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Nursing homesTexas › Hilltop Village Nursing and Rehabilitation

Hilltop Village Nursing and Rehabilitation

1400 Hilltop Rd, Kerrville, TX 78028 · 8308953200 · 150 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★★☆☆ 3/5
Staffing★☆☆☆☆ 1/5
Quality measures★★★★☆ 4/5

Ownership group

Per CMS filings, this facility is affiliated with Cross Healthcare Management, a group operating 6 facilities in 1 states. Group record: average rating 2.8/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $73,936 in federal fines. This facility rates below its group average (2.8/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.04 (Texas median: 3.27). RN hours: 0.11. Weekend total: 2.74. Nursing staff turnover: 78%.

Inspection deficiencies

All-time on record: 51 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-08-27Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. EHealthcorrected 2025-09-23
2025-08-27Ensure each resident’s drug regimen must be free from unnecessary drugs. EHealthcorrected 2025-09-23
2025-08-27Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-09-23
2025-08-27Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2025-09-23
2025-08-27Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2025-09-23
2025-08-27Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2025-09-23
2025-08-27Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2025-09-23
2025-08-27Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. DHealthcorrected 2025-09-23
2025-08-27Have policies on smoking. DHealthcorrected 2025-09-23
2025-08-27Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. BHealthcorrected 2025-09-23
2025-06-02Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-06-26
2025-06-02Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-06-26
2025-06-02Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-06-26
2025-06-02Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-06-26
2025-05-02Allow residents to self-administer drugs if determined clinically appropriate. Ecomplaintcorrected 2025-05-26
2025-05-02Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Ecomplaintcorrected 2025-05-26
2025-05-02Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-02-18
2025-05-02Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-05-26
2025-05-02Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-05-26
2025-05-02Provide safe and appropriate respiratory care for a resident when needed. Dcomplaintcorrected 2025-05-26
2024-07-12Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2024-08-09
2024-07-12Provide care and assistance to perform activities of daily living for any resident who is unable. EHealthcorrected 2024-08-09
2024-07-12Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2024-08-09
2024-07-12Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. DHealthcorrected 2024-08-09
2024-07-12Ensure each resident receives an accurate assessment. DHealthcorrected 2024-08-09
2024-07-12Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. DHealthcorrected 2024-08-09
2024-07-12Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Dcomplaintcorrected 2024-08-09
2024-07-12Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. DHealthcorrected 2024-08-09
2024-07-12Provide special eating equipment and utensils for residents who need them and appropriate assistance. DHealthcorrected 2024-08-09
2024-07-12Provide and implement an infection prevention and control program. DHealthcorrected 2024-08-09
2024-07-12Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. BHealthcorrected 2024-08-09
2024-07-01Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Ecomplaintcorrected 2024-07-05
2024-07-01Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2024-07-05
2023-05-27Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. JHealthcorrected 2023-06-06
2023-05-27Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-06-06
2023-05-27Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2023-06-06
2023-05-27Honor the resident's right to organize and participate in resident/family groups in the facility. EHealthcorrected 2023-06-06
2023-05-27Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. EHealthcorrected 2023-06-06
2023-05-27Ensure each resident receives an accurate assessment. EHealthcorrected 2023-06-06
2023-05-27Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2023-06-06

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
APOLINAR, ADAMCorporate OfficerIndividualNOT APPLICABLEsince 05/01/2026
BURNAM, SOONCorporate OfficerIndividualNOT APPLICABLEsince 05/01/2026
KEETCH, CHADCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2011
DELTA RIDGE HEALTHCARE LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 05/01/2026
GARCIA, NATASHAOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2026
LOCKHART, CHRISTOPHEROperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2026

Compare nearby (Kerr County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455628. Corrections: data@carerecords.org.