The Hilltop On Main
1015 N Main, Meridian, TX 76665 · Bosque County
For-profit · 94 certified beds · 29% occupancy · (254) 435-2357
The Hilltop On Main reviews: what the government record shows
The U.S. government (CMS) rates The Hilltop On Main 1 out of 5 stars overall, much below average. Its nurse staffing is 14% below the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 2.83 hrs/resident/day (-14% vs TX median)
- Antipsychotic drug use
- 16.1% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 1.8% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $29,243
- Inspection findings
- 15 cited, 3 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 2.83 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about The Hilltop On Main
Is The Hilltop On Main a good nursing home?
The Hilltop On Main in Meridian, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is The Hilltop On Main staffed?
The Hilltop On Main reports 2.83 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has The Hilltop On Main been fined or flagged for abuse?
The Hilltop On Main has paid approximately $29,243 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.83 nurse hours per resident per day. 14% below the Texas median of 3.27.
Nursing staff turnover: 50% · RN turnover: 83.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0725 · Mar 3, 2026Corrected Apr 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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0727 · Mar 3, 2026Corrected Apr 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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0700 · Mar 3, 2026Corrected Apr 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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0732 · Mar 3, 2026Corrected Apr 3, 2026
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0641 · Mar 3, 2026Corrected Apr 3, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0741 · Mar 3, 2026Corrected Apr 3, 2026
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Jan 23, 2025Corrected Jan 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jan 23, 2025Corrected Jan 27, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0656 · Mar 26, 2024ComplaintCorrected Mar 27, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Immediate jeopardyTag F0692 · Mar 26, 2024ComplaintCorrected Mar 27, 2024
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 15 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is independently operated, not part of a multi-facility chain.