The Hills Nursing & Rehabilitation
201 East Thompson Street, Decatur, TX 76234 · (940) 627-2165
For profit - Limited Liability company · 110 certified beds
The Hills Nursing & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 4 citations (the Texas average is 9.4). It was fined 3 times in the last three years, $54,815 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 26, 2026 found 4 citations. What an inspection citation means
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 26, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 26, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 26, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 23, 2026 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 23, 2026 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 17, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 30, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 14, 2025 · F0656 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 14, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that residents are free from significant medication errors.March 14, 2025 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 19, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 20, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $25,490July 23, 2026
- Fine of $15,151April 30, 2025
- Fine of $14,174March 14, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.74 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.35 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.02 | 0.95 | 0.86 |
| Nurse aides | 1.37 | 2.01 | 2.32 |
| Total nursing staff turnover | 93.2% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 110 |
| Average residents per day | 69.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Heritage Place of Decatur Decatur · ★★★★★ 3 out of 5 stars
- Decatur Medical Lodge Decatur · ★★★★★ 2 out of 5 stars
- Bridgeport Medical Lodge Bridgeport · ★★★★★ 1 out of 5 stars
Compare every nursing home in Decatur, TX · Nursing homes in Texas · Home health agencies in Decatur, TX
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Data from Medicare (CMS), updated October 2026, from The Hills Nursing & Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.