The Hilltop on Main is the only nursing home located in Meridian, Texas. We awarded this nursing home an A overall grade, ranking it in the top fifth of all nursing homes in the nation. This is just about as good of a place as you're going to find. Headlining this place's exemplary report card is its inspection reports, which you can find in the next paragraph.

Additional Details:

Accepts Medicare 1 :

Accepts Medicaid 1 : 94 Beds

CCRC :

For profit - Partnership

Resident Council:

Family Council:

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
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March
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April
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June
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July
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August
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September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019

Facility Inspections

A+
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

One of the many reasons this turned out to be a quality nursing home is that it received an A+ inspection grade. This is simply as good as it gets in this critical category. Inspection ratings are tied to several datapoints found on the a nursing home's recent inspection reports. Nursing homes that score well in this category have very few deficiencies on those reports. Most importantly, these nursing homes should not have any severe deficiencies which are associated with risks to patient safety. This place received 6 deficiencies on its inspection report, but none of the deficiencies were considered to be major deficiencies. This tells you that the government inspectors didn't deem any of these deficiencies an immediate threat to resident health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Nurse Quality

A
Oct 18: CNov 18: CDec 18: CJan 19: B-Feb 19: B-May 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: CMar 20: CApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

One of the other reasons we rated this facility so highly is that it received a very impressive nursing score. This turned out to be its second best category grade. In that category, we gave this nursing home an A. In determining our nursing ratings, we weigh both nursing hours and the training levels of those nurses. This particular nursing home provided 0 hours of nursing care per resident per day. Finally, we also looked at some nursing quality-based metrics in determining our nursing grades. This place performed very well when it comes to avoiding pressure ulcers and major falls. We consider these areas to be good indicators of the quality of nursing care.

Long-term Care Quality

A-
Oct 18: BNov 18: BDec 18: BJan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: B+Mar 20: B+Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

Adding to its fine assessment, this nursing home also received a superb long-term care score, with a grade of A-. When facilities receive a score in this range in long-term care it typically means it's well-staffed and is an overall good place to live on a permanent basis. In addition to considering the quantity of care provided by aids and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This nursing home provided the vaccine to 98.37838 percent of its patients, which is far higher than the majority of nursing homes. Clearly, this nursing home is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had only 0.58 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

Short-term Care Quality

B+
Oct 18: DNov 18: DDec 18: DJan 19: DFeb 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

The fourth area we scored was short-term care, where this nursing home was given a grade of B+. This completed a very strong report card. Not many nursing homes earned a B+ or better in each of our categories. In crafting our short-term care scores, we analyze the nursing home's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of therapists. The purpose is to formulate a measure for comparing the rehabilitation services of nursing homes. We were not able to track down information on registered nurse or physical therapy staffing for this nursing home. The last measure we assessed in this category is the percentage of residents that ultimately were able to return home from the facility. We found that 0 percent of this nursing home's patients returned home as opposed to remaining at the nursing home on a permanent basis.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A
State:
C
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

The Hilltop on Main Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, also referred to as bed sores, are routinely caused by residents not being moved frequently enough. Better nursing protocols can minimize the number of pressure ulcers sustained by residents in a nursing home.

Provider
A
3.96%
State
B
7.46%
National
B
7.32%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This tells you the percentage of long-term residents that had a fall which caused major injury. This is one of the statistics we use in calculating our nursing scores.

Provider
A+
0.54%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This datapoint indicates the percent of long-term stay patients that have had a urinary tract infection. UTI's could be an indicator of lower quality nursing care. Nevertheless, this statistic could also be misleading for some nursing homes due to inconsistent reporting standards for UTI's.

Provider
A+
0%
State
B+
2.22%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This indicates the percent of patients who were prescribed antipsychotic medications. While antipsychotic medications may be vital to many residents, it is important to ensure these drugs are being used only where medically required. In limited cases, excessive reliance on these medications may suggest a nursing home is using these medications to subdue residents.

Provider
F
43.51%
State
B+
12.37%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This metric tells you the percentage of long-term patients taking antianxiety medications.

Provider
D
29.31%
State
B-
23.38%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percentage of patients who are demonstrating signs of depression. High rates of depression could imply worse patient care.

Provider
B-
3.49%
State
B+
2.92%
National
B+
5.07%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint measures the percentage of long-term stay residents who were given the pneumonia and flu vaccines. Respiratory viruses can be deadly for seniors, making these vaccines important for resident well-being.

Provider
A-
99.19%
State
B
92.34%
National
B
92.05%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This is a measure of the percentage of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as dressing and bathing. Some experts would argue that this is a reliable measure of a resident's well-being.

Provider
D
23.95%
State
B-
17.2%
National
B
14.45%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric is a measure of the percentage of long-term care patients that retained mobility levels. Some experts would argue that mobility is vital to residents' mental and physical well-being.

Provider
A
24.24%
State
B
18.24%
National
B
17.08%

Percentage of Residents
Higher is Better

Hospitalizations

This metric tracks the number of times residents are hospitalized per 1,000 days of patient care.

Provider
A+
0.58
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint is a measure of the number of times residents are rehospitalized per 1,000 days of short-term resident care. Keeping residents out of the hospital during rehabilitation is key to restoring the physical well-being of residents.

Provider
D
24.24
State
B
18.24
National
B
17.08

Percentage of Residents Rehospitalized
Lower is Better

Nearby Hospitals

Goodall Witcher Hospital 11.38 mi
101 Posey Avenue Clifton Texas 76634
(254) 675-8322
Critical Access Hospitals
Government - Hospital District or Authority