The Hills Nursing & Rehabilitation has received an F grade based on CMS data, with a score of 17/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Decatur facility should carefully review its inspection history and quality metrics.
With 2.63 total nurse hours per resident per day, The Hills Nursing & 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 19 deficiencies at The Hills Nursing & Rehabilitation, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.63 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.32 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.98 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.33 | 2.4 | Below Average |
| Weekend Total Nursing | 2.43 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jul 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 29, 2025 · Quality of Life and Care Deficiencies
- Tag 0656 Severity KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 13, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity KProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity KEnsure that residents are free from significant medication errors.Mar 13, 2025 · Pharmacy Service 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 | 3.8% | 4.5% | Better |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 9.2% | 14.5% | Better |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 22.6% | 14.0% | Worse |
| Excessive weight loss | 7.9% | 7.5% | Average |
| New/worsened incontinence | 23.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $29,325
How This Grade Was Calculated
This facility's grade of F is based on a score of 17 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 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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