The Hills Nursing & Rehabilitation: Staffing, Turnover, and Inspection Record
The Hills Nursing & Rehabilitation is a 110-bed for-profit nursing home in Decatur, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.37 nurse aide hours per resident per day, 31% below the Texas average of 2.00, and 93.2% nursing staff turnover (Texas average 55.3%).
The Hills Nursing & Rehabilitation
201 East Thompson StreetDecatur, TX 76234
Wise County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Hills Nursing & Rehabilitation, nurse aides logged 1.37 hours per resident per day, 31% below the Texas average. With about 69 residents a day, that works out to roughly 95 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.37 | 2.00 | 2.32 |
| Licensed practical nurses | 1.02 | 0.95 | 0.86 |
| Registered nurses | 0.35 | 0.43 | 0.69 |
| All nursing staff | 2.74 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.33 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
93.2% of nursing staff at The Hills Nursing & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $29,325 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 30, 2025 | Fine | $15,151 |
| Mar 14, 2025 | Fine | $14,174 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Hills Nursing & Rehabilitation holds 1 of 5 overall; the Texas average is 2.6.
About The Hills Nursing & Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Feb 18, 2004
- Councils: resident council
- Area: urban
Nursing homes near The Hills Nursing & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Decatur Medical Lodge Decatur | 0.7 | 124 | 1.83 | 3.06 | 71.3% | 2 | $14,518 |
| Heritage Place of Decatur Decatur | 1.3 | 60 | 1.61 | 2.99 | — | 3 | None |
| Bridgeport Medical Lodge Bridgeport · abuse citation | 9.5 | 152 | 1.76 | 3.35 | 57.3% | 1 | $24,704 |
| Springtown Park Rehabilitation and Care Center Springtown | 18.9 | 120 | 1.89 | 3.19 | 63.4% | 5 | None |
| Longmeadow Healthcare Center Justin | 19.7 | 120 | 1.45 | 2.70 | 85.9% | 2 | $28,869 |
| Azle Manor Health Care, L.L.L.P. Azle | 22.6 | 142 | 2.06 | 3.32 | 61.3% | 2 | $44,548 |
| Vintage Health Care Center Denton | 24.6 | 106 | 2.05 | 3.23 | 96.6% | 1 | $243,970 |
| Denton Village by PureHealth Denton · abuse citation | 25.6 | 88 | 1.77 | 3.55 | 41.3% | 3 | $55,112 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.