nursing home in Decatur, TX
The Hills Nursing & Rehabilitation
201 East Thompson Street, Decatur, TX 76234 · (940) 627-2165
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Hills Nursing & Rehabilitation at a glance
The Hills Nursing & Rehabilitation is a 110-bed for-profit nursing home in Decatur, Texas (Wise 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 2.7 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 26, 2026) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $54,815.
Nursing staff turnover is 93.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 110
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- February 18, 2004
- Resident/family council
- Resident
- County
- Wise County
- CMS Certification Number
- 676004
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) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.74 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.35 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.37 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.33 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 93.2% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 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) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 150.5 | 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) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $54,815 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 110 | 113 | 107 | |
| Average residents per day | 69 | 76 | 86 | |
| Occupancy | 62.9% | 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) | 1.4% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.7% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 6.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 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) | 28.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.3% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.3% | 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) | 17.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.6% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.1% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97.1% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 6 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 23, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Past Non-Compliance |
| July 23, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Past Non-Compliance |
| February 26, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 13, 2026 |
| February 26, 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 | Corrected March 17, 2026 |
| February 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 17, 2026 |
| February 26, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 17, 2026 |
| February 26, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 17, 2026 |
| February 26, 2026 Standard | 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 | D Potential harm, isolated | Corrected March 17, 2026 |
| July 17, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected July 24, 2025 |
| April 30, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected April 7, 2025 |
| March 14, 2025 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 | K Immediate jeopardy, pattern | Corrected March 15, 2025 |
| March 14, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | K Immediate jeopardy, pattern | Corrected March 15, 2025 |
| March 14, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected March 15, 2025 |
| February 19, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 20, 2025 |
| November 20, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected December 20, 2024 |
| November 20, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 20, 2024 |
| November 20, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | C No harm, widespread | Corrected December 20, 2024 |
| November 20, 2024 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 November 20, 2024 |
| November 20, 2024 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 November 22, 2024 |
| November 20, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 22, 2024 |
| November 20, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected November 22, 2024 |
| November 20, 2024 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 22, 2024 |
| September 28, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected October 20, 2023 |
| September 28, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected September 28, 2023 |
| September 28, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 28, 2023 |
| September 28, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected September 28, 2023 |
| September 28, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected September 28, 2023 |
| September 28, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected March 14, 2023 |
| September 28, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected April 12, 2023 |
| September 28, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 29, 2023 |
| September 28, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected September 29, 2023 |
| September 28, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 29, 2023 |
| September 28, 2023 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected September 29, 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 3 federal penalties in the past three years, including $54,815 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 23, 2026 | Fine | $25,490 |
| April 30, 2025 | Fine | $15,151 |
| March 14, 2025 | Fine | $14,174 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAK, DAVID Individual | corporate officer | NOT APPLICABLE | 05/17/2021 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| DECATUR I ENTERPRISES LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| HUGGINS, LINDA Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2022 |
Other nursing homes near The Hills Nursing & Rehabilitation
Decatur Medical Lodge
701 W Bennett Rd, Decatur, TX 76234 · under 1 mi
For-profit · 124 beds · Part of Priority Management
★★★★★2Below averageHeritage Place of Decatur
605 W Mulberry St, Decatur, TX 76234 · 1.3 mi
For-profit · 60 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageBridgeport Medical Lodge
2108 15th St, Bridgeport, TX 76426 · 9.5 mi
For-profit · 152 beds · Part of Priority Management
- Abuse citation
★★★★★1Much below averageSpringtown Park Rehabilitation and Care Center
201 Williams Ward Rd., Springtown, TX 76082 · 18.9 mi
For-profit · 120 beds · Part of Priority Management
★★★★★5Much above averageLongmeadow Healthcare Center
120 Meadowview Dr., Justin, TX 76247 · 19.7 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average- ★★★★★2Below average
Frequently asked questions
What is The Hills Nursing & Rehabilitation's rating?
The Hills Nursing & Rehabilitation 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 Hills Nursing & Rehabilitation 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 Hills Nursing & Rehabilitation 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 Hills Nursing & Rehabilitation?
It is for profit - limited liability company and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Hills Nursing & Rehabilitation and how do I contact it?
The Hills Nursing & Rehabilitation is at 201 East Thompson Street, Decatur, TX 76234. Phone: (940) 627-2165.
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.