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The Hills Nursing & Rehabilitation

Decatur, TX · Medicare and Medicaid-certified nursing home (CCN 676004) · 110 certified beds

CMS overall rating: 1★ (state average 2.65★ — below state average)
Health inspection: 2 · Quality measures: 4 · Staffing: 1
Federal fines: 2 totaling $29,325
Phone: (940) 627-2165 · Verify on Medicare Care Compare ↗

The Hills Nursing & Rehabilitation has a CMS overall star rating of 1 out of 5, below the Texas state average of 2.65 stars. Its health inspection rating is 2 stars and its staffing rating is 1 star.

The Hills Nursing & Rehabilitation reports total nurse staffing of about 2.74 hours per resident per day, including 0.35 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 93.2 percent.

CMS records show 2 federal fines totaling $29,325.00 for The Hills Nursing & Rehabilitation, with no payment denials on record. CMS data provided does not indicate an abuse icon or Special Focus Facility status for this location.

Overall rating vs. benchmarks
The Hills Nursing & R… The Hills Nursing & R…: 1★ 1★ TX average TX average: 2.65★ 2.65★ Creative Solutions chain avg Creative Solutions chain avg: 2.1★ 2.1★

About this facility

The Hills Nursing & Rehabilitation is a Medicare- and Medicaid-certified nursing home located in Decatur, Wise County, Texas. The facility is certified for 110 beds and reports an average of 69.2 residents. It is operated under a for-profit limited liability company structure and is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationwide with an average CMS rating of 2.1 stars. Ownership has not changed in the past 12 months.

According to CMS Care Compare, The Hills holds an overall star rating of 1 out of 5, below the Texas state average of 2.65. Its component ratings are: health inspection rating of 2 stars, quality measures rating of 4 stars, and staffing rating of 1 star.

Nurse staffing data show total nurse hours per resident per day of approximately 2.74, with registered nurse hours per resident per day of 0.35. Nursing staff turnover is reported at 93.2 percent.

On penalties, CMS records show 2 federal fines totaling $29,325.00 for this facility. There are no payment denials on record. CMS does not list an abuse icon or a Special Focus Facility designation for this location based on the data provided.

Families evaluating this facility should review the full inspection history, staffing detail, and quality measure reports directly on Medicare Care Compare, as this profile reflects CMS Care Compare data as most recently reported.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

The Hills Nursing & Rehabilitation has an overall rating of 1 out of 5 stars, below the Texas state average of 2.65 stars.

Does this facility accept Medicare, Medicaid, or both?

Yes, it is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 2.74 hours per resident per day, including 0.35 RN hours, with a staffing rating of 1 out of 5 and turnover of 93.2 percent.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 2 fines totaling $29,325.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

Based on the data provided, no abuse icon or Special Focus Facility status is listed for this facility.

How large is this facility and how many residents live there?

It is certified for 110 beds with an average of 69.2 residents.

Who owns this facility — and is it part of a chain?

It is owned by a for-profit limited liability company and is part of the Creative Solutions In Healthcare chain, which has 149 facilities and an average rating of 2.1 stars.

How long has this facility been Medicare/Medicaid certified?

It was first approved for certification on February 18, 2004.

What do the four different CMS star ratings mean?

CMS rates facilities on overall, health inspection, staffing, and quality measures; this facility scores 1, 2, 1, and 4 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The data provided does not specify service types; contact the facility at 9406272165 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 9406272165 to schedule a visit and verify current conditions on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can view the most current CMS ratings and inspection reports at https://www.medicare.gov/care-compare/details/nursing-home/676004?state=TX.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.