For profit - Limited Liability company · 94 certified beds · CMS number 675518
The Hilltop on Main, Meridian, TX
CMS records 15 health deficiencies at The Hilltop on Main in Meridian, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 3, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $29,243 in the last three years.
- 15deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $29,243fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Hilltop on Main as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Hilltop on Main may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Mar 3, 2026. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 3, 2026 · Standard inspection
6 deficiencies, highest F
F741 · Staff skilled in behavioral health
Requirement cited (CMS): Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2026
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 3, 2026
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 3, 2026
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
Previous cycle: 2 deficiencies (standard inspection Jan 23, 2025)
Standard inspection Jan 23, 2025. CMS counts 2 health deficiencies and 2 fire safety deficiencies in this cycle.
Jan 23, 2025 · Standard inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 27, 2025
Earlier cycle: 7 deficiencies (standard inspection Dec 7, 2023)
Standard inspection Dec 7, 2023. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 26, 2024 · Complaint inspection
4 deficiencies, highest J
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2024
F742 · Treatment for mental health and trauma
Requirement cited (CMS): 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.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 27, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 27, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 27, 2024
Dec 7, 2023 · Standard inspection
2 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 30, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 30, 2023
Nov 10, 2023 · Complaint inspection
1 deficiency, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at The Hilltop on Main; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F727 RN coverage and director of nursing | 2 | Mar 3, 2026; Dec 7, 2023 |
| F880 Infection prevention and control program | 2 | Jan 23, 2025; Dec 7, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 26, 2024 | Fine | $29,243 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.83 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.16 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.41 h
- Nursing staff turnover
- 50.0% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for The Hilltop on Main, copied as published; Texas medians are ours.
Facility details
- Address
- 1015 N Main, Meridian, TX 76665
- Phone
- (254) 435-2357
- County
- Bosque
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 94
- Average residents per day
- 27.4
- In Medicare/Medicaid since
- Aug 1, 1995
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- When is a registered nurse in the building, and how long has the director of nursing been here? (F727, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
- How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.