Home›Browse›Texas›Kerrville›Hilltop Village Nursing and Rehabilitation

Nursing homeFAID #12133

Hilltop Village Nursing and Rehabilitation

1400 HILLTOP RD, KERRVILLE, TX, 78028

(830) 895-3200

150 licensed beds

CMS rates Hilltop Village Nursing and Rehabilitation 2 out of 5 overall. Federal inspectors issued 60 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo of HILLTOP VILLAGE NURSING AND REHABILITATION

Photo via Google · Hilltop Village Nursing and Rehab

Address

1400 Hilltop Rd

Kerrville, TX 78028

Get directions

Map facilities in this area

All facilities in Kerrville

Public record summary

What we can show you for free.

Bed capacity

150

CMS facility ID

455628

Care type

Nursing home

County

Kerr

Facility name

Hilltop Village Nursing and Rehabilitation

Street address

1400 HILLTOP RD

City / state / ZIP

Kerrville, TX 78028

Phone

(830) 895-3200

Website

hilltopvillagehc.com

About this facility — Hilltop Village Nursing and Rehabilitation

Hilltop Village Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Kerrville, Texas. It is licensed for 150 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 14 senior care facilities in Kerrville and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hilltop Village Nursing and Rehabilitation 60 times across 11 inspections in the last three years, including 7 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cross Healthcare Management

Ownership type

For profit - Limited Liability company

Registered owners & officers

Apolinar, Adam

Officer — since 2026

Burnam, Soon

Officer — since 2026

Delta Ridge Healthcare Llc

Operational control · Additional disclosable party — since 2026

Ensign Services, Inc.

Additional disclosable party — since 2026

Garcia, Natasha

Operational control · Additional disclosable party — since 2026

Hilltop Road Health Holdings Llc

Additional disclosable party — since 2026

Keetch, Chad

Officer — since 2011

Lockhart, Christopher

Operational control · Additional disclosable party — since 2026

Standard Bearer Healthcare Op Lp

Additional disclosable party — since 2026

The Ensign Group, Inc.

Additional disclosable party — since 2026

Regulatory standing

Licensed / certified since

1986-02-03

CMS overall rating

2 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-08-27

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$222 per day (≈ $6,750/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

55% Medicaid · 6% Medicare · 39% private/other

Occupancy

79% (fiscal year 2024)

Vs. state median

20% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

150

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-20Health inspectionComplaint-triggered2 citations

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2026-09-04

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-09-04

2025-08-27Health inspection10 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-23

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-09-23

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-23

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-23

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-23

F-0757

E · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-09-23

F-0803

D · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-09-23

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-23

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-09-23

F-0926

D · No harm found

Have policies on smoking.

Corrected 2025-09-23

8 earlier / fire-safety inspections (48 citations)

2025-06-02Health inspectionComplaint-triggered4 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-26

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-26

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-06-26

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-26

2025-05-02Health inspectionComplaint-triggered6 citations

F-0554

E · No harm foundFrom a complaint

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-26

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-18

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-26

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-26

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-26

F-0761

E · No harm foundFrom a complaint

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-05-26

2024-07-12Health inspectionComplaint-triggered11 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-08-09

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-09

F-0584

D · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-08-09

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-09

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-09

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-09

F-0806

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-08-09

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-08-09

F-0810

D · No harm foundFood safety

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-08-09

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-09

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-08-09

2024-07-01Health inspectionComplaint-triggered2 citations

F-0600

E · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-05

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-07-05

2023-05-27Health inspection18 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-06-06

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-06-06

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-06-06

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-06-06

F-0635

D · No harm found

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-06-06

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-06-06

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-06-06

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-06

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-06-06

F-0678

J · Immediate jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-06-06

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-06

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-06-06

F-0770

E · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-06-06

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-06-06

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-06

F-0850

E · No harm found

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2023-06-06

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-06-06

F-0912

C · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-06-06

2025-08-27Fire-safety inspection1 citation

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-23

2024-07-12Fire-safety inspection1 citation

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-09

2023-05-27Fire-safety inspection5 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-07-01

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-07-05

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2023-06-10

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-04

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455628.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 89% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

2.9

Higher than 12% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

75%

Higher than 95% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	7.3%	15.8%	13.5%	Better than state
Lose too much weight	2.9%	2.9%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.3%	0.8%	1.5%	Better than state
Have depressive symptoms	0.6%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.6%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.7%	96.4%	93.7%	Near state average
Ability to walk independently worsened	4.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	24.1%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	99.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.9%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	17.7%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	6.7%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.40	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.76	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.4%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	94.4%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	25.3%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	15.6%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0550 4 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0641 3 inspections. Ensure each resident receives an accurate assessment.
F-0912 3 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0355 2 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Peterson Regional Medical Center, about 2.3 miles. CMS rating 4 of 5.
Hill Country Memorial Hospital, about 21 miles. CMS rating 4 of 5.
Kimble Hospital, about 47 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Arbor View Nursing & Rehabilitation, Kerrville, about 2.7 miles. CMS rating 1 of 5.
Avir At Kerrville, Kerrville, about 3.6 miles. CMS rating 1 of 5.
River Hills Health and Rehabilitation Center, Kerrville, about 4.6 miles. CMS rating 1 of 5.
Avir At Comfort, Comfort, about 17 miles. CMS rating 4 of 5.
Knopp Nursing & Rehab Center, Fredericksburg, about 21 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

4.6116 ratings on Google

★★★★★Brandie Barbosa · 2026-05-06 · via Google
“I had a wonderful experience with Hilltop Nursing. From the moment you walk in, the facility feels warm and welcoming. The receptionist is incredibly kind and friendly, making a great first impression and helping everything feel comfortable right away. The entire staff goes above and beyond—they are helpful, attentive, and genuinely seem to care about the people they serve. It’s clear that this t…”

★★★★★Carol Ray · 2026-05-04 · via Google
“Charming building with tons of character. The staff here are all smiles all the time, and every resident I’ve spoken with has had nothing but praises to sing. Hilltop Village is true testament to caring for your community. I would have no concerns whatsoever about placing my loved one here at Hilltop!”

★★★★★Christina Rodriguez · 2026-05-06 · via Google
“I cannot say enough positive things about this skilled nursing facility. From the moment we walked in, the staff made us feel welcomed. From nursing staff to housekeeping, each and everyone were so attentive and helpful, treating the residents with dignity and kindness. Hilltop nursing gives families real peace of mind, knowing they placed their loved one in such capable and caring hands.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 60 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered