The Hills Nursing & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2004-02-18. 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 (940) 627-2165 or your local Medicaid office to verify current eligibility.

The Hills Nursing & 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 (1★), 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 61.7/100, placing it #11512 of 14703 facilities nationally and #908 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 The Hills Nursing & Rehabilitation receives a reported average of 2 hours 38 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 19 minutes; Licensed Practical Nurse (LPN) — 59 minutes; Nurse Aide — 1 hour 20 minutes. On weekends, total nurse staffing is 2 hours 26 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 48.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $29,325. 7 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 2 fine(s) totaling $29,325, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 310.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Hills Nursing & Rehabilitation ranks 11512th out of 14,703 facilities (composite score: 61.7/100), placing it in the bottom 25% nationwide. Within TX, it ranks 908th out of 1,177 nursing homes. In Decatur, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #13,918 nationally and RN hours rank #12,402 nationally (#733 in TX). Our composite quality score of 61.7/100 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 Decatur, visit: https://nursinghomesnearme.org/texas/decatur/