healthcarefacts

Nursing home in Decatur, Texas

The Hills Nursing & Rehabilitation

Medicare and Medicaid

201 East Thompson Street, Decatur, TX 76234
(940) 627-2165

CMS star ratings

CMS gives this nursing home an overall star rating of 1 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 home1
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home2
  • 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): Feb 26, 2026. CMS counts 6 health deficiencies in rating cycle 1.

  • This nursing home6
  • 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 16 health deficiencies on 7 inspection dates since Sep 30, 2023. By level of harm: 6 immediate jeopardy, 10 potential for harm.

  • 6 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 10 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
The 10 most recent of 16 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Jul 23, 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights DeficienciesJ Immediate jeopardy, isolatedComplaintPast Non-Compliance
Jul 23, 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care DeficienciesJ Immediate jeopardy, isolatedComplaintPast Non-Compliance
Feb 26, 2026F0677Provide 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 Mar 17, 2026
Feb 26, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 17, 2026
Feb 26, 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 17, 2026
Feb 26, 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 17, 2026
Jul 17, 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 DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Jul 24, 2025
Apr 30, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesK Immediate jeopardy, patternComplaintPast Non-Compliance Apr 7, 2025
Mar 14, 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesK Immediate jeopardy, patternComplaintDeficient, Provider has date of correction Mar 15, 2025
Mar 14, 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care DeficienciesK Immediate jeopardy, patternComplaintDeficient, Provider has date of correction Mar 15, 2025
Show the other 6 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Mar 14, 2025F0760Ensure that residents are free from significant medication errors.Pharmacy Service DeficienciesK Immediate jeopardy, patternComplaintDeficient, Provider has date of correction Mar 15, 2025
Feb 19, 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Feb 20, 2025
Nov 20, 2024F0812Procure 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 Nov 22, 2024
Nov 20, 2024F0550Honor 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 Nov 22, 2024
Nov 20, 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 22, 2024
Nov 20, 2024F0761Ensure 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 DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction Nov 22, 2024

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home2.74 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 home0.35 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 home93.2%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 3 penalties for this nursing home: 3 fines totaling $54,815, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds110
Average residents per day69.2
OwnershipFor profit - Limited Liability company
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainCreative Solutions in Healthcare (149 facilities)
Legal business nameWEST WHARTON COUNTY HOSPITAL DISTRICT
First approved for Medicare and MedicaidFeb 18, 2004
CountyWise
CMS certification number676004

Also in Decatur

Other nursing homes in Decatur
Nursing homeCMS overall ratingHealth inspection ratingCertified bedsOwnership
Heritage Place of Decatur60For profit - Corporation
Decatur Medical Lodge124For profit - Limited Liability company

All 3 nursing homes and 0 hospitals in Decatur