GoodStanding

Nursing home report

HILLTOP VILLAGE NURSING AND REHABILITATION

KERRVILLE, TX · Medicare-certified · 150 beds

Needs attention
Abuse citationFor-profitChain member
2 of 5 overall

Hilltop Village Nursing and Rehabilitation has a 2-star overall rating, with a 1-star staffing rating and 3.03 reported nurse hours per resident per day versus the 4.1 federal benchmark. It has no fines in the last 24 months, but it has a recent abuse citation and recent health inspection issues.

Facility ratings

Health inspections

Staffing

3.0341 hrs/resident/day

Quality measures

Last inspection: August 27, 2025Penalties, last 24 months: $0recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0341.

Staffing detail

Registered nurses
0.10
Licensed practical nurses
0.90
Nurse aides
2.04
Weekend nursing
2.68

Hours per resident per day.

Total staff turnover: 77%
Registered nurse turnover: 80%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

7.1%Improving

Residents with a fall causing major injury

2.1%Steady

Residents with pressure ulcers (bedsores)

4.8%Improving

Residents with a urinary tract infection

0.5%Steady

Residents who lost too much weight

3.9%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

6.4%Worsening

Residents whose ability to walk got worse

8.5%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

24.1%Steady

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

20.1%Improving

Residents with depressive symptoms

1.3%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

96.7%Steady

Short-stay residents given the pneumonia vaccine

99.7%Steady

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: E

The home failed to ensure residents’ medications were free from unnecessary drugs. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 757 — 42 CFR §483.45(d) — S/S: E

The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 554 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of CROSS HEALTHCARE MANAGEMENT · 6 homes · 3 stars avg
Occupancy
108.8 residents on an average day (73% of 150 beds)
Medicare history
Certified for 40 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.