Nursing home
The Hilltop on Main
1015 N Main, Meridian, TX 76665 · Map
For profit - Corporation · 94 certified beds
The Hilltop on Main is a Medicare-certified nursing home in Meridian, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.64 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jan 23, 2025 cited 2 deficiencies.
- 1 fine totaling $29,243In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Hilltop on Main 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) | 2.64 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.30 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.46 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 45.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 9.1 | 9.5 | below 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 March 3, 2026 inspection was corrected by April 3, 2026
Penalties in CMS records: 1 fine totaling $29,243, 1 total penalty.
What inspectors found at The Hilltop on Main
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
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Mar 3, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 3, 2026 · Full report (PDF) - 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 · Jan 23, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 23, 2025 · Full report (PDF) - Immediate jeopardy
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · Mar 26, 2024 · Full report (PDF) - Immediate jeopardy
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Mar 26, 2024 · Full report (PDF) - Immediate jeopardy
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2024 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Mar 26, 2024 · 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
- 1015 N Main
Meridian, TX 76665 - CMS certification #
- 675518
- Ownership
- For profit - Corporation
- Certified beds
- 94
- Avg residents/day
- 27.6
- Provider type
- Medicare and Medicaid
- First certified
- 1995-08-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Hilltop on Main using Google Maps.
Other public records
Full public records, with dates and sources
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.
DOL also concluded 1 case here with no violations found, most recently for a period ending Sep 25, 2024.
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
- Goodall Witcher Hospital, Clifton. 10.4 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Willow Park Rehabilitation Health Care Center, Clifton. 10.8 miles away, straight line.
- Nearest home health agency office
- Goodall-Witcher Home Health Agency, Clifton. 10.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76665 as rural (rural area).
- Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 76665.
Hospice Sunset, office in Clifton, 11.6 miles away, straight line - Nearest geriatric medicine practice
- Vesper Medical Care PLLC, Woodway. 40.0 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: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively moderate, heat wave relatively low, 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 | No plain statements of services found |
Looking for assisted living or memory care instead?
Frequently asked questions
Is The Hilltop on Main a good nursing home?
CMS gives The Hilltop on Main an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Hilltop on Main staffed?
The Hilltop on Main reports 2.64 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Hilltop on Main had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does The Hilltop on Main have?
The Hilltop on Main is certified for 94 beds.