ass clean or your shit because the girls are busing feeding. 2. Record review of Facility Incident Report, dated 12/15/2023, reflected OT yelled and called Resident #3 a liar. During an interview on 6/28/2024 at 9:04 am with PTA staff, she stated she was present and witnessed the altercation between OT and Resident #3. She stated when Resident #3 was talking about her past employment history, OT called her a liar and then proceeded to call Resident #3's employer to verify past employment. Resident #3 became upset that OT called her a liar and called her previous employer. During an interview in 6/28/2024 at 11:10 am with ADMN, she stated that abuse is not tolerated and that she was not familiar with the incidents in question as they happened prior to her employment at the facility as the facility had a recent change in ownership. Record review of Abuse and Neglect Policy dated 5/1/13 revealed The facility's leadership prohibits neglect, mental, physical and/or verbal abuse of any resident . Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 455628 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 455628 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/01/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd Kerrville, TX 78028 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)