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Nursing homeFAID #14420

The Hills Nursing & Rehabilitation

201 East Thompson Street, DECATUR, TX, 76234

(940) 627-2165

hillsnursing.com

110 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of THE HILLS NURSING & REHABILITATION

Photo via Google · The Hills Nursing And Rehabilitation

Address

201 East Thompson Street

Decatur, TX 76234

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Public record summary

What we can show you for free.

Bed capacity

110

CMS facility ID

676004

Care type

Nursing home

County

Wise

Facility name

The Hills Nursing & Rehabilitation

Street address

201 East Thompson Street

City / state / ZIP

Decatur, TX 76234

Phone

(940) 627-2165

Website

hillsnursing.com

About this facility — The Hills Nursing & Rehabilitation

The Hills Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Decatur, Texas. It is licensed for 110 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 7 senior care facilities in Decatur and 1,178 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 The Hills Nursing & Rehabilitation 38 times across 13 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $29,325 in fines. 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 August 31, 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

Creative Solutions In Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Blake, Gary

Operational control — since 2022

Blake, Malisa

Operational control — since 2022

Decatur I Enterprises Llc

Operational control — since 2022

Huggins, Linda

Managing employee — since 2022

Mak, David

Officer — since 2021

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2004-02-18

CMS overall rating

1 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

$29,325 total

Last standard inspection

2026-02-26

Nurse staffing

2.7 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$265 per day (≈ $8,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

43% Medicaid · 13% Medicare · 44% private/other

Occupancy

50% (fiscal year 2024)

Vs. state median

4% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

110

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 2026-08-31. 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 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-02-26Health inspection4 citations

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 2026-03-17

F-0677

E · No harm found

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

Corrected 2026-03-17

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-03-17

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-17

2025-07-17Health inspectionComplaint-triggered1 citation

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 2025-07-24

8 earlier / fire-safety inspections (33 citations)

2025-04-30Health inspectionComplaint-triggered1 citation

F-0689

K · Immediate jeopardyFrom a complaint

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

Corrected 2025-04-07

2025-03-14Health inspectionComplaint-triggered3 citations

F-0656

K · Immediate jeopardyFrom a complaint

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

Corrected 2025-03-15

F-0684

K · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-15

F-0760

K · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-03-15

2025-02-19Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-20

2024-11-20Health inspectionComplaint-triggered4 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 2024-11-22

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-11-22

F-0761

D · 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 2024-11-22

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 2024-11-22

2023-09-28Health inspectionComplaint-triggered4 citations

F-0657

E · 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 2023-09-29

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-09-29

F-0695

D · No harm found

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

Corrected 2023-09-29

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-09-29

2026-02-26Fire-safety inspection9 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-03-13

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-03-13

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-03-13

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-13

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-03-13

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-03-17

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-03-13

K-0918

F · No harm found

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

Corrected 2026-03-13

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-03-13

2024-11-20Fire-safety inspection4 citations

K-0293

C · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-12-20

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-12-20

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-11-20

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-12-20

2023-09-28Fire-safety inspection7 citations

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 2023-09-28

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-09-28

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-10-20

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-28

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-09-28

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-04-12

K-0918

C · No harm found

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

Corrected 2023-03-14

Federal penalties

2025-04-30Fine$15,151

2025-03-14Fine$14,174

Total fines$29,325

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 676004.

Visitor reviews

What people say on Google.

4.675 ratings on Google

★★★★★Mary Finley · 2026-02-08 · via Google
“89 year old mom needed 2 weeks of rehab. We were very happy with The Hills. Staff cares. It's not the Ritz, but it was enough that we chose to use The Hills again when we needed some respite care. They were very helpful and I took my out-of-town trip with no worries for her well-being. That's priceless!”

★★★★★C. Baker · 2025-09-22 · via Google
“I had put my mother here several times for rehab only…she always did great. Then mom had a more serious issues, so I put her here for their skilled nursing/ long term. The nursing team here is beyond kind and helpful. Mom was treated with kindness and respect. My husband and I just adore the people who worked here. This facility has many employees who have worked here for years…that speaks volumes…”

★★★★★colleen bocanegra · 2020-08-06 · via Google
“We are so grateful for all the staff at the Hills Nursing and Rehabilitation. Our mom has had the best therapists, nurses and caregivers. She has been there close to a year and has improved her physical ability enabling her to use her walker again. Her cognitive functioning has improved 100%. Truly, we have had the best experience with all the staff especially during the pandemic. They love their…”

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 38 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

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

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

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