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THE HILLTOP ON MAIN

1015 N MAIN
MERIDIAN, TX 76665 · 2544352357 · Bosque County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds94
OwnershipFor profit - Limited Liability company
State rank#1113

By the numbers

15
Health citations (3 cycles)
3
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$29,243
Federal fines (CMPs)
The trend: Citations are trending down — 6 in the most recent cycle versus 7 two cycles ago.

Recent Health Citations

Mar 3, 2026 · Health survey · F-tag 0741
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Mar 3, 2026 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Mar 3, 2026 · Health survey · F-tag 0732
E — No actual harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Mar 3, 2026 · Health survey · F-tag 0700
E — No actual harm
Quality of Life and Care Deficiencies
Try 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.
Mar 3, 2026 · Health survey · F-tag 0727
F — No actual harm
Nursing and Physician Services Deficiencies
Have 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.
Mar 3, 2026 · Health survey · F-tag 0725
F — No actual harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jan 23, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 23, 2025 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 26, 2024 · Health survey · F-tag 0758
D — No actual harm
Pharmacy Service Deficiencies
Implement 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 limited.
Mar 26, 2024 · Health survey · F-tag 0742
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide 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.
Details
Correction status: Corrected Mar 27, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Mar 26, 2024 · Health survey · F-tag 0692
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Details
Correction status: Corrected Mar 27, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Mar 26, 2024 · Health survey · F-tag 0656
J — Immediate jeopardy
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Details
Correction status: Corrected Mar 27, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Dec 7, 2023 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 7, 2023 · Health survey · F-tag 0727
F — No actual harm
Nursing and Physician Services Deficiencies
Have 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.
Nov 10, 2023 · Health survey · F-tag 0921
E — No actual harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Showing the 15 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Texas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.