The Hilltop on Main
1015 N Main · Meridian, TX · 76665 · 2544352357
94 certified beds For profit - Limited Liability company
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.12 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.57 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.12 | 0.55–0.75 |
| Weekend hours / resident-day | 2.23 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $29,243 |
Inspection citations (15 in the current record)
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Potential for harm · D March 3, 2026
Ensure each resident receives an accurate assessment.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 3, 2026
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.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · F March 3, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 3, 2026 · Nursing and Physician Services
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Potential for harm · F March 3, 2026
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.
Corrected April 3, 2026 · Nursing and Physician Services
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Potential for harm · E March 3, 2026
Post nurse staffing information every day.
Corrected April 3, 2026 · Nursing and Physician Services
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Potential for harm · D March 3, 2026
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · E January 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 27, 2025 · Nutrition and Dietary
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Potential for harm · D January 23, 2025
Provide and implement an infection prevention and control program.
Corrected January 27, 2025 · Infection Control
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Immediate jeopardy · J March 26, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J March 26, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 27, 2024 · Quality of Life and Care
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Immediate jeopardy · J March 26, 2024 · found via complaint
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.
Corrected March 27, 2024 · Quality of Life and Care
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Potential for harm · D March 26, 2024 · found via complaint
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.
Corrected March 27, 2024 · Pharmacy Service
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Potential for harm · F December 7, 2023
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.
Corrected December 30, 2023 · Nursing and Physician Services
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Potential for harm · E December 7, 2023
Provide and implement an infection prevention and control program.
Corrected December 30, 2023 · Infection Control
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Potential for harm · E November 10, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 8, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2024 | Fine | $29,243 |
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 675518 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.