Texas › Bosque County › Meridian
The Hilltop On Main
1015 N Main, Meridian, TX 76665
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 94 beds, The Hilltop On Main serves Meridian in Bosque County, Texas and has taken Medicare and Medicaid residents since 1995.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (6, 2, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 16.0 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $29K.
Reported nurse staffing is 2.8 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Bosque Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 15 | 25 | 28.7 |
| Citations per 100 beds | 16.0 | 16.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.8 | 2.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 50.0% | 37.2% | 52.1% | 45.8% |
| Fines listed | $29,243 | $29,243 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Mar 2026, 23 Jan 2025.
Severity mix: J ×3 D ×4 E ×5 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 3 Apr 2026 |
| 3 Mar 2026 | F0727 | 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. | F | Standard survey | 3 Apr 2026 |
| 3 Mar 2026 | F0700 | 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. | E | Standard survey | 3 Apr 2026 |
| 3 Mar 2026 | F0732 | Post nurse staffing information every day. | E | Standard survey | 3 Apr 2026 |
| 3 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Apr 2026 |
| 3 Mar 2026 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Standard survey | 3 Apr 2026 |
| 23 Jan 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 | 27 Jan 2025 |
| 23 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jan 2025 |
| 26 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 27 Mar 2024 |
| 26 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | J | Complaint investigation | 27 Mar 2024 |
| 26 Mar 2024 | F0742 | 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. | J | Complaint investigation | 27 Mar 2024 |
| 26 Mar 2024 | F0758 | 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. | D | Complaint investigation | 27 Mar 2024 |
| 7 Dec 2023 | F0727 | 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. | F | Standard survey | 30 Dec 2023 |
| 7 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Dec 2023 |
| 10 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 8 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Mar 2024 | Fine | $29,243 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 50.0%, RNs 83.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.8% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.1% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bosque County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sunset Home | Clifton | 128 | 3 | 3 | 2 | 13 | 10.2 | $14K | 29 May 2025 |
| Willow Park Rehabilitation Health Care Centerabuse icon | Clifton | 110 | 1 | 1 | 2 | 26 | 23.6 | $45K | 20 May 2026 |
All 3 facilities in Bosque County
Questions and answers
How many deficiencies has The Hilltop On Main been cited for?
15 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Hilltop On Main been fined?
Yes. CMS lists fines totalling $29K in the period covered.
How does staffing at The Hilltop On Main compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Hilltop On Main?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was The Hilltop On Main last inspected?
The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 3 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.