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Data / Nursing homes / Texas / The Hilltop on Main

The Hilltop on Main, Meridian, TX: 1 star rating, fined $29,243 across 1 fine

The Hilltop on Main in Meridian, TX is owned by 1 individual whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $29,243 across 1 fine in the three years to October 1, 2026. CMS lists 15 health citations from inspections in that time, the latest survey on March 3, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
1015 N Main, Meridian, TX 76665
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
94
Residents per day
29 on average
Ownership type
For profit, limited liability company
Legal business name
MSL Meridian
Fines
$29,243 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
15, of which 3 with actual harm or immediate jeopardy
Latest survey
March 3, 2026
CMS Certification Number
675518
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
March 26, 2024Fine$29,243Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 3, 2026F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 3, 2026F732Post nurse staffing information every day.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 3, 2026F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 3, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 3, 2026F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 3, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
January 23, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 27, 2025data.cms.gov
January 23, 2025F812Procure 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 harmCorrectedJanuary 27, 2025data.cms.gov
March 26, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.J: isolated, immediate jeopardyCorrectedMarch 27, 2024data.cms.gov
March 26, 2024F692Provide enough food/fluids to maintain a resident's health.J: isolated, immediate jeopardyCorrectedMarch 27, 2024data.cms.gov
March 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.J: isolated, immediate jeopardyCorrectedMarch 27, 2024data.cms.gov
March 26, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2024data.cms.gov
December 7, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2023data.cms.gov
December 7, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2023data.cms.gov
November 10, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (1 owners, 2 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

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.