The Hilltop On Main
1015 N Main, Meridian, TX 76665 · Bosque County
For-profit · 94 certified beds · 29% occupancy · (254) 435-2357
The U.S. government (CMS) rates The Hilltop On Main 1 out of 5 stars overall — much below average. Its nurse staffing is 14% below the Texas median. Inspectors cited it for 3 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.
2.83 nurse hours per resident per day. 14% below the Texas median of 3.27.
Nursing staff turnover: 50% · RN turnover: 83.3%
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 F0725 · Mar 3, 2026Corrected Apr 3, 2026
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
- Potential for harmTag F0727 · Mar 3, 2026Corrected Apr 3, 2026
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
- Potential for harmTag F0700 · Mar 3, 2026Corrected Apr 3, 2026
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
- Potential for harmTag F0732 · Mar 3, 2026Corrected Apr 3, 2026
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0641 · Mar 3, 2026Corrected Apr 3, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0741 · Mar 3, 2026Corrected Apr 3, 2026
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
- Potential for harmTag F0812 · Jan 23, 2025Corrected Jan 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jan 23, 2025Corrected Jan 27, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0656 · Mar 26, 2024ComplaintCorrected Mar 27, 2024
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 F0692 · Mar 26, 2024ComplaintCorrected Mar 27, 2024
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 15 findings. See the full inspection history on Medicare.gov.