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Nursing HomeMedicaid

Hilltop Manor Health and Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

101 Kirkland Street, Union, MS 3936560 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 50 Google reviews

5
4
3
2
1
Hilltop Manor Health and Rehabilitation Center Nursing Home in Union, MS — Street View
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What this means for your family

Hilltop Manor offers a strong therapy department and a very active social calendar, which are great for resident engagement and recovery. However, families should be aware of recurring reports regarding night-shift responsiveness and the potential for lost personal items; we recommend labeling all clothing clearly and checking in frequently during off-hours.

Google Reviews

Google Reviews

50 reviews analyzed
Hilltop Manor Health and Rehabilitation Center receives polarized feedback, with a significant influx of highly positive reviews in late 2025 praising the staff's compassion and the facility's festive atmosphere. However, long-term concerns persist regarding cleanliness, odor issues, and inconsistent care from night-shift staff, as well as reports of missing personal belongings. Families should weigh the strong therapy department and administrative responsiveness against these recurring operational and maintenance complaints.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean5.0Activities9.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical and occupational therapy
  • Responsive administrative and social services team
  • Well-maintained, festive, and welcoming environment

Concerns

  • Inconsistent night-shift care and staff responsiveness (mentioned by 2 reviewers)
  • Facility cleanliness and persistent odors (mentioned by 3 reviewers)
  • Loss of resident personal belongings (clothing) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02013(1)1.02016(2)2.02019(1)3.02022(4)5.02024(1)4.82025(35)

Distribution

5
27
4
2
3
0
2
1
1
5
32 reviews posted between Oct 6, 2025Oct 11, 2025 · 30 were 5-star

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that you have a 5-star staffing rating, how do you ensure that same level of attentive care and responsiveness remains consistent during the night shift?
  • 2I noticed some feedback regarding facility cleanliness and odors; what is your current protocol for housekeeping and maintaining a fresh environment throughout the day?
  • 3With 7 recent state violations, could you walk me through the steps you are currently taking to address those specific areas and improve your health inspection outcomes?
  • 4What systems do you have in place to help track and ensure that residents' personal belongings and clothing are kept secure and returned after laundry services?
  • 5I see that your team occasionally engages with families online; how do you typically communicate with families regarding day-to-day updates or concerns?
  • 6What does a typical day look like in terms of social activities or events that help residents feel connected and part of the community?

Personalized based on this facility's data


Key Review Excerpts

The staff are compassionate, patient, and always willing to help — you can tell they genuinely care about the people they serve.

Family member · 2025★★★★★

My grandmother called this home for a little less than a year, and we couldn’t have been happier. Wonderful administration, clean and homey feeling facility, food was always good.

Grandchild of resident · 2025★★★★★

My grandmother is there for therapy after being in a hospital for over a month .. no complaints really for day time aids .. but the night times aids (some of the aids) don't care my grandmother called 3 different times to be flipped over and all they did was come shut her door and ignore her

Grandchild of rehab patient · 2025☆☆☆☆
Source: 50 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.35hrs
OK
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
7%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.8%
Worse than Avg
Here
34.8%
US
19.4%
MS
21.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
15.4%
MS
22.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
MS
1.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
19.5%
MS
24.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
MS
95.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility16.7%
Mixed vs Avgs
Here
16.7%
US
15.3%
MS
21.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
79.7%
MS
84.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
81.8%
MS
88.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.0%
Worse than Avg
Here
3.0%
US
1.6%
MS
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (6.7)
5 complaint-triggered

Hilltop Manor has a concerning pattern of recurring deficiencies across multiple care areas, with families filing complaint reports about nursing staff levels and residents' rights to safe environments. The facility shows persistent issues with infection control appearing in all three surveys, along with repeated problems in resident care planning, daily living assistance, and maintaining safe, comfortable environments. While all deficiencies have correction dates, the recurring nature suggests ongoing operational challenges.

Mar 30, 2026Complaint
1
0689Minor

Quality of Life and Care Deficiencies

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

Dec 5, 2024Routine
7
0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0584MinorCorrected

Resident Rights Deficiencies

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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0694MinorCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 3, 2023Routine
8
0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0271MinorCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0561MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0688MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 3, 2023Complaint
4
0584ModerateCorrected

Resident Rights Deficiencies

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.

0725ModerateCorrected

Nursing 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.

0585MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

Jan 6, 2022Routine
6
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0584ModerateCorrected

Resident Rights Deficiencies

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hilltop Manor Health and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Consulate Health Care/independence Living Centers/nspire Healthcare/raydiant Health Care

Chain Size

36 facilities nationwide

Chain avg rating: 2.3/5 · Rank 5 of 35

Ownership & Management

Owners

North of Decatur Parentco LLC

Owner · Organization

Msop Holdco LLC

Owner (parent company) · Organization

Neshoba Holdco LLC

Owner (parent company) · Organization

Nu C II Irrevocable Trust

Owner (parent company) · Organization

Nu C Irrevocable Trust

Owner (parent company) · Organization

Snf Care Centers LLC

Owner (parent company) · Organization

Zenith Holdco II LLC

Owner (parent company) · Organization

Zenith Holdco LLC

Owner (parent company) · Organization

Key personnel

Fc Encore Union LLC5% or Greater Security InterestHoback, TiffanyManaging Control - Governing BodySnf Mgr LLCManagerHoback, TiffanyManagerJones, TequillaManager
Source: Medicare provider data

Contact

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References & Resources

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