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Foothill Acres Rehabilitation & Nursing Center

Nursing Home Facility

39 East Mountain Road, Hillsborough, NJ 08844

Nursing Home Care Senior Living
Foothill Acres Rehabilitation & Nursing Center

Foothill Acres Nursing Center has been a pillar of the community for over 49 years. The facility was founded by the late Dr. & Mrs. Husted, of Neshanic, NJ in 1954. It was family owned and operated until October 1, 2002, when private owners purchased it. The name was changed to Foothill Acres Rehabilitation and Nursing Center. It is well known for its excellent care, the longevity of its staff and its peaceful, tranquil setting.

Foothill Acres Rehabilitation & Nursing Center is licensed for 200 beds, about typical for the area, where senior care communities in Hillsborough average about 200 beds.

Federal reporting puts occupancy at about 87% of its licensed beds.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2025 and recorded 16 deficiencies.

Residents receive about 4.2 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Nursing staff turnover over the past year was about 39%.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 19 problems at Foothill Acres Rehabilitation & Nursing Center. None of them caused harm to a resident. 2 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected March 2025. Corrected by May 15, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected March 2025, after a complaint. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2025, after a complaint. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected March 2025. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2025. Corrected by May 15, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Foothill Acres Rehabilitation & Nursing Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 200
  • Occupancy 87%
  • Nursing hours per resident/day 4.2
  • Annual staff turnover 39%
  • Last health inspection March 2025

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