Home › Nursing Homes by State › Texas › Meridian › The Hilltop On Main

The Hilltop On Main

1015 N Main, Meridian, TX 766652544352357Ownership: For profit - Limited Liability companyCertified beds: 94Avg. daily residents: 27County: Bosque

The complete public record on The Hilltop On Main, a Medicare & Medicaid–certified nursing home in Meridian, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
The Hilltop On Main holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $29,243 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

2.83 total nurse staff hours per resident per day
below the state average (3.39)
0.16 RN hours per resident per day
below the state average (0.43)
2.41 weekend nurse staff hours per resident per day
50.0% total nursing staff turnover
below the state average (55.3)
83.3% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

March 3, 2026 most recent standard health inspection
6 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
7 health deficiencies in the two prior cycles combined
$29,243 in federal fines across 1 penalty (last 3 years)
below the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

15 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 3, 20260725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F · Potential for more than minimal harm
March 3, 20260727Have 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.F · Potential for more than minimal harm
March 3, 20260700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2)…E · Potential for more than minimal harm
March 3, 20260732Post nurse staffing information every day.E · Potential for more than minimal harm
March 3, 20260641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm
March 3, 20260741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of…D · Potential for more than minimal harm

Comparing The Hilltop On Main with others on your list?

A ClearPath report puts up to five facilities side by side on the full record — every citation explained in plain English, staffing and turnover compared, fines and flags surfaced, and the questions to ask on your tour. Ready in minutes. Nursing home reports from $47, one-time. Paid by families, never by facilities.

Compare this facility →See a free sample report first

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.