61.4/100
Average
1400 Hilltop Rd, Kerrville, TX 78028
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Nursing staff turnover of 78%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 27, 2025 (11 months ago).
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.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Part of CROSS HEALTHCARE MANAGEMENT, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| APOLINAR, ADAM | Individual | CORPORATE OFFICER | — |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — |
| DELTA RIDGE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| GARCIA, NATASHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LOCKHART, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DELTA RIDGE HEALTHCARE LLC | Organization | ADP OF THE SNF | — |
| ENSIGN SERVICES, INC. | Organization | ADP OF THE SNF | — |
| HILLTOP ROAD HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | — |
| STANDARD BEARER HEALTHCARE OP LP | Organization | ADP OF THE SNF | — |
| THE ENSIGN GROUP, INC. | Organization | ADP OF THE SNF | — |
| GARCIA, NATASHA | Individual | ADP OF THE SNF | — |
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Hilltop Village Nursing And Rehabilitation holds an ElderGrade of C (61.4 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.04 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 51 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Hilltop Village Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.