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Nursing homeFAID #14142

The Hilltop On Main

1015 N MAIN, MERIDIAN, TX, 76665
(254) 435-2357
94 licensed beds

CMS rates The Hilltop On Main 1 out of 5 overall. Federal inspectors issued 20 citations across 9 inspections in the last three years, with $29,243 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
94
CMS facility ID
675518
Care type
Nursing home
County
Bosque
Facility name
The Hilltop On Main
Street address
1015 N MAIN
City / state / ZIP
Meridian, TX 76665
Phone
(254) 435-2357

About this facility — The Hilltop On Main

The Hilltop On Main is a Medicare/Medicaid-certified skilled nursing facility in Meridian, Texas. It is licensed for 94 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Meridian 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 The Hilltop On Main 20 times across 9 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $29,243 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 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

Ownership type
For profit - Limited Liability company

Registered owners & officers

Msl Meridian
Direct owner — 100% stake — since 2013
Issac, Troy
Officer — since 2013
Kamara, Kadijatu
Operational control · Additional disclosable party — since 2023
Strong, Christopher
Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
1995-08-01
CMS overall rating
1 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$29,243 total
Last standard inspection
2026-03-03
Nurse staffing
2.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$219 per day (≈ $6,660/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 4% Medicare · 16% private/other
Occupancy
37% (fiscal year 2023)
Vs. state median
21% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
94
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · 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 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-03-03Health inspection6 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-03
F-0700
E · No harm found
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.
Corrected 2026-04-03
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-04-03
F-0727
F · No harm found
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.
Corrected 2026-04-03
F-0732
E · No harm found
Post nurse staffing information every day.
Corrected 2026-04-03
F-0741
D · No harm found
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2026-04-03
2025-01-23Health inspection2 citations
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 2025-01-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-27
6 earlier / fire-safety inspections (12 citations)
2024-03-26Health inspectionComplaint-triggered4 citations
F-0656
J · 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 2024-03-27
F-0692
J · Immediate jeopardyFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-27
F-0742
J · Immediate jeopardyFrom a complaint
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.
Corrected 2024-03-27
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-03-27
2023-12-07Health inspection2 citations
F-0727
F · No harm found
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.
Corrected 2023-12-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-30
2023-11-10Health inspectionComplaint-triggered1 citation
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-12-08
2026-03-03Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2025-01-23Fire-safety inspection2 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-09
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2023-12-07Fire-safety inspection2 citations
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-02
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-02

Federal penalties

2024-03-26Fine$29,243
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 675518.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
20
More than 14% of nursing homes in the state
State median: 33
Federal fines, 3 years
$29,243
More than 64% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
2.5
Among the lowest of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
47%
Higher than 40% of nursing homes in the state
State median: 50%

Resident outcomes

On 16 federal quality measures, this facility does better than the Texas average on 7 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased20.0%15.8%13.5%Worse than state
Lose too much weight0.0%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury3.6%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine69.4%96.4%93.7%Worse than state
Ability to walk independently worsened23.5%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication7.6%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers4.7%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence8.6%12.5%18.3%Better than state
Received an antipsychotic medication14.5%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days5.582.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.131.971.69Worse 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.

  • K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • F-0727 2 inspections. 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.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.

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

  • Glen Rose Medical Center, about 22 miles.
  • Texas Health Harris Methodist Hospital Cleburne, about 31 miles. CMS rating 5 of 5.
  • Hamilton General Hospital, about 31 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 20 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 2026-11-06
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