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C

67/100

Average

Hilltop Village Nursing And Rehabilitation

1400 Hilltop Rd, Kerrville, TX 78028

CMS 2/5 stars #1 of 4 in Kerr County (830) 895-3200
Certified beds
150
Occupancy
72%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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.

  • Nursing staff turnover of 78%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Hilltop Village Nursing And Rehabilitation

Hilltop Village runs 150 certified beds in Kerrville under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop about 10% below its own weekday coverage, and annual turnover hits 78.3%, well above the 45.8% national figure, which means the people providing that already-thin care are cycling out fast. Its inspection history includes 51 deficiencies, one at the harm level and five abuse-related, and staff turnover at that rate makes it harder to fix problems and keep them fixed even after a recent August 2025 inspection.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing13/30Stability2/15Outcomes12/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.33 total nurse hours per resident per day (national median 3.77)
  • →0.11 RN hours per resident per day
  • →Weekend staffing drops 10% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →78% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.04 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.11 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.74 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover78.30%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: August 27, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of CROSS HEALTHCARE MANAGEMENT, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Hilltop Village Nursing And Rehabilitation

What is the ElderGrade for Hilltop Village Nursing And Rehabilitation? +

Hilltop Village Nursing And Rehabilitation holds an ElderGrade of C (67 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.

How many nursing hours does each resident get at Hilltop Village Nursing And Rehabilitation? +

Residents receive an average of 3.04 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hilltop Village Nursing And Rehabilitation been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Hilltop Village Nursing And Rehabilitation accept Medicaid? +

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.