Nursing Homes · Medicare certified
The Hilltop on Main
1015 N Main · Meridian, TX 76665 · 94 certified beds
Are you the operator? Claim this profile.
About The Hilltop on Main
The Hilltop on Main is a nursing home in Meridian, Texas. Its capacity is 94 beds, below the Texas median of 120 for nursing homes. It is run by a for-profit operator and is part of MSL Meridian. It is Medicare certified. Its public inspection record shows 15 citations, the most recent on March 3, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.50 hours per resident per day. 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
2.0CMS Care Compare, October 2026.
Inspection history (15)
Records from November 2023 to March 2026.
March 3, 2026
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
March 3, 2026
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
March 3, 2026
Tag F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
March 3, 2026
Tag F0732Post nurse staffing information every day.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
March 3, 2026
Tag F0700Try 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
March 3, 2026
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
January 23, 2025
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 January 27, 2025.
January 23, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 27, 2025.
March 26, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity J: isolated, immediate jeopardy. Corrected March 27, 2024.
March 26, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity J: isolated, immediate jeopardy. Corrected March 27, 2024.
March 26, 2024
Tag F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Severity J: isolated, immediate jeopardy. Corrected March 27, 2024.
March 26, 2024
Tag F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 27, 2024.
December 7, 2023
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 30, 2023.
December 7, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 30, 2023.
November 10, 2023
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.
Penalties (1)
Total fines: $29,243
March 26, 2024 · Fine
CMS recorded a civil money penalty of $29,243 against this nursing home on March 26, 2024.
Staffing
2.50 nurse hours per resident per day in Q2 2026, down from 2.57 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Limited Liability company
- Parent company: MSL Meridian
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.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Advertisement
Check availability and pricing at The Hilltop on Main
We'll email you The Hilltop on Main and similar options nearby, with local costs. You can also ask them to contact you, or call (254) 435-2357.
Sponsored
Talk to an advisor at no cost