The Hilltop On Main
Meridian, TX · Medicare and Medicaid-certified nursing home (CCN 675518) · 94 certified beds
Health inspection: 2 · Quality measures: 2 · Staffing: 1
Federal fines: 1 totaling $29,243
Phone: (254) 435-2357 · Verify on Medicare Care Compare ↗
The Hilltop On Main has a CMS overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its health inspection rating is 2 out of 5 and its staffing rating is 1 out of 5.
The Hilltop On Main reports total nurse staffing of about 2.83 hours per resident per day, with only about 0.16 RN hours per resident per day, and a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 50.0%.
The Hilltop On Main has 1 federal fine on record totaling $29,243.00, and no payment denials. CMS does not show an abuse icon or Special Focus status for this facility.
About this facility
The Hilltop On Main is a Medicare and Medicaid certified nursing home located in Meridian, Bosque County, Texas. The facility is certified for 94 beds, though average daily occupancy is reported at 27.4 residents. It is operated under a for-profit, limited liability company ownership structure and has been certified since August 1995. There is no record of an ownership change in the past 12 months.
According to CMS Care Compare, The Hilltop On Main has an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. The facility's health inspection rating is 2 out of 5, its quality measure (QM) rating is 2 out of 5, and its staffing rating is 1 out of 5.
Nurse staffing data show total nurse hours per resident per day of approximately 2.83, with registered nurse (RN) hours per resident per day at approximately 0.16. Nursing staff turnover is reported at 50.0%.
Regarding penalties, CMS records show 1 federal fine totaling $29,243.00. There are no payment denials on record for this facility.
No abuse icon has been reported by CMS for this facility, and it is not currently listed under CMS's Special Focus Facility program, which designates facilities identified as persistently underperforming and subject to increased inspection oversight.
No chain affiliation data was provided for this facility. Families are encouraged to review the full inspection history and quality measure details directly on Medicare Care Compare for the most current information. Data reflects CMS Care Compare records at time of listing.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The Hilltop On Main has an overall rating of 1 out of 5, below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
The facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 2.83 hours per resident per day, with about 0.16 RN hours per resident per day, and nursing turnover is 50.0%. The staffing star rating is 1 out of 5.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $29,243.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon and no Special Focus status are recorded by CMS for this facility.
How large is this facility and how many residents live there?
The Hilltop On Main is certified for 94 beds, with an average daily census of 27.4 residents.
Who owns this facility — and is it part of a chain?
It is owned as a for-profit limited liability company; no chain affiliation data was provided.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since August 1, 1995.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; here those are 1, 2, 1, and 2 out of 5 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided CMS data does not specify service types; contact the facility at 2544352357 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This data does not cover tour details; contact the facility at 2544352357 to arrange 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 latest details at https://www.medicare.gov/care-compare/details/nursing-home/675518?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.