HILLTOP VILLAGE NURSING AND REHABILITATION – KERRVILLE, TX

CMS Verified | 2026-03-01

Hilltop Village Nursing And Rehabilitation

1400 HILLTOP RD, Kerrville, TX 78028
(830) 895-3200
150 beds
All Kerrville facilities
1.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
63.39
Score /100
#10925
National Rank

#10925
of 14703 facilities
National
25.7% position
#856
of 1177 in TX
State Rank
#3
of 4 in Kerr
County Rank
#3
of 4 in Kerrville
City Rank
#3
of 4 in ZIP 78028
ZIP Rank






About Hilltop Village Nursing And RehabilitationHilltop Village Nursing And Rehabilitation is located at 1400 Hilltop Rd, Kerrville, TX, reachable at (830) 895-3200. This For profit – Limited Liability company facility operates 150.0 certified beds and serves an average of 104 residents per day. It is part of the Cross Healthcare Management network (6 facilities nationwide). Medicare and Medicaid services have been provided since 1986-02-03. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Hilltop Village Nursing And Rehabilitation

Address

1400 Hilltop Rd, Kerrville, TX 78028

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 150 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Automatic Sprinklers: Yes
  • Network: CROSS HEALTHCARE MANAGEMENT

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 16 fine(s) over 5 years
5-Year Trend
Declining over 5 years
63.39
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10925 of 14703 nationally – #856 of 1177 in Texas

Who Is This Facility Best For?

Hilltop Village Nursing And Rehabilitation may be considered for families with limited options in Kerrville, TX, but its lower CMS ratings suggest careful due diligence is warranted. It scores well for both long-term residents and short-stay rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

4 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHilltop Village Nursing And Rehabilitation currently provides 3 hours 4 minutes of total nurse staffing per resident per day, including 9 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 80.2%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 4 minutes
Nurse Aide Hours1 hour 59 minutes
Licensed Practical Nurse (LPN) Hours56 minutes
Registered Nurse (RN) Hours9 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 40 minutes
Weekend Registered Nurse (RN) Hours6 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Hilltop Village Nursing And Rehabilitation with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. The facility has received 16 fine(s) over the 5-year period, totaling $81,849. 17 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record Y
Total Weighted Health Survey Score 89.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,925
of 14,703
National
Bottom 26%
#856
TX State
Bottom 27% in TX
#3
of 4
️ Kerr County
#3 of 4
#3
of 4
️ Kerrville
#3 of 4
#3
of 4
ZIP 78028
#3 of 4

Nationally, Hilltop Village Nursing And Rehabilitation ranks 10925th out of 14,703 facilities (composite score: 63.4/100), placing it in the below average nationwide. Within TX, it ranks 856th out of 1,177 nursing homes. In Kerrville, it ranks 3rd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 4. For 2026 staffing: total nurse hours rank #12,849 nationally and RN hours rank #14,028 nationally (#1087 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.41 #13,642 / 14,703 #1,068 / 1,177 ⚠️ Bottom 10%
2023 2.55 #13,572 / 14,703 #1,043 / 1,177 ⚠️ Bottom 10%
2024 3.03 #12,326 / 14,703 #736 / 1,177 ⚠️ Bottom 25%
2025 2.90 #13,343 / 14,703 #941 / 1,177 ⚠️ Bottom 10%
2026 3.06 #12,849 / 14,703 #838 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.35 #11,733 / 14,703 #561 / 1,177 ⚠️ Bottom 25%
2023 0.35 #11,292 / 14,703 #479 / 1,177 ⚠️ Bottom 25%
2024 0.40 #10,459 / 14,703 #369 / 1,177 Below average
2025 0.17 #14,020 / 14,703 #1,072 / 1,177 ⚠️ Bottom 5%
2026 0.15 #14,028 / 14,703 #1,087 / 1,177 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Hilltop Village Nursing And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1986-02-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 895-3200 or your local Medicaid office to verify current eligibility.

Hilltop Village Nursing And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 63.4/100, placing it #10925 of 14703 facilities nationally and #856 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Hilltop Village Nursing And Rehabilitation receives a reported average of 3 hours 4 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 9 minutes; Licensed Practical Nurse (LPN) — 56 minutes; Nurse Aide — 1 hour 59 minutes. On weekends, total nurse staffing is 2 hours 40 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 80.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Hilltop Village Nursing And Rehabilitation with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. The facility has received 16 fine(s) over the 5-year period, totaling $81,849. 17 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 89.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Hilltop Village Nursing And Rehabilitation ranks 10925th out of 14,703 facilities (composite score: 63.4/100), placing it in the below average nationwide. Within TX, it ranks 856th out of 1,177 nursing homes. In Kerrville, it ranks 3rd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 4. For 2026 staffing: total nurse hours rank #12,849 nationally and RN hours rank #14,028 nationally (#1087 in TX). Our composite quality score of 63.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Kerrville, visit: https://nursinghomesnearme.org/texas/kerrville/

Contact and Location

ADR
Address

1400 HILLTOP RD, Kerrville, TX 78028
Get directions on Google Maps

TEL
LLC
Legal Name

UVALDE COUNTY HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Kerr County ·
Kerrville ·
ZIP 78028

Facility Details

Number of Certified Beds 150
Average Residents / Day 104 (70% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Kerr County, TX
City Kerrville, TX
ZIP Code 78028
Approved Since February 3, 1986
Resident Council nan
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 455628
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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