Skilled NursingCMS verified

The Hilltop on Main

1015 N Main, Meridian, TX 76665 · Bosque County

1.0CMS overall rating(254) 435-2357 Visit website ↗

Use Caution

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates use caution.

Photos via facility website.

Availability outlookUsually has openings

Typically 31% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

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 29 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, 4/5 on quality measures.

Staff provide about 2.57 total nurse hours per resident each day (0.12 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 52.6%, higher than the ~52% national average. 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

Things to ask about

•Below-average 1-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (2.57 hrs/resident/day)
•$29,243 in federal fines

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: 29
Ownership: For profit - Limited Liability company
Part of a chain: Independent
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

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$4,960–$7,440/mo (median $5,990)	Local market estimate

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. 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: 2.57; National avg ≈ 3.9
RN hrs / resident / day: 0.12; National avg ≈ 0.75
Nursing staff turnover: 52.6%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

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

What inspectors found

The most recent findings from federal health inspections (15 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-03-03Severity F — potential for harmNursing 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.

2026-03-03Severity F — potential for harmNursing 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.

2026-03-03Severity E — potential for harmQuality 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 …

2026-03-03Severity E — potential for harmNursing and Physician Services Deficiencies

Post nurse staffing information every day.

2026-03-03Severity D — potential for harmResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

2026-03-03Severity D — potential for harmQuality 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.

2025-01-23Severity E — potential for harmNutrition and Dietary Deficiencies

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

2025-01-23Severity D — potential for harmInfection 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.

Date	Type	Amount
2024-03-26	Fine	$29,243

Services & amenities

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

Location

1015 N Main, Meridian, TX

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

5.0

1 reviews →

Verified family reviews

No verified family reviews yet for The Hilltop on Main.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about The Hilltop on Main

How much does The Hilltop on Main cost?

The Hilltop on Main does not publish exact rates. Comparable skilled nursing in the Meridian, TX area typically runs $4,960–$7,440 per month (median $5,990, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

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, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at The Hilltop on Main?

Staff provide about 2.57 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 52.6% (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?

Typically 31% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

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.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

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Your next steps — this week

1
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2
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3
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4
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