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HomeTexasThe Hilltop on Main

The Hilltop on Main

1015 N Main, Meridian, TX 766652544352357WebsiteGoogle Maps
0.0on Google(0 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
2/5
Beds
94
certified
1 fine(s) totaling $29,243

How The Hilltop on Main Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.83 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.16 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
50.0%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.83 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.16 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
7
deficiency citations
Inspected Jan 23, 2025
Most recent cycle
6
deficiency citations
Inspected Mar 3, 2026
The most recent cycle recorded 1 fewer deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bosque County 65+
4,580
24.9% of county
County Population
18,404
Bosque County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

The Hilltop on Main is a 1-star Medicare and Medicaid certified nursing home in Meridian, Texas with 94 certified beds. It has been operating since 1995. Its overall CMS rating is 1 out of 5.

Beds
94
Avg Residents/Day
27.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1995
Sprinklers
Yes
Council
Resident
County
Bosque
Last Inspection
Mar 3, 2026
Deficiencies (Cycle 1)
6
Weighted Score
98.0
Infection Citations
0

Deficiency Citations (15)

F0725Potential 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.

Survey: Mar 3, 2026Corrected: NoCycle: 1
F0727Potential 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.

Survey: Mar 3, 2026Corrected: NoCycle: 1
F0700Potential 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.

Survey: Mar 3, 2026Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Mar 3, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 3, 2026Corrected: NoCycle: 1
F0741Potential for Harm

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

Survey: Mar 3, 2026Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Jan 23, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 23, 2025Corrected: NoCycle: 2
F0656Immediate Jeopardy

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

Survey: Mar 26, 2024Corrected: NoCycle: 3
F0692Immediate Jeopardy

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

Survey: Mar 26, 2024Corrected: NoCycle: 3
F0742Immediate 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.

Survey: Mar 26, 2024Corrected: NoCycle: 3
F0758Potential 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.

Survey: Mar 26, 2024Corrected: NoCycle: 3
F0727Potential 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.

Survey: Dec 7, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 7, 2023Corrected: NoCycle: 3
F0921Potential for Harm

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

Survey: Nov 10, 2023Corrected: NoCycle: 3
Total Fines
$29,243
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 26, 2024
$29,243

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.61 hrs
National avg: 2.32 hrs
LPN1.05 hrs
National avg: 0.86 hrs
RN0.16 hrs
National avg: 0.69 hrs
Total Nursing2.83 hrs
National avg: 3.86 hrs
Weekend Total2.41 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
RN Turnover
83.3%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
MSL MERIDIAN5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Sep 1, 2013
ISSAC, TROYCORPORATE OFFICERIndividualN/ASep 1, 2013
KAMARA, KADIJATUOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
STRONG, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
KAMARA, KADIJATUADP OF THE SNFIndividualN/AJan 31, 2025
STRONG, CHRISTOPHERADP OF THE SNFIndividualN/AJan 31, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Hilltop on Main and nearby alternatives.

All Texas facilities
The Hilltop on Main
Meridian, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $29,243
Willow Park Rehabilitation Health Care Center
Clifton, TX10.8 miAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $59,972
Sunset Home
Clifton, TX11.8 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $14,020
Whitney Nursing and Rehabilitation Center
Whitney, TX20.0 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $45,435
Cherokee Rose Nursing and Rehabilitation
Glen Rose, TX21.3 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Glen Rose Nursing and Rehab Center
Glen Rose, TX21.8 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: $17,128
Hico Nursing and Rehabilitation
Hico, TX22.2 mi
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $31,552
FacilityDistanceCMSHealthStaffingRecorded fines
The Hilltop on Main
Meridian, TX · Current facility
—1/52/51/5$29,243
Willow Park Rehabilitation Health Care Center
Clifton, TX
10.8 mi1/51/52/5$59,972
Sunset Home
Clifton, TX
11.8 mi3/53/52/5$14,020
Whitney Nursing and Rehabilitation Center
Whitney, TX
20.0 mi2/53/51/5$45,435
Cherokee Rose Nursing and Rehabilitation
Glen Rose, TX
21.3 mi3/54/51/5None recorded
Glen Rose Nursing and Rehab Center
Glen Rose, TX
21.8 mi5/54/53/5$17,128
Hico Nursing and Rehabilitation
Hico, TX
22.2 mi2/52/51/5$31,552

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for The Hilltop on Main?▾
The Hilltop on Main has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
How much does The Hilltop on Main cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Hilltop on Main participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Hilltop on Main had any health inspection violations?▾
The Hilltop on Main had 6 deficiency citations in its most recent health inspection (Mar 3, 2026). The current CMS dataset records 1 fine(s) totaling $29,243.
What are the staffing levels at The Hilltop on Main?▾
The Hilltop on Main provides 2.83 total nursing staff hours per resident per day, including 0.16 RN hours, 1.05 LPN hours, and 1.61 nurse aide hours. The total staff turnover rate is 50.0%.
How many beds does The Hilltop on Main have?▾
The Hilltop on Main has 94 certified beds with an average of 27.4 residents per day, resulting in approximately 29% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near The Hilltop on Main?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Hilltop on Main?▾
On Google Maps, The Hilltop on Main has a rating of 0.0 out of 5 based on 0 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.