Hilltop Village Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 1400 Hilltop Rd, Kerrville, TX 78028
- CCN
- 455628
- Ownership type
- For-profit, limited liability company
- Certified beds
- 150
- Residents per day
- 108
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
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 Village Nursing and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 27 Aug 2025. The latest survey cycle has 10 health citations. The median for nursing homes in Texas is 8. 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.
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 | Kerr County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 1,177 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 | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Aug 2025 | 10 | 8 |
| Cycle 2 | 12 Jul 2024 | 21 | 8 |
| Cycle 3 | No date | 20 | 8 |
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 | 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 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0926 | Have policies on smoking. | D | Standard survey | 23 Sep 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Jun 2025 |
| 2 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Jun 2025 |
| 2 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Jun 2025 |
| 2 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2025 |
| 2 May 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Complaint investigation | 26 May 2025 |
| 2 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Feb 2025 |
| 2 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 May 2025 |
| 2 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 May 2025 |
| 2 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 26 May 2025 |
| 2 May 2025 | 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. | E | Complaint investigation | 26 May 2025 |
| 12 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 9 Aug 2024 |
| 12 Jul 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 | 9 Aug 2024 |
| 12 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 9 Aug 2024 |
| 12 Jul 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 9 Aug 2024 |
Survey cycle 3: 20 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 |
|---|---|---|---|---|---|
| 1 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 5 Jul 2024 |
| 1 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 5 Jul 2024 |
| 27 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 6 Jun 2023 |
| 27 May 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 | 6 Jun 2023 |
| 27 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 6 Jun 2023 |
| 27 May 2023 | 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 Jun 2023 |
| 27 May 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Jun 2023 |
| 27 May 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 6 Jun 2023 |
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 | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.04 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.11 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.90 | 0.95 | |
| Nurse aides | 2.03 | 2.00 | |
| All nurse staff, weekends | 2.74 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 78.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 80.0%
- 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 | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.8% | 8.3% | 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, limited liability company
- Legal business name
- Uvalde County Hospital Authority
- Chain
- Cross Healthcare Management (6 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Delta Ridge Healthcare LLC | Operational/managerial control | 1 May 2026 | |
| Delta Ridge Healthcare LLC | Adp of the snf | 14 May 2026 | |
| Ensign Services, Inc. | Adp of the snf | 13 Feb 2026 | |
| Hilltop Road Health Holdings LLC | Adp of the snf | 1 May 2026 | |
| Standard Bearer Healthcare Op LP | Adp of the snf | 1 May 2026 | |
| The Ensign Group, Inc. | Adp of the snf | 14 May 2026 |
The site shows organisations only. It does not show the names of persons.
Other homes in Kerr County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Arbor View Nursing & RehabilitationSpecial Focus candidate | Kerrville | 1 of 5 | 24 | $154,617 | 31 Jul 2025 | |
| Avir at Kerrville | Kerrville | 1 of 5 | 38 | $20,467 | 27 Jun 2025 | |
| River Hills Health and Rehabilitation Center | Kerrville | 1 of 5 | 22 | $112,133 | 13 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, 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 Village Nursing and Rehabilitation (CCN 455628). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hilltop-village-nursing-and-rehabilitation-kerrville-tx-455628/
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 Village Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 27 Aug 2025. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 12 Jul 2024.
- Who operates Hilltop Village Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cross Healthcare Management. The CMS ownership file names Delta Ridge Healthcare LLC for operational or managerial control. This site does not show the names of persons.
- Is Hilltop Village Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 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.