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THE HILLTOP ON MAIN

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THE HILLTOP ON MAIN is a for profit - corporation facility in MERIDIAN, TX with 94 certified beds and a 2-star overall CMS rating. The facility has 11 deficiency records on file. Total penalties: $29K.

1015 N MAIN, MERIDIAN, TX 76665

Phone: 2544352357

Overall Rating

2/5

Health Inspection

3/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675518
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
94
Residents
28
In Hospital
No
County
Bosque
Last Inspection
Jan 23, 2025

Staffing Data

RN Hours
0.30 (nat'l avg: 0.68)
LPN Hours
0.89
CNA Hours
1.46
Total Nursing Hours
2.64 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
45.0%

What the CMS Record Reveals About THE HILLTOP ON MAIN

THE HILLTOP ON MAIN operates 94 certified beds in MERIDIAN, TX with approximately 28 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $29K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.64 total nursing hours per resident day (national average 3.89), with RN coverage at 0.30 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, THE HILLTOP ON MAIN falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 45.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 27, 2025

E — Pattern - Minimal harm Jan 23, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 27, 2025

D — Isolated - Minimal harm Mar 26, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 27, 2024

J — Isolated - Jeopardy Mar 26, 2024 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2024

J — Isolated - Jeopardy Mar 26, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2024

J — Isolated - Jeopardy Mar 26, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2024

E — Pattern - Minimal harm Dec 7, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 30, 2023

F — Widespread - Minimal harm Dec 7, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 30, 2023

E — Pattern - Minimal harm Nov 10, 2023 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Dec 8, 2023

E — Pattern - Minimal harm Oct 12, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 11, 2022

E — Pattern - Minimal harm Oct 12, 2022 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 11, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 37.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 67.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.5% Yes

Penalty History 1 penalties totaling $29K

Date Type Amount
Mar 26, 2024 Fine $29K

Frequently Asked Questions

What is the overall CMS rating for THE HILLTOP ON MAIN?
THE HILLTOP ON MAIN has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at THE HILLTOP ON MAIN?
THE HILLTOP ON MAIN reports 2.64 total nursing hours per resident day (national average: 3.89). RN hours are 0.30 per resident day (national average: 0.68). Nursing staff turnover is 45.0%.
How many beds does THE HILLTOP ON MAIN have?
THE HILLTOP ON MAIN has 94 certified beds with approximately 28 residents. The facility is located at 1015 N MAIN, MERIDIAN, TX 76665.
Does THE HILLTOP ON MAIN have any deficiencies on record?
Yes, THE HILLTOP ON MAIN has 11 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has THE HILLTOP ON MAIN received any fines or penalties?
Yes, THE HILLTOP ON MAIN has received 1 penalties totaling $29K.
Who owns THE HILLTOP ON MAIN?
THE HILLTOP ON MAIN is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was THE HILLTOP ON MAIN last inspected?
The most recent health inspection for THE HILLTOP ON MAIN was on Jan 23, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for THE HILLTOP ON MAIN?
THE HILLTOP ON MAIN is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial