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The Hills Nursing & Rehabilitation, Decatur, TX: 1 star rating, fined $54,815 across 3 fines

The Hills Nursing & Rehabilitation in Decatur, TX is run by West Wharton County Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $54,815 across 3 fines in the three years to October 1, 2026. CMS lists 17 health citations from inspections in that time, the latest survey on August 19, 2026, and 6 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Texas
Address
201 East Thompson Street, Decatur, TX 76234
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
110
Residents per day
66 on average
Ownership type
For profit, limited liability company
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare, 150 facilities
Fines
$54,815 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
17, of which 6 with actual harm or immediate jeopardy
Latest survey
August 19, 2026
CMS Certification Number
676004
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 23, 2026Fine$25,490Not listeddata.cms.gov
April 30, 2025Fine$15,151Not listeddata.cms.gov
March 14, 2025Fine$14,174Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 19, 2026F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmNo plan of correctiondata.cms.gov
July 23, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
July 23, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
February 26, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2026data.cms.gov
February 26, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2026data.cms.gov
February 26, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2026data.cms.gov
February 26, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2026data.cms.gov
July 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 24, 2025data.cms.gov
April 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyPast noncomplianceApril 7, 2025data.cms.gov
March 14, 2025F760Ensure that residents are free from significant medication errors.K: pattern, immediate jeopardyCorrectedMarch 15, 2025data.cms.gov
March 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedMarch 15, 2025data.cms.gov
March 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K: pattern, immediate jeopardyCorrectedMarch 15, 2025data.cms.gov
February 19, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2025data.cms.gov
November 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
November 20, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
November 20, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
November 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (3 managers, 1 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Decatur I Enterprises LLCOperational or managerial controlNot listedJune 1, 2022data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.