Nursing HomeInspections

The Hills Nursing & Rehabilitation

Nursing home in Decatur, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (940) 627-2165Send a messageMap ↗

Public-record details

Address
201 East Thompson Street, Decatur, TX 76234
Phone
(940) 627-2165
Listed under
For-profit
Medicare CCN
676004
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
110
Average residents per day
69
Ownership
For-profit, limited Liability company
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 18, 2004
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676004. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 26, 2026. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to Feb 26, 2026): 8 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 26, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Feb 26, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jul 17, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Mar 14, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		K
Immediate jeopardy, pattern
Mar 14, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Mar 14, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		K
Immediate jeopardy, pattern
Feb 19, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 20, 2024Honor 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
Nov 20, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 18. 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 2 fines totalling $29,325 in the last three years.

Apr 30, 2025Fine: $15,151
Mar 14, 2025Fine: $14,174

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
2.74 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
1.37 hours
Total nurse staffing on weekends
2.33 hours
Nursing staff turnover (yearly)
93%
Administrators who left in the past year
2

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.

Other nursing homes in Decatur

Heritage Place of Decatur605 W Mulberry St · Decatur, TX 76234 · (940) 627-5444 · For-profit13 health citations in 3 inspection cycles · last standard inspection Nov 21, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Decatur Medical Lodge701 W Bennett Rd · Decatur, TX 76234 · (940) 626-2800 · For-profit29 health citations in 3 inspection cycles · last standard inspection Apr 28, 2026 · $14,518 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

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