Nursing Homes · Decatur, TX
Nursing Homes · Medicare certified
The Hills Nursing & Rehabilitation
201 East Thompson Street · Decatur, TX 76234 · 110 certified beds
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About The Hills Nursing & Rehabilitation
The Hills Nursing & Rehabilitation is a nursing home in Decatur, Texas. Its capacity is 110 beds, below the Texas median of 120 for nursing homes. It is run by a for-profit operator and is part of Creative Solutions in Healthcare. It is Medicare certified. Its public inspection record shows 18 citations, the most recent on February 26, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 2.70 hours per resident per day. It is one of 3 nursing homes listed in Decatur. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (18)
Records from September 2023 to February 2026.
February 26, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.
February 26, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.
February 26, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.
February 26, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.
July 17, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 24, 2025.
April 30, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected April 7, 2025.
March 14, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity K: pattern, immediate jeopardy. Corrected March 15, 2025.
March 14, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity K: pattern, immediate jeopardy. Corrected March 15, 2025.
March 14, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity K: pattern, immediate jeopardy. Corrected March 15, 2025.
February 19, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 20, 2025.
November 20, 2024
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
November 20, 2024
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
November 20, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
November 20, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
September 28, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 28, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 28, 2023
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
September 28, 2023
Tag F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 29, 2023.
Penalties (3)
Total fines: $29,325
July 23, 2026 · Fine
CMS recorded a civil money penalty of $25,490 against this nursing home on July 23, 2026.
April 30, 2025 · Fine
CMS recorded a civil money penalty of $15,151 against this nursing home on April 30, 2025.
March 14, 2025 · Fine
CMS recorded a civil money penalty of $14,174 against this nursing home on March 14, 2025.
Staffing
2.70 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Creative Solutions in Healthcare, a chain of 150 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.7 for health inspections, 1.4 for staffing, 3.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Decatur.
Nursing Homes · Decatur, TX
Heritage Place of Decatur
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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