Nursing home report
MERIDIAN, TX · Medicare-certified · 94 beds
THE HILLTOP ON MAIN (MERIDIAN, TX) has a 1-star overall rating, with a 1-star staffing rating and reported nurse staffing of 2.57 hours per resident per day versus the 4.1 federal benchmark. It has the lowest overall rating, no fines in the last 24 months, a 2-star health inspection rating, and recent inspection concerns in care planning, nutrition/hydration, and mental health/psychosocial services.
Health inspections
Staffing
2.5658 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5658.
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
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
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 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 692 — 42 CFR §483.25(g) — S/S: J
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited March 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 742 — 42 CFR §483.40 — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2026 — widespread issue, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2026 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 1 fine · $29,243 in total fines.
Federal fine
Mar 26, 2024
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.
