The Hilltop on Main
1015 N Main, Meridian, TX 76665 · (254) 435-2357
For profit - Limited Liability company · 94 certified beds
The Hilltop on Main has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 6 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $29,243 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. | ★★★★★ 2 out of 5 stars · Below 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 March 3, 2026 found 6 citations. What an inspection citation means
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 3, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.March 3, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.March 3, 2026 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.March 3, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.March 3, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.March 3, 2026 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 5 citations.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 26, 2024 · F0656 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 26, 2024 · F0692 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.March 26, 2024 · F0742 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.March 26, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.November 10, 2023 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $29,243March 26, 2024
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 | 2.83 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.16 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.05 | 0.95 | 0.86 |
| Nurse aides | 1.61 | 2.01 | 2.32 |
| Total nursing staff turnover | 50% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 94 |
| Average residents per day | 27.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Sunset Home Clifton · ★★★★★ 3 out of 5 stars
- Willow Park Rehabilitation Health Care Center Clifton · ★★★★★ 1 out of 5 stars
- Bremond Nursing and Rehabilitation Center Bremond · ★★★★★ 2 out of 5 stars
- Groesbeck LTC Nursing and Rehabilitation Groesbeck · ★★★★★ 5 out of 5 stars
- Windsor Healthcare Residence Groesbeck · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Hilltop on Main on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.