Nursing HomeInspections

Hilltop Village Nursing and Rehabilitation

Nursing home in Kerrville, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (830) 895-3200Send a messageMap ↗

Public-record details

Address
1400 Hilltop Rd, Kerrville, TX 78028
Phone
(830) 895-3200
Listed under
For-profit, No fines in 3 years
Medicare CCN
455628
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
150
Average residents per day
108
Ownership
For-profit, limited Liability company
Legal business name
Uvalde County Hospital Authority
Chain
Cross Healthcare Management (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 3, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 455628. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 27, 2025. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 27, 2023 to Aug 27, 2025): 13 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 27, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Aug 27, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure 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.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 27, 2025Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Aug 27, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Aug 27, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jun 2, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 2, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 51. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.04 hours
Registered nurse (RN) time per resident per day
0.11 hours
Nurse aide time per resident per day
2.03 hours
Total nurse staffing on weekends
2.74 hours
Nursing staff turnover (yearly)
78%
RN turnover (yearly)
80%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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Arbor View Nursing & Rehabilitation1213 Water St · Kerrville, TX 78028 · (830) 896-2411 · For-profit77 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $154,617 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse iconAvir at Kerrville1555 Bandera Hwy · Kerrville, TX 78028 · (830) 412-2366 · For-profit67 health citations in 3 inspection cycles · last standard inspection Jun 27, 2025 · $20,467 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)River Hills Health and Rehabilitation Center2091 Bandera Hwy · Kerrville, TX 78028 · (830) 257-9900 · For-profit57 health citations in 3 inspection cycles · last standard inspection Jun 13, 2025 · $112,133 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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