THE HILLTOP ON MAIN
1015 N MAIN, Meridian, TX 76665
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask THE HILLTOP ON MAIN, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How THE HILLTOP ON MAIN Compares
THE HILLTOP ON MAIN is a 94-bed for-profit nursing facility in Meridian, Texas. It holds an overall CMS rating of 1 out of 5 stars, below the Texas average of 2.6 stars. Its lowest sub-rating is staffing at 1 star. Its rate of long-stay antipsychotic medication use (16.1%) is above the Texas average of 9.6% — a measure worth asking the staff about. With 94 certified beds, it has notable available capacity at roughly 29% occupied.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 16.1% — worse than the Texas average of 9.6% (68% higher).
- Falls with major injury: 1.8% — better than the Texas average of 3.3% (45% lower).
- High-risk pressure ulcers: 3.0% — better than the Texas average of 3.8%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Texas averages across 1177 facilities tracked by ElderVoice.
Questions to Ask THE HILLTOP ON MAIN
Use these facility-specific questions when calling admissions, touring the building, or comparing THE HILLTOP ON MAIN with other nursing homes in Meridian.
How is THE HILLTOP ON MAIN addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is THE HILLTOP ON MAIN doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 16.1% here versus 9.6% across Texas. Lower is generally better for this CMS measure.
What practices help THE HILLTOP ON MAIN keep falls with major injury below the state average?
Falls with major injury is 1.8% here versus 3.3% across Texas. Lower is generally better for this CMS measure.
Why is THE HILLTOP ON MAIN's occupancy below many full facilities?
The facility reports roughly 29% occupancy across 94 certified beds. Lower occupancy can mean availability, but families should ask whether renovations, staffing, reputation, or service mix are factors.
How can a new family connect with existing councils at THE HILLTOP ON MAIN?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at THE HILLTOP ON MAIN?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Meridian
Meridian sits in Bosque County, where adults 65 and older make up about 25.0% of the population — a higher share of seniors than Texas as a whole (12.5% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 4,598 (25.0%)
- Median age
- 46.8 years
- Median household income
- $57,337
- Median home value
- $135,500
Demographics for Bosque County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Meridian.
Facility Details
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