nursing home in Meridian, TX
The Hilltop on Main
1015 N Main, Meridian, TX 76665 · (254) 435-2357
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Hilltop on Main at a glance
The Hilltop on Main is a 94-bed for-profit nursing home in Meridian, Texas (Bosque County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.8 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (March 3, 2026) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $29,243.
Nursing staff turnover is 50% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 94
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 1, 1995
- Resident/family council
- Resident
- County
- Bosque County
- CMS Certification Number
- 675518
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.83 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.16 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.61 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.41 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 50% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 83.3% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 98 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $29,243 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 94 | 113 | 107 | |
| Average residents per day | 27 | 76 | 86 | |
| Occupancy | 29.1% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.1% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.8% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.9% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.6% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 11.5% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.4% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 69.6% | 96.6% | 93.6% | Worse |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 3, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| March 3, 2026 Standard | 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 · Tag F0725 | F Potential harm, widespread | Corrected April 3, 2026 |
| March 3, 2026 Standard | 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 · Tag F0727 | F Potential harm, widespread | Corrected April 3, 2026 |
| March 3, 2026 Standard | 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 · Tag F0700 | E Potential harm, pattern | Corrected April 3, 2026 |
| March 3, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected April 3, 2026 |
| March 3, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 3, 2026 |
| March 3, 2026 Standard | 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 · Tag F0741 | D Potential harm, isolated | Corrected April 3, 2026 |
| January 23, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 9, 2025 |
| January 23, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| January 23, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 27, 2025 |
| January 23, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 27, 2025 |
| March 26, 2024 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. Quality of Life and Care Deficiencies · Tag F0742 | J Immediate jeopardy, isolated | Corrected March 27, 2024 |
| March 26, 2024 Complaint | 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 · Tag F0656 | J Immediate jeopardy, isolated | Corrected March 27, 2024 |
| March 26, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | J Immediate jeopardy, isolated | Corrected March 27, 2024 |
| March 26, 2024 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 27, 2024 |
| December 7, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 2, 2024 |
| December 7, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected January 2, 2024 |
| December 7, 2023 Standard | 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 · Tag F0727 | F Potential harm, widespread | Corrected December 30, 2023 |
| December 7, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 30, 2023 |
| November 10, 2023 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected December 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $29,243 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 26, 2024 | Fine | $29,243 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MSL MERIDIAN Organization | 5% or greater direct ownership interest | 100% | 09/01/2013 |
| KAMARA, KADIJATU Individual | adp of the snf | NOT APPLICABLE | 01/31/2025 |
| STRONG, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 01/31/2025 |
| ISSAC, TROY Individual | corporate officer | NOT APPLICABLE | 09/01/2013 |
| KAMARA, KADIJATU Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| STRONG, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
Other nursing homes near The Hilltop on Main
Willow Park Rehabilitation Health Care Center
1000 Fm 3220, Clifton, TX 76634 · 10.8 mi
For-profit · 110 beds · Part of Nexion Health
- Abuse citation
★★★★★1Much below average- ★★★★★3Average
Whitney Nursing and Rehabilitation Center
101 N San Marcos Street, Whitney, TX 76692 · 20 mi
Government · 88 beds · Part of Foursquare Healthcare
★★★★★2Below averageCherokee Rose Nursing & Rehabilitation
203 East Gibbs Boulevard, Glen Rose, TX 76043 · 21.3 mi
For-profit · 102 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageGlen Rose Nursing and Rehab Center
1019 Holden St, Glen Rose, TX 76043 · 21.8 mi
Government · 118 beds
★★★★★5Much above averageHico Nursing and Rehabilitation
712 North Railroad Avenue, Hico, TX 76457 · 22.2 mi
For-profit · 80 beds · Part of Coryell County Memorial Hospital Authority
★★★★★2Below average
Frequently asked questions
What is The Hilltop on Main's rating?
The Hilltop on Main has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Hilltop on Main receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Hilltop on Main accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Hilltop on Main?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Hilltop on Main and how do I contact it?
The Hilltop on Main is at 1015 N Main, Meridian, TX 76665. Phone: (254) 435-2357.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.