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Nursing HomeMedicaid Investigative

Hilltop Village Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1400 Hilltop Rd, Kerrville, TX 78028150 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 118 Google reviews

5
4
3
2
1
Hilltop Village Nursing and Rehabilitation Nursing Home in Kerrville, TX — Street View
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8/ 10
critical Risk

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

Source: Medicare data

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 details
Food9.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • 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

234'16(2)'18(6)'20(1)'22(2)'24(3)'26(14)

Distribution · 123 analyzed

5
106
4
5
3
1
2
0
1
11
32 reviews posted between Apr 1, 2025Apr 4, 2025 · 31 were 5-star
15 reviews posted between May 15, 2025May 16, 2025 · 15 were 5-star
13 reviews posted between Apr 7, 2025Apr 11, 2025 · 12 were 5-star

How They Respond to Reviews

0%response rate
Generic

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.

Long-term resident's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★
Source: 118 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.10hrs
13%
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined
Staff Turnover
77%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
14.4%
TX
16.1%
Kerr
21.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
TX
2.5%
Kerr
3.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
15.3%
TX
14.9%
Kerr
19.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.1%
Mixed vs Avgs
Here
7.1%
US
15.4%
TX
9.4%
Kerr
4.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Kerr
94.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.1%
Worse than Avg
Here
20.1%
US
19.4%
TX
14.2%
Kerr
16.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
TX
89.2%
Kerr
88.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
79.7%
TX
88.0%
Kerr
80.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Kerr
4.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
Well above state avg (9.1)
13 complaint-triggered

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, 2025Routine
11
0756Potential for harm · PatternCorrected

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.

0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0803Potential for harm · IsolatedCorrected

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.

0926Potential for harm · IsolatedCorrected

Environmental Deficiencies

Have policies on smoking.

0912Minimal · PatternCorrected

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, 2025Complaint
4
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

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, 2025Complaint
6
0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0600Potential for harm · IsolatedResolved (past non-compliance)

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 12, 2024Routine
11
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0808Potential for harm · IsolatedCorrected

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.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0912Minimal · PatternCorrected

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, 2024Complaint
1
0806Potential for harm · IsolatedCorrected

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, 2024Complaint
2
0600Potential for harm · PatternCorrected

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

HILLTOP OPCO LLC

Administrator

NATASHA GARCIA

Chain Affiliation

Chain Name

Cross Healthcare Management

Chain Size

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

Dorado, CrystalOfficer / DirectorApolinar, AdamOfficer / DirectorContreras, TerriOfficer / DirectorHilltop Opco LLCManagerGarcia, NatashaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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