Hillside Health and Rehabilitation Center

38220 Henry Dr · Zephyrhills, FL · 33540 · 8137887114

120 certified beds For profit - Individual Chain: Aston Health

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 80
Trend 10% 34
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $3,728

Inspection citations (28 in the current record)

  • Potential for harm · D August 21, 2025

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

    Corrected September 21, 2025 · Resident Rights

  • Potential for harm · D August 21, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 21, 2025 · Quality of Life and Care

  • Potential for harm · D August 21, 2025

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

    Corrected September 21, 2025 · Quality of Life and Care

  • Potential for harm · E August 21, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 21, 2025 · Quality of Life and Care

  • Potential for harm · E August 21, 2025

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

    Corrected September 21, 2025 · Pharmacy Service

  • Potential for harm · D August 21, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected September 21, 2025 · Pharmacy Service

  • Potential for harm · E August 21, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected September 21, 2025 · Pharmacy Service

  • Potential for harm · F August 21, 2025

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

    Corrected September 21, 2025 · Nutrition and Dietary

  • Potential for harm · E August 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 21, 2025 · Infection Control

  • Potential for harm · D January 23, 2025 · found via complaint

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

    Corrected February 23, 2025 · Quality of Life and Care

  • Potential for harm · D January 23, 2025 · found via complaint

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

    Corrected February 23, 2025 · Quality of Life and Care

  • Potential for harm · D August 16, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected September 14, 2023 · Resident Rights

  • Potential for harm · D August 16, 2023

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

    Corrected September 11, 2023 · Quality of Life and Care

  • Potential for harm · D August 16, 2023

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected September 11, 2023 · Quality of Life and Care

  • Potential for harm · D August 16, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected September 11, 2023 · Quality of Life and Care

  • Potential for harm · E August 16, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 11, 2023 · Pharmacy Service

  • Potential for harm · D August 25, 2021

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected September 24, 2021 · Resident Rights

  • Potential for harm · D August 25, 2021

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected September 24, 2021 · Resident Rights

  • Potential for harm · E August 25, 2021

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 27, 2021 · Quality of Life and Care

  • Potential for harm · D August 25, 2021

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

    Corrected September 24, 2021 · Quality of Life and Care

  • Potential for harm · D August 25, 2021

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

    Corrected November 27, 2021 · Quality of Life and Care

  • Potential for harm · D August 25, 2021

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected November 27, 2021 · Quality of Life and Care

  • Potential for harm · D August 25, 2021

    Post nurse staffing information every day.

    Corrected September 24, 2021 · Nursing and Physician Services

  • Potential for harm · E August 25, 2021

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 27, 2021 · Pharmacy Service

  • Potential for harm · D August 25, 2021

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 24, 2021 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 16, 2023Fine$3,728

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105599 · certified since February 4, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.