The Hilltop on Main: Staffing, Turnover, and Inspection Record
The Hilltop on Main is a 94-bed for-profit nursing home in Meridian, Texas. In the CMS August 2026 release it reported 1.61 nurse aide hours per resident per day, 19% below the Texas average of 2.00, and 50.0% nursing staff turnover (Texas average 55.3%).
The Hilltop on Main
1015 N MainMeridian, TX 76665
Bosque 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 Hilltop on Main, nurse aides logged 1.61 hours per resident per day, 19% below the Texas average. With about 27 residents a day, that works out to roughly 44 aide hours a day, or about 6 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.61 | 2.00 | 2.32 |
| Licensed practical nurses | 1.05 | 0.95 | 0.86 |
| Registered nurses | 0.16 | 0.43 | 0.69 |
| All nursing staff | 2.83 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.41 | 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
50.0% of nursing staff at The Hilltop on Main left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 83.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 3, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $29,243 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 26, 2024 | Fine | $29,243 |
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 Hilltop on Main holds 1 of 5 overall; the Texas average is 2.6.
About The Hilltop on Main
- Ownership: For profit - Limited Liability company
- Legal name: MSL Meridian
- Medicare and Medicaid certified since: Aug 1, 1995
- Councils: resident council
- Area: urban
Nursing homes near The Hilltop on Main
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Willow Park Rehabilitation Health Care Center Clifton · abuse citation | 10.8 | 110 | 2.11 | 3.31 | 36.9% | 1 | $44,688 |
| Sunset Home Clifton | 11.8 | 128 | 1.67 | 2.65 | 37.2% | 3 | $14,020 |
| Whitney Nursing and Rehabilitation Center Whitney | 20.0 | 88 | 1.47 | 2.88 | — | 2 | $45,435 |
| Cherokee Rose Nursing and Rehabilitation Glen Rose | 21.3 | 102 | 1.96 | 3.20 | — | 3 | None |
| Glen Rose Nursing and Rehab Center Glen Rose | 21.8 | 118 | 2.14 | 3.39 | 37.8% | 5 | $17,128 |
| Hico Nursing and Rehabilitation Hico · staffing data not validated | 22.2 | 80 | — | — | — | 2 | $31,552 |
| Ridgeview Rehabilitation and Skilled Nursing Cleburne | 30.4 | 134 | 2.02 | 3.67 | 51.6% | 4 | None |
| Focused Care at Hamilton Hamilton | 30.5 | 78 | 1.49 | 2.77 | 41.4% | 5 | None |
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.