Nursing home
Hilltop Village Nursing and Rehabilitation
1400 Hilltop Rd, Kerrville, TX 78028 · Map
For profit - Limited Liability company · Part of Cross Healthcare Management (6 facilities) · 150 certified beds
Hilltop Village Nursing and Rehabilitation is a Medicare-certified nursing home in Kerrville, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.06 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Aug 27, 2025 cited 20 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hilltop Village Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.06 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.15 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.98 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 80.2% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 20.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 27, 2025 inspection was corrected by September 23, 2025
What inspectors found at Hilltop Village Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Aug 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 27, 2025 · Full report (PDF) - Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 2, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 2, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1400 Hilltop Rd
Kerrville, TX 78028 - CMS certification #
- 455628
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 104.9
- Provider type
- Medicare and Medicaid
- First certified
- 1986-02-03
- Chain
- Cross Healthcare Management (6 facilities)
- Setting
- Rural
Part of Cross Healthcare Management
Cross Healthcare Management operates 6 nursing facilities across the United States. View all Cross Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hilltop Village Nursing and Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
- Staff pay 1 federal wage case with violations found, since 2021
Full public records, with dates and sources
Care and services
From the community’s website
What Hilltop Village Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
Our dedicated team of RNs, LPNs, and caregivers, along with medical professionals such as a medical director, physician assistants, and nurse practitioners, ensure around-the-clock medical support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Apartment types named: semi-private room.
We offer a range of room options, including private and semi-private, and our comprehensive therapy services are designed to meet your individual needs.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 21, 2021 to Nov 20, 2023. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Hilltop Village Nursing and Rehabilitation Ct. Case 1987723.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Peterson Regional Medical Center, Kerrville. 2.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Arbor View Nursing & Rehabilitation, Kerrville. 2.7 miles away, straight line.
- Nearest home health agency office
- Tri County Home Health, Kerrville. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78028 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Kerrville Dialysis, Kerrville, 2.5 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 32 Medicare hospices tell CMS they serve ZIP code 78028.
Peterson Hospice, office in Kerrville, 2.3 miles away, straight line (CMS family survey rating 5 of 5 stars)
New Century Hospice Of San Antonio, office in Kerrville, 4.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Methodist Healthcare Hill Country Hospice & Family Care, office in Fredericksburg, 21.1 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Becky Powers, MD, San Antonio. 44.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Hilltop Village Nursing and Rehabilitation a good nursing home?
CMS gives Hilltop Village Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hilltop Village Nursing and Rehabilitation staffed?
Hilltop Village Nursing and Rehabilitation reports 3.06 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Hilltop Village Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Hilltop Village Nursing and Rehabilitation have?
Hilltop Village Nursing and Rehabilitation is certified for 150 beds.