Nursing home report
DECATUR, TX · Medicare-certified · 110 beds
THE HILLS NURSING & REHABILITATION (DECATUR, TX) has a 1-star overall rating, with 1-star staffing and 2-star health inspections, while quality measures are 4 stars. It reports 2.67 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has $29,325 in fines in the last 24 months, and has a recent federal penalty.
Health inspections
Staffing
2.6727 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6727.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited May 2023 — widespread issue, potential for harm.
F-Tag 839 — 42 CFR §483.70 — S/S: F
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
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.
