Public Record
The Hilltop on Main
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 94
- Avg. residents per day
- 28.8
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 25
- Inspections on file
- 10
- Last inspection
- 2026-03-03
*CMS
*CMS
*CMS
Citations
25 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0521Generalno actual harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0741Generalpotential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- 0700Generalpotential for harm
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.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0727Generalpotential for harm
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.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0521Generalno actual harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0758Generalpotential for harm
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.
- 0742Seriousimmediate jeopardy
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.
- 0692Seriousimmediate jeopardy
Provide enough food/fluids to maintain a resident's health.
- 0656Seriousimmediate jeopardy
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0521Generalno actual harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0727Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0521Generalno actual harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0761Generalpotential for harm
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.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
- Inspection4 deficiencies
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, interview, and record review, the…
Read full statement of deficiencies - View inspection reportInspection4 deficiencies
- Inspection4 deficiencies
F 0656 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - View inspection reportInspection4 deficiencies
- Inspection4 deficiencies
F 0727 Level of Harm - Minimal harm or potential for actual harm 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. Based on interview and record review, the facility failed to use the services of a registered nurse for at…
Read full statement of deficiencies - Inspection1 deficiency
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observations, interviews, and record reviews the facility failed to provide a…
Read full statement of deficiencies - View inspection reportInspection5 deficiencies
- Inspection5 deficiencies
F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility…
Read full statement of deficiencies
FAQ
Questions and answers
- What is The Hilltop on Main?
- The Hilltop on Main is a Medicare- and Medicaid-certified nursing home in Meridian, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675518.
- What is the CMS rating for The Hilltop on Main?
- The Hilltop on Main has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does The Hilltop on Main have?
- The Hilltop on Main is certified for 94 beds. It serves an average of 28.8 residents per day.
- How many citations does The Hilltop on Main have?
- The Hilltop on Main has 25 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was The Hilltop on Main last inspected?
- The Hilltop on Main was last inspected on March 3, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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