Hilltop Village Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 118 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (20 vs median 8.0)
- High staff turnover (80%)
- High RN turnover (80%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in CROSS HEALTHCARE MANAGEMENT chain · No penalties on record · Abuse citation
What this means for your family
This facility is an excellent choice for rehabilitation, with multiple families praising the therapy team and the quality of the food. While recent management has significantly improved communication, you should still verify that the specific nursing wing you are interested in maintains high standards during overnight shifts.
Google Reviews
Google Reviews
118 reviews on Google“Families considering Hilltop Village can expect high-quality rehabilitation services and a staff that many reviewers describe as treating residents like family. While the facility is widely praised for its cleanliness and excellent therapy team, some families have reported concerns regarding communication responsiveness and inconsistent care from overnight staff.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional rehabilitation and physical therapy team
- Warm, family-like atmosphere and attentive nursing
- Clean and well-maintained facility
- High-quality, nutritious dining options
Concerns
- Inconsistent communication and difficulty reaching staff via phone (mentioned by 3 reviewers)
- Variable quality of care during late afternoon and overnight shifts
Rating Trends
Tap a year to see what changed
Distribution · 123 analyzed
How They Respond to Reviews
The owner uses highly templated, repetitive responses that vary only by the reviewer's name. While they do attempt to provide a contact number for negative feedback, the language remains formulaic and lacks genuine empathy or specific engagement with the details of the complaints.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy team here; could you tell us more about how the rehab program works for new residents?
- 2Since we want to stay closely connected, what is the best way for us to reach the nursing staff or get updates during the evening and overnight hours?
- 3We've noticed how much the staff seems to value resident care in your responses to families; how do you ensure that same level of attention is consistent across all shifts?
- 4What kind of daily activities or social outings are available to help residents stay engaged with the community?
- 5In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating care?
- 6The dining options look great in the photos; could you tell us a bit more about how much input residents have regarding their daily meals?
Personalized based on this facility's data
Key Review Excerpts
“The staff members are exceptionally friendly, attentive, and professional, creating a warm atmosphere that truly feels like home.”
“My Step-Grandmother was a resident at Hilltop for a long time and she was so well taken care of. Even at her last days she was treated respectfully and with dignity, and not just her but all of her family as well.”
“The food is always top notch and the Director of Food & Nutrition, Laura truly cares about her residents and every meal that comes out of their kitchen.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of deficiencies with 15 complaint-triggered violations, indicating families have reported problems. The most recurring issues involve resident rights violations, safety and accident prevention failures, and medication management problems. Particularly troubling are repeated deficiencies in protecting residents from abuse and neglect that persist across multiple surveys, suggesting ongoing care quality concerns that families should investigate thoroughly before considering placement.
Aug 27, 2025Routine11
Pharmacy Service Deficiencies
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 Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
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 Deficiencies
Have policies on smoking.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jun 2, 2025Complaint4
Resident Rights Deficiencies
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 Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 2, 2025Complaint6
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jul 12, 2024Routine11
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary Deficiencies
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 Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jul 12, 2024Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Jul 1, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
HILLTOP OPCO LLC
NATASHA GARCIA
Chain Affiliation
Cross Healthcare Management
6 facilities nationwide
Chain avg rating: 3.0/5 · Rank 6 of 6 (Worst)
Ownership & Management
Owners
Uvalde County Hospital Authority
Owner · Organization
Martin, Christopher
Owner
Rankin, Derek
Owner
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
118 reviews from families & visitors
Official Website
Visit hilltopvillagehc.com
Medicare data downloads
Original nursing home datasets
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