Nursing home report
DECATUR, TX · Medicare-certified · 110 beds
THE HILLS NURSING & REHABILITATION in Decatur, TX has a 1-star overall rating, with 1-star staffing, 2-star health inspections, and 4-star quality measures. It reported 2.74 nurse staffing hours per resident per day versus the 4.1 benchmark, had $29,325 in fines in the last 24 months, and has a recent federal penalty flag.
Health inspections
Staffing
2.7375 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7375.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited February 2026 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $15,151 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $14,174 was recorded.
On record with Medicare: 2 fines · $29,325 in total fines.
Federal fine
Apr 30, 2025
Federal fine
Mar 14, 2025
Now operated by West Wharton County Hospital District, previously Decatur I Enterprises LLC.
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.
