healthcarefacts

Nursing home in Kerrville, Texas

Hilltop Village Nursing and Rehabilitation

Medicare and Medicaid

1400 HILLTOP RD, Kerrville, TX 78028
(830) 895-3200

CMS star ratings

CMS gives this nursing home an overall star rating of 2 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home2
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home3
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home1
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home4
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Aug 27, 2025. CMS counts 10 health deficiencies in rating cycle 1.

  • This nursing home10
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 33 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 31 potential for harm, 2 minimal harm potential.

  • 0 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 31 No actual harm, potential for more than minimal harm
  • 2 No actual harm, potential for minimal harm
The 10 most recent of 33 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Aug 27, 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0803Ensure 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.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0926Have policies on smoking.Environmental DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Sep 23, 2025
Aug 27, 2025F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental DeficienciesB Minimal harm potential, patternStandardDeficient, Provider has date of correction Sep 23, 2025
Show the other 23 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Jun 2, 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 26, 2025
Jun 2, 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 26, 2025
Jun 2, 2025F0610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 26, 2025
Jun 2, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 26, 2025
May 2, 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction May 26, 2025
May 2, 2025F0761Ensure 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.Pharmacy Service DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction May 26, 2025
May 2, 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintPast Non-Compliance Feb 18, 2025
May 2, 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 26, 2025
May 2, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 26, 2025
May 2, 2025F0695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 26, 2025
Jul 12, 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0558Reasonably accommodate the needs and preferences of each resident.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0584Honor 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.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0808Ensure 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.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 12, 2024F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental DeficienciesB Minimal harm potential, patternStandardDeficient, Provider has date of correction Aug 9, 2024
Jul 1, 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Jul 5, 2024
Jul 1, 2024F0760Ensure that residents are free from significant medication errors.Pharmacy Service DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jul 5, 2024

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home3.04 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.11 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home78.3%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds150
Average residents per day107.8
OwnershipFor profit - Limited Liability company
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilNone
Automatic sprinklers in all required areasYes
ChainCross Healthcare Management (6 facilities)
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY
First approved for Medicare and MedicaidFeb 3, 1986
CountyKerr
CMS certification number455628

Also in Kerrville

Other nursing homes in Kerrville
Nursing homeCMS overall ratingHealth inspection ratingCertified bedsOwnership
Arbor View Nursing & Rehabilitation179For profit - Limited Liability company
Avir at Kerrville130For profit - Corporation
River Hills Health and Rehabilitation Center150For profit - Individual
Hospitals in Kerrville
HospitalCMS overall ratingTypeEmergency services
Peterson Regional Medical CenterAcute Care HospitalsYes

All 4 nursing homes and 1 hospital in Kerrville