Hilltop Manor Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 101 Kirkland Street, Union, MS 39365
- CCN
- 255260
- Ownership type
- For-profit, corporation
- Certified beds
- 60
- Chain
- Avardis Health
- Residents per day
- 55
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hilltop Manor Health and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 5 Dec 2024. The latest survey cycle has 8 health citations. The median for nursing homes in Mississippi is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Mississippi (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Neshoba County median | Mississippi median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 5.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 2.0 | 2.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 202 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Mississippi median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Dec 2024 | 8 | 6 |
| Cycle 2 | 3 Aug 2023 | 11 | 5 |
| Cycle 3 | No date | 6 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 5 Dec 2024 | F0584 | 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. | D | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0761 | 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. | D | Standard survey | 6 Jan 2025 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jan 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Aug 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 14 Sep 2023 |
| 3 Aug 2023 | F0584 | 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. | E | Complaint investigation | 14 Sep 2023 |
| 3 Aug 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 14 Sep 2023 |
| 3 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Sep 2023 |
| 3 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Sep 2023 |
| 3 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Sep 2023 |
| 3 Aug 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 14 Sep 2023 |
| 3 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Sep 2023 |
| 3 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 14 Sep 2023 |
| 3 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Sep 2023 |
| 3 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 14 Sep 2023 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Jan 2022 | F0584 | 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. | E | Standard survey | 6 Mar 2022 |
| 6 Jan 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Mar 2022 |
| 6 Jan 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Mar 2022 |
| 6 Jan 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Mar 2022 |
| 6 Jan 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Mar 2022 |
| 6 Jan 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 6 Mar 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Mississippi median | Mississippi average (CMS) |
|---|---|---|---|
| All nurse staff | 3.49 | 4.00 | 4.18 |
| Registered nurses (RN) | 1.42 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 0.20 | 1.11 | |
| Nurse aides | 1.86 | 2.43 | |
| All nurse staff, weekends | 3.04 | 3.40 | 3.51 |
- Nurse staff turnover in a year
- 44.8%
- Nurse staff turnover, Mississippi median
- 44.4%
- RN turnover in a year
- 12.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Mississippi median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.9% | 1.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | 18.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 6.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.0% | 20.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- 101 Kirkland Street Opco LLC
- Chain
- Avardis Health (38 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| North of Decatur Parentco LLC | Direct ownership interest | 1 Jun 2025 | |
| Msop Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| Neshoba Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| SNF Care Centers LLC | Indirect ownership interest | 1 Jun 2025 | |
| Zenith Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| FC Encore Union LLC | 5% or greater security interest | 1 May 2025 | |
| SNF Mgr LLC | Operational/managerial control | 1 May 2025 | |
| FC Encore Union LLC | Adp of the snf | 1 May 2025 | |
| SNF Mgr LLC | Adp of the snf | 17 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Neshoba County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Neshoba County Nursing Home | Philadelphia | 3 of 5 | 10 | $15,945 | 18 Nov 2025 | |
| Choctaw Residential Center | Choctaw | 2 of 5 | 12 | $13,757 | 6 Mar 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Mississippi State Department of Health: complaintsThe complaint page of the State Survey Agency for Mississippi, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hilltop Manor Health and Rehabilitation Center (CCN 255260). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hilltop-manor-health-and-rehabilitation-center-union-ms-255260/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hilltop Manor Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 30 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 3 Aug 2023.
- Who operates Hilltop Manor Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Avardis Health. The CMS ownership file names SNF Mgr LLC for operational or managerial control. This site does not show the names of persons.
- Is Hilltop Manor Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Mississippi as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.