The Hilltop on Main
Nursing Home · Meridian, TX
CMS certification number675518
Contact & location
1015 N MainMeridian, TX 76665
Bosque County
- Phone
- (254) 435-2357
- ZIP code
- 76665 – all care providers
Facility details
- Certified beds
- 94
- Residents per day
- 27.4 (29% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- MSL Meridian
- Medicare certified since
- August 1, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.83 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.16 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.05 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.61 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.41 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 50.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 83.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 3, 2026
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 15 health · 5 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-03 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2026-03-03 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2026-03-03 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2026-03-03 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2026-03-03 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2026-03-03 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2025-01-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-27 |
| 2025-01-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-27 |
| 2024-03-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-03-27 |
| 2024-03-26 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-03-27 |
| 2024-03-26 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-03-27 |
| 2024-03-26 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-27 |
| 2023-12-07 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-30 |
| 2023-12-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-30 |
| 2023-11-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $29,243 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-26 | Fine | $29,243 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| MSL Meridian (organization) | 5%+ Direct Ownership Interest · 100% | |
| Kamara, Kadijatu (individual) | Administrator · NOT APPLICABLE | |
| Strong, Christopher (individual) | Administrator · NOT APPLICABLE | |
| Issac, Troy (individual) | Corporate Officer · NOT APPLICABLE | |
| Kamara, Kadijatu (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Strong, Christopher (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Hilltop on Main?
The Hilltop on Main has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does The Hilltop on Main have?
It has 94 certified beds and cares for about 27 residents per day.
Has The Hilltop on Main been fined?
Yes. CMS lists 1 penalty totaling $29,243 in the last three years.
What is the phone number of The Hilltop on Main?
(254) 435-2357. The facility is located at 1015 N Main, Meridian, TX 76665.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.