Skip to content
Haven
Skilled NursingCMS verified

The Hilltop on Main

1015 N Main, Meridian, TX 76665 · Bosque County

1.0CMS overall rating(254) 435-2357Visit website ↗
27
Use Caution
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.

A little clarity for your next step

What to know before you visit

Start with the things that matter to your loved one. Use the details below to build your questions, then ask the community what life and care would look like for them.

Reviews reflect individual experiences. Inspection findings describe specific events; missing reports do not mean there were no concerns.

Prepare questions for a visit →
The Hilltop on Main, photo 1 of 21 / 2

A closer look at the community

Photo 1 · facility website. Photos may not reflect current rooms or services.

Picture your loved one here

Ask to see a room like the one available, its bathroom, dining spaces, and outdoor areas. On a visit, notice how easy it feels to move around and how staff interact with residents.

Reported historical occupancy29% reported occupancy

Reported average: 27.4 residents per day across 94 certified beds (29% occupancy).

This does not show current vacancies, waitlists, room types or whether the community can meet your care needs. Contact the community to confirm current openings.

Source: CMS Care Compare, reported average daily residents and certified beds. This is not a live availability feed.

Our evaluation

A summary of reported federal nursing-home measures. Review the dates and original records below.

A low federal rating — review the details closely

The Hilltop on Main is a for-profit skilled nursing facility in Meridian, TX, with 94 certified beds and an average of about 27 residents per day.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 1/5 on staffing, 2/5 on quality measures.

Staff provide about 2.83 total nurse hours per resident each day (0.16 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 50%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 6 health deficiencies at its most recent standard survey, and 1 federal fine totaling $29,243 in the recent record.

Strengths

  • ✓Full sprinkler system
  • ✓Active resident & family council

Questions for your visit

You do not have to know every answer before you visit. Start with these questions and ask for details specific to your loved one.

Topics noted in the summary

  • Below-average 1-star overall CMS rating
  • Below-average health-inspection rating
  • Below-average nurse staffing (2.83 hrs/resident/day)
  • $29,243 in federal fines
  • Can we review the inspection findings together, including what changed and how any corrections were checked?

    Review the federal care record →
  • Could we speak with current residents or families about daily life and how concerns are handled?

    Read the review sources →
  • What would the full monthly cost be for my loved one, and which care services or one-time charges are extra?

    Review pricing details →
  • How would you assess my loved one’s needs, and what happens if those needs change?

Keep your answers in the tour planner →
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Meridian options — our advisors can help you compare.

At a glance

Certified beds
94
Avg. residents/day
27
Ownership
For profit - Limited Liability company
Part of a chain
Not reported
Continuing care
No
CMS provider #
675518

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

Planning estimates are not a community quote. Ask the community for current rates and an itemized list of required charges.

Level of careMonthly costSource
Skilled Nursing
$4,960–$7,440/mo (modeled range)

2024–2026 published survey medians, state median adjusted to local Waco prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms.

Local market estimate

Published starting prices and market estimates may exclude additional fees. Request a current, itemized quote for your care needs. How we estimate costs

Request exact pricing for The Hilltop on Main →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
2.83
National avg ≈ 3.9
RN hrs / resident / day
0.16
National avg ≈ 0.75
Nursing staff turnover
50%
National avg ≈ 52%

Safety & inspection record

Reported federal nursing-home measures. Missing values are not a clean-record finding; check the original source for current information.

Health deficiencies (last survey)
6
Federal fines
1 ($29,243)
Total penalties
1
Last standard survey
2026-03-03
Sprinkler system
Yes
Resident & family council
Resident

Requirements cited by inspectors

The most recent findings from federal health inspections (15 citations on record — showing the latest 8). The count is not a count of unique incidents.

Find a detail in these citations

Search the entries displayed here. The original record may contain additional findings.

Showing 8 of 8 citation entries on this page.

2026-03-03F0725Severity F — potential for harmCorrection status not retained; check the original reportNursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2026-03-03F0727Severity F — potential for harmCorrection status not retained; check the original reportNursing and Physician Services Deficiencies

Have 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.

2026-03-03F0700Severity E — potential for harmCorrection status not retained; check the original reportQuality of Life and Care Deficiencies

Try 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 …

2026-03-03F0732Severity E — potential for harmCorrection status not retained; check the original reportNursing and Physician Services Deficiencies

Post nurse staffing information every day.

2026-03-03F0641Severity D — potential for harmCorrection status not retained; check the original reportResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

2026-03-03F0741Severity D — potential for harmCorrection status not retained; check the original reportQuality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

2025-01-23F0812Severity E — potential for harmCorrection status not retained; check the original reportNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-01-23F0880Severity D — potential for harmCorrection status not retained; check the original reportInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2024-03-26Fine$29,243

Services and details to confirm

These topics come from source records and community websites. They do not confirm that a service is currently offered, available, or included in the price.

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy
  • Rehabilitation services
  • Restaurant-style dining

Make it specific to your loved one

Ask which services are provided at this location, who provides them, and whether they cost extra. For care or therapy, ask about the assessment required and what happens if needs change.

Keep questions in your visit plan →

Location

1015 N Main, Meridian, TX

Reviews & reputation

Reviews, when available, are shown with their source. Review ratings are separate from licensing and inspection records.

Family reviews

No family reviews are available on Haven for The Hilltop on Main.

Ask the community about speaking with current residents or families. Use your tour planner to record what you learn and questions to follow up on.

Prepare questions for your tour

Common questions about The Hilltop on Main

How much does The Hilltop on Main cost?

The Hilltop on Main has no current published quote for skilled nursing in Haven records. The local market planning estimate is $4,960–$7,440 per month (modeled range). 2024–2026 published survey medians, state median adjusted to local Waco prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. This is not a community quote. Ask for a current, itemized price.

What is The Hilltop on Main's Medicare rating?

Medicare (CMS) rates The Hilltop on Main 1 out of 5 stars overall, including 2/5 for health inspections, 1/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.

How is the staffing at The Hilltop on Main?

Staff provide about 2.83 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 50% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at The Hilltop on Main?

The Hilltop on Main has 15 health citations on its recent federal inspection record (last standard survey: 2026-03-03). The full citation-by-citation detail, with severity levels, is published on this page.

Does The Hilltop on Main have availability?

Reported average: 27.4 residents per day across 94 certified beds (29% occupancy). These historical figures do not establish current availability. Contact the community to confirm openings, room types and admission requirements.

What types of care does The Hilltop on Main offer?

The Hilltop on Main in Meridian, TX offers skilled nursing and is licensed for 94 beds.

Prepare a care shortlist in Waco

Compare care fit, costs and admission requirements before a move. Timelines and openings vary by community.

  • Ask which assessments and documents are required before admission.
  • Confirm current openings, waitlist procedures and whether touring reserves anything.
  • Request an itemized written quote and review deposit and cancellation terms.

Your next steps

  1. 1
    Confirm the fit
    Review licensing records, reported services and available inspection information against the person's care needs.
  2. 2
    Get a written quote
    Contact The Hilltop on Main directly for current rates, care charges, openings and admission requirements.
  3. 3
    Tour and compare
    Use the same questions at each community. Ask about staffing, daily routines, total costs and changes in care needs.
  4. 4
    Review terms before paying
    Ask for written deposit, refund, cancellation and move-in terms. Confirm what any payment reserves.
Data sources:CMS verifiedGoogle

Haven record updated 2026-08-24. We show imported source information. This date does not establish when a license was last checked.

More communities to compare

Records in Waco, TX with a shared care category and available coordinates, ordered by approximate distance. This is not a complete list of nearby communities. Confirm that each community can meet your specific care needs.