facebook tracking The Hilltop on Main, Meridian TX: CMS Ratings & Inspections
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The Hilltop on Main

All states › Texas › Meridian › The Hilltop on Main

1015 N Main Meridian, TX 76665 · Bosque County

(254) 435-2357

Accepts Medicare Accepts Medicaid 94 certified beds For profit

CMS certification number 675518 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Hilltop on Main a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Hilltop on Main as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 15 citations in the last three years. CMS imposed 1 penalty, including $29,243 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 2.50 hours per resident per day at The Hilltop on Main, below the Texas median of 3.30 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 2.08 hours, 17% below its all-week average. Ask how weekends are staffed. 47.4% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.50 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.27 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.08 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 47.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds94
Residents per day 29 About 31% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1995
Legal business nameMSL MERIDIAN

Paying for care at The Hilltop on Main: Medicare and Medicaid

The Hilltop on Main is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 3, 2026 and found 6 deficiencies. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 15 citations at The Hilltop on Main across 5 inspection dates, 5 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 26, 2024 (complaint inspection). The most common areas cited were nursing and physician services (4) and quality of life and care (4). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level J, March 26, 2024).

March 3, 2026 · 6 citations

FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Apr 3, 2026)

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Apr 3, 2026)

ETry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Apr 3, 2026)

EPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Apr 3, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 3, 2026)

DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0741 · Deficient, Provider has date of correction (Apr 3, 2026)

January 23, 2025 · 2 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 27, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 27, 2025)

March 26, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

JProvide 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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0742 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

December 7, 2023 · 2 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Dec 30, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 30, 2023)

November 10, 2023 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (Dec 8, 2023)

Questions to ask on a tour of The Hilltop on Main

  1. Inspectors cited the home at the immediate-jeopardy level on March 26, 2024 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
  4. The home averages about 31% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $29,243 in fines.

DateTypeAmount or length
Mar 26, 2024 Fine $29,243

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 2/5
August 2026 1/5 2/5 1/5 2/5
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Location

Hospitals near The Hilltop on Main

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Willow Park Rehabilitation Health Care Center Clifton · 10.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 110 beds · Medicaid
Sunset Home Clifton · 11.8 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 128 beds · Medicaid
Whitney Nursing and Rehabilitation Center Whitney · 20.0 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 88 beds · Medicaid
Cherokee Rose Nursing and Rehabilitation Glen Rose · 21.3 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 102 beds · Medicaid
Glen Rose Nursing and Rehab Center Glen Rose · 21.8 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 118 beds · Medicaid

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/meridian/the-hilltop-on-main/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.