The Hills Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 73 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (9 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $29,325 in fines
What this means for your family
The facility's highly skilled rehab team and clean environment make it a strong candidate for post-surgical recovery. However, families should closely monitor medical communications and verify billing practices, as multiple recent reviews highlight significant issues with administrative responsiveness and nursing attentiveness.
Google Reviews
Google Reviews
73 reviews analyzed“Families considering The Hills can expect a highly compassionate nursing and rehab team that many reviewers describe as treating residents like family. While the facility is frequently praised for its cleanliness and effective physical therapy, there are serious, recurring concerns regarding administrative billing issues and occasional lapses in attentive nursing care.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and dedicated nursing staff
- Effective and professional rehabilitation/therapy team
- Clean and well-maintained facility
- Welcoming, home-like atmosphere
Concerns
- Administrative and billing disputes (mentioned by 2 reviewers)
- Inconsistent responsiveness to medical changes (mentioned by 2 reviewers)
- Food quality and temperature consistency (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that this level of care remains consistent across all shifts?
- 2Could you tell us more about your process for communicating updates to families when there is a change in a resident's medical condition or medication?
- 3What steps are being taken to ensure that meals are served at the ideal temperature and that the dining experience is enjoyable for everyone?
- 4How does the therapy team work with residents to help them reach their specific rehabilitation goals during their stay?
- 5What kind of daily activities or social events are planned to help residents engage with one another and enjoy the home-like atmosphere?
- 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The nursing team here is beyond kind and helpful. Mom was treated with kindness and respect. My husband and I just adore the people who worked here.”
“I told the nursing she was not ok for a week. Ended up being a severe UTI and turned septic due to them not caring for her in a timely manor.”
“The Hills Nursing and Rehab make you feel like you are coming home. The staff are wonderful and the Administrator and Nursing Administration make you feel like you are part of the family.”
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
8
measures
4
measures
5
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
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 concerning patterns with 10 complaint-triggered deficiencies indicating families have filed reports about problems including medication management, care planning, and safety hazards. Recent complaints in 2025 involved medication errors, inadequate care planning, and abuse prevention failures. While the facility corrects most issues when cited, the recurring nature of problems across medication management, resident safety, and care planning suggests ongoing quality concerns that warrant careful consideration during your visit.
Feb 26, 2026Routine13
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 17, 2025Complaint1
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.
Apr 30, 2025Complaint2
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 14, 2025Complaint3
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Feb 19, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nov 20, 2024Routine7
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Apr 30, 2025
$15,151
Fine
Mar 14, 2025
$14,174
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
DECATUR I ENTERPRISES, LLC
ANDRIA HAMMERS
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 135 of 148 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
73 reviews from families & visitors
Official Website
Visit hillsnursing.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.