220 Harper L L C
State licensed220 Harper Rd, Kerrville, TX 78028
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Hilltop Village Nursing and Rehabilitation
Kerrville, TexasMedicare inspection record
About Hilltop Village Nursing and Rehabilitation
HILLTOP VILLAGE NURSING AND REHABILITATION is a for profit - limited liability company nursing home in KERRVILLE, TX with 150 certified beds.
Community at a glance
Capacity
150 residents
Location
Kerrville, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1400 HILLTOP RD, Kerrville, Texas 78028
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 27, 2025, state inspectors cited 10 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 2 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare has not fined Hilltop Village Nursing and Rehabilitation in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 2 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 7 minutesBelow the Texas average |
| Nursing staff who left in the past year | 78%Above the Texas average |
Inspections
33 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
August 27, 2025 · Standard inspection · 10 citations
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 23, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 23, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 23, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 23, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 23, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 23, 2025Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Sep 23, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 23, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 23, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalCorrected Sep 23, 2025
June 2, 2025 · Complaint investigation · 4 citations
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 26, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 26, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 26, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 26, 2025
May 2, 2025 · Complaint investigation · 6 citations+
Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected May 26, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 26, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 26, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 26, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Feb 18, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 26, 2025
July 12, 2024 · Standard inspection · 11 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 9, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 9, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 9, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 9, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 9, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Aug 9, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Aug 9, 2024Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Aug 9, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 9, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 9, 2024Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalCorrected Aug 9, 2024
July 1, 2024 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 5, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 5, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Uvalde County Hospital Authority
- Medicare-certified beds
- 150
- Average residents per day
- 108
- Accepts
- Medicare and Medicaid
- First certified
- February 3, 1986
- Part of a chain
- Cross Healthcare Management, 6 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455628
Location
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1400 HILLTOP RDKerrville, TX 78028
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Questions about Hilltop Village Nursing and Rehabilitation
How did Hilltop Village Nursing and Rehabilitation do on its last inspection?+
State inspectors visited on August 27, 2025 and cited 10 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at Hilltop Village Nursing and Rehabilitation?+
Nurses and aides spend 3 hours 2 minutes with each resident per day, including 7 minutes from registered nurses. 78% of nursing staff left over the past year.
Has Hilltop Village Nursing and Rehabilitation been fined by Medicare?+
Medicare's records show no fines against Hilltop Village Nursing and Rehabilitation in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.