Hilltop Village Nursing and Rehabilitation
1400 Hilltop Rd · Kerrville, TX · 78028 · 8308953200
150 certified beds For profit - Limited Liability company Chain: Cross Healthcare Management
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.10 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
77% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.10 | 0.55–0.75 |
| Weekend hours / resident-day | 2.68 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (51 in the current record)
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Potential for harm · D August 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 27, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 23, 2025 · Pharmacy Service
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Potential for harm · E August 27, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 23, 2025 · Pharmacy Service
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Potential for harm · E August 27, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 23, 2025 · Pharmacy Service
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Potential for harm · D August 27, 2025
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.
Corrected September 23, 2025 · Nutrition and Dietary
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Potential for harm · E August 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2025 · Nutrition and Dietary
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Potential for harm · D August 27, 2025
Have policies on smoking.
Corrected September 23, 2025 · Environmental
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No harm found · B August 27, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected September 23, 2025 · Environmental
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Potential for harm · D June 2, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D June 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 2, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · E May 2, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 26, 2025 · Resident Rights
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Potential for harm · D May 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · D May 2, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · E May 2, 2025 · found via complaint
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.
Corrected May 26, 2025 · Pharmacy Service
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Potential for harm · E July 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · D July 12, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · D July 12, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · D July 12, 2024
Ensure each resident receives an accurate assessment.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 9, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455628 · certified since February 3, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.