The Hilltop On Main
Nursing Home · 1015 N Main, Meridian, TX 76665 · 2544352357
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 2.0 / 5 | high |
| Staffing | 1.0 / 5 | high |
| Clinical outcomes | 3.7 / 5 | high |
| Enforcement | 3.6 / 5 | high |
| Financial stability | 3.6 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 94 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Msl Meridian |
| Certified since | 1995-08-01 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $ of 5 · ~$221/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 3 immediate jeopardy · 0 actual harm · 12 potential for harm · 0 minor
- Federal fines: $29,243 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-03 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | D | corrected 2026-04-03 |
| 2026-03-03 | 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, tag 0700) | E | corrected 2026-04-03 |
| 2026-03-03 | 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, tag 0725) | F | corrected 2026-04-03 |
| 2026-03-03 | 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, tag 0727) | F | corrected 2026-04-03 |
| 2026-03-03 | Post nurse staffing information every day. (Nursing and Physician Services Deficiencies, tag 0732) | E | corrected 2026-04-03 |
| 2026-03-03 | 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, tag 0741) | D | corrected 2026-04-03 |
| 2025-01-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | E | corrected 2025-01-27 |
| 2025-01-23 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2025-01-27 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.57 hrs/resident/day (expected 3.83 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.12 hrs/resident/day (expected 0.67 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.48 · LPN 0.97 hrs/resident/day
- Weekend total staffing: 2.23 hrs/resident/day (expected 3.40 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 52.6% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.38 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 32.7% | 53.8 → 44 → 23.1 → 11.1 | worse than 97% of US homes · TX median 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 14.8% | not reported | worse than 56% of US homes · TX median 8.1% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 14.1% | not reported | worse than 52% of US homes · TX median 13% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 1.5% | 0 → 0 → 0 → 5.5 | better than 90% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 3% |
What this costs
- This facility's reported avg daily charge: $221/day · $ (price tier 1 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 81% Medicaid · 5% Medicare · 14% other/private · 36% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Bosque County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Goodall Witcher Hospital | Clifton | Yes | — | Critical access |
Compare nearby
- B- Sunset Home · Clifton
- D+ Willow Park Rehabilitation Health Care Center · Clifton
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Bosque County nursing homes coverage. Spot an error? Tell us.