Pennsylvania Department of Health
HILLTOP HEIGHTS HEALTH & REHAB CENTER
Patient Care Inspection Results

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HILLTOP HEIGHTS HEALTH & REHAB CENTER
Inspection Results For:

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HILLTOP HEIGHTS HEALTH & REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on a State Licensure Monitoring survey on March 29, 2024, it was determined that Hilltop Heights Health & Rehab Center was not in compliance with the following requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.


 Plan of Correction:


201.13c (b) LICENSURE License renewal:State only Deficiency.
(b) In addition to the application form and fee under subsection (a), a facility shall submit an updated annual financial report that meets the requirements set forth in 201.12(b)(8) (relating to application for license of a new facility or change in ownership).
Observations:
Based on review of the facility submitted application for renewal of the license, it was determined that the facility failed to submit an annual financial report which shall include the following:

(i) Audited financial statements prepared in accordance with generally accepted accounting principles (GAAP). If GAAP requires consolidated financial statements, then consolidated statements shall be provided. (The GAAP indicates that the following is included in and audited financial statement: Balance Sheet, Cash Flow Statement, Income Statement, Statement of Shareholder Equity Changes and an auditor opinion)
(ii) A visual representation of the current ownership structure, which shall include parent companies, shareholders, and any related parties of the persons identified in paragraphs (1) through (6). (this would be an organizational chart rather than a list)
(iii) A supplemental schedule of annual gross revenues, prepared in accordance with GAAP. The supplemental schedule shall be broken out by payor type.

Findings:
Review of the submitted application revealed that no visual representation of ownership structure and no audited financial report was not contained in the application. Correspondence with the Nursing Home Administrator indicated that the information was not available at the time the application was submitted.

The facility failed to meet the requirements as set forth in 28 Pa Code 201.13c.



 Plan of Correction - To be completed: 07/01/2024

1. Audited financial statements are not available for this facility because it has not been in operation for a year since its involvement with the organization beginning July 1, 2023. The licensee will arrange for the preparation of an audited financial statement for FYE December 31, 2023 to submit, and expects that its external auditors will be able to complete the same by July 1, 2024.
2.Visual representation of ownership structure:(unable to upload actual document):
Hilltop Heights Health & Rehab Center, LLC Organizational Chart:

Decanted William I. Weisberg
Family Dynasty Trust
Dated September 30, 2020
100%
Benjamin N. Volpe Family
Dynasty Trust Dated
Dated December 29, 2020 100%
WIW Dynasty, LLC - 67%
BNV Dynasty, LLC- 33%
WWBV Holdings, LLC - 100%
SHH Holdings, LLC - 100%
Saber Healthcare Holdings - 100%
Saber PA Holdings - 100%
Hilltop Heights Health & Rehab Center, LLC 100%
3.Supplemental schedule of annual gross revenue:

Hilltop Heights Health & Rehab Center
Supplemental Schedule of Annual Gross Revenues for the Fiscal Year Ending 12/31/2023:
Payer Type Annual Revenues**
Medicare Part A $35,921
Medicare Part B $84,313
Private Insurance $688,015
Medicaid^1 $2,096,323
Private Pay $46,058
Other $2,168
Total Revenue $2,952,798
A. Medicaid Revenue includes the fee for service (FFS),
Medicaid pending, and managed care organization (MCO)
revenues. This revenue type also includes any Medicaid
Hospice revenues.
**Hilltop Heights Health & Rehab Center began operating 7/1/2023.The revenues from 7/1/2023 through 10/31/2023 have been annualized through 12/31/2023 to estimate the annual revenues.





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