The Hilltop on Main
1015 N Main, Meridian TX 76665 · (254) 435-2357 · 50.31% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
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)
Facility Inspections
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
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
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
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.
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.
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.
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.
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.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric tells you the percentage of long-term patients taking antianxiety medications.
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.
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.
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.
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.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of times residents are hospitalized per 1,000 days of patient care.
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.
Percentage of Residents Rehospitalized
Lower is Better