The Hills Nursing & Rehabilitation
201 E Thompson St, Decatur, TX 76234 · Wise County
For-profit · 110 certified beds · 63% occupancy · (940) 627-2165
The U.S. government (CMS) rates The Hills Nursing & Rehabilitation 1 out of 5 stars overall — much below average. Its nurse staffing is 16% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
2.74 nurse hours per resident per day. 16% below the Texas median of 3.27.
Nursing staff turnover: 93.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0677 · Feb 26, 2026Corrected Mar 17, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Feb 26, 2026Corrected Mar 17, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0600 · Jul 17, 2025ComplaintCorrected Jul 24, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0656 · Feb 26, 2026Corrected Mar 17, 2026
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
- Potential for harmTag F0686 · Feb 26, 2026Corrected Mar 17, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0689 · Apr 30, 2025ComplaintCorrected Apr 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0656 · Mar 14, 2025ComplaintCorrected Mar 15, 2025
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
- Immediate jeopardyTag F0684 · Mar 14, 2025ComplaintCorrected Mar 15, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0760 · Mar 14, 2025ComplaintCorrected Mar 15, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Nov 20, 2024Corrected Nov 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 18 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Creative Solutions In Healthcare chain (149 facilities), chain average overall rating 2.2★.