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Nursing home report card · Kerrville, TX

Hilltop Village Nursing and Rehabilitation

1400 Hilltop RD, Kerrville, TX 78028

Call this home: (830) 895-3200

View this home on Medicare.gov ↗

Infection-control problems noted

Quick summary

Below-average Medicare rating

Overall rating is 2 of 5 stars. Its health-inspection rating is 3 of 5. Read the dated inspection findings and separate staffing and care ratings below.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Aug 27, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
2out of 5

Combines inspection, staffing, and care measures.

Below-average Medicare rating

Health inspections
3out of 5

Based on problems found during health inspections.

About average for U.S. nursing homes

Nursing staff
1out of 5

Based on staffing levels and related measures.

Among the lowest Medicare ratings

Health and care results
4out of 5

Based on reported health and care results.

Above average

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
51

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$0

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 455628

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    May 27, 2023 · Inspection rule 0678

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  • Could have caused harm · isolated case

    Aug 27, 2025 · Inspection rule 0926

    Have policies on smoking.

  • Could have caused harm · isolated case

    Aug 27, 2025 · Inspection rule 0552

    Ensure that residents are fully informed and understand their health status, care and treatments.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.11hours per resident per day

about 7 minutes per resident per day

All nursing staff
3.04hours per resident per day

about 3 hr 2 min per resident per day

Registered nurse time on weekends
0.09hours per resident per day

about 5 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 2 stars
  • Health inspection rating: 3 stars
  • Staffing rating: 1 stars
  • Registered nurse time per resident: 0.11 hours/day
  • Total nurse time per resident: 3.04 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Texas averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Overall star rating is 2 or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents1 citation
  • Could have caused harm47 citations
  • Low risk of harm3 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
51
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Limited Liability company.

  • We do not have individual owner names for this home.

Other homes in this group: All Cross Healthcare Management nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

August 27, 202510 findings
  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0926 · code D

    Have policies on smoking.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0803 · code D

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • Environmental problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0912 · code B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0757 · code E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0552 · code D

    Ensure that residents are fully informed and understand their health status, care and treatments.

June 2, 20254 findings
  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0609 · code D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0610 · code D

    Respond appropriately to all alleged violations.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 2, 20256 findings
  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0554 · code E

    Allow residents to self-administer drugs if determined clinically appropriate.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code D

    Provide safe and appropriate respiratory care for a resident when needed.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0609 · code D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

July 12, 202411 findings
  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0806 · code D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0677 · code E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0558 · code D

    Reasonably accommodate the needs and preferences of each resident.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0644 · code D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0808 · code D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0810 · code D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

  • Environmental problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0912 · code B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

July 1, 20242 findings
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0760 · code D

    Ensure that residents are free from significant medication errors.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 27, 202318 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0657 · code D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0806 · code D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  • Environmental problems
    Low risk of harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0912 · code C

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0678 · code J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code F

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

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0655 · code D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0635 · code D

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0582 · code D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • Infection Control problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code E

    Provide and implement an infection prevention and control program.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0565 · code E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0578 · code E

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code E

    Ensure each resident receives an accurate assessment.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code E

    Provide safe and appropriate respiratory care for a resident when needed.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0850 · code E

    Hire a qualified full-time social worker in a facility with more than 120 beds.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0770 · code E

    Provide timely, quality laboratory services/tests to meet the needs of residents.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • No fines or penalties appear in the records we have.

Other homes in this chain

Cross Healthcare Management · other locations in Texas

Related topics

Questions about Hilltop Village Nursing and Rehabilitation

What is Hilltop Village Nursing and Rehabilitation's Medicare star rating?
As of August 1, 2026, Hilltop Village Nursing and Rehabilitation in Kerrville, Texas has an overall CMS rating of 2 out of 5 stars. Other CMS scores: health inspection 3 of 5, staffing 1 of 5, quality measures 4 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Hilltop Village Nursing and Rehabilitation been fined?
The imported record gives a fine total of $0 for Hilltop Village Nursing and Rehabilitation in Kerrville, Texas. This does not establish that the home has never been fined.
Does Hilltop Village Nursing and Rehabilitation have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Hilltop Village Nursing and Rehabilitation in Kerrville, Texas.
How does Hilltop Village Nursing and Rehabilitation compare with other nursing homes in Texas?
Its overall CMS rating is 2 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Texas report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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