F

HILLTOP VILLAGE NURSING AND REHABILITATION

1400 HILLTOP RD, KERRVILLE, TX 78028
Score: 34 / 100

Hilltop Village Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Kerrville facility should carefully review its inspection history and quality metrics.

With 3.06 total nurse hours per resident per day, Hilltop Village Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 53 deficiencies at Hilltop Village Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.06 3.8 Below Average
Registered Nurses (RN) 0.15 0.7 Below Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 1.98 2.4 Below Average
Weekend Total Nursing 2.67 3.8 Below Average
Weekend RN Hours 0.10 0.7 Below Average

🔍 Inspection & Deficiency History

53
Total Deficiencies
Aug 26, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 49 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0756 Severity E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo
    Aug 26, 2025 · Pharmacy Service Deficiencies
  • Tag 0757 Severity E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Aug 26, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 26, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Aug 26, 2025 · Resident Rights Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    Aug 26, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.6% 4.5% Average
Falls with major injury 1.9% 3.0% Better
On antipsychotic medication 12.5% 14.5% Better
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 7.9% 14.0% Better
Excessive weight loss 4.3% 7.5% Better
New/worsened incontinence 20.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
150
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 26, 2025
Deficiencies (Cycle 1)
20