The Hilltop On Main faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 44th percentile among Texas nursing homes, suggesting significant room for improvement.
With 2.64 total nurse hours per resident per day, The Hilltop On Main 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 11 deficiencies at The Hilltop On Main, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.64 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.30 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.46 | 2.4 | Below Average |
| Weekend Total Nursing | 2.25 | 3.8 | Below Average |
| Weekend RN Hours | 0.15 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 22, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 22, 2025 · Infection Control Deficiencies
- Tag 0656 Severity JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 25, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0692 Severity JProvide enough food/fluids to maintain a resident's health.Mar 25, 2024 · Quality of Life and Care Deficiencies
- Tag 0742 Severity JProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty,Mar 25, 2024 · Quality of Life and Care 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 | 0.0% | 4.5% | Better |
| Falls with major injury | 0.9% | 3.0% | Better |
| On antipsychotic medication | 12.5% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 37.3% | 14.0% | Worse |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 18.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $29,243
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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