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Medicare-certifiedSkilled Nursing

The Hills Nursing & Rehabilitation

(940) 627-2165

About The Hills Nursing & Rehabilitation

THE HILLS NURSING & REHABILITATION is a for profit - limited liability company nursing home in DECATUR, TX with 110 certified beds.

Community at a glance

Capacity

110 residents

Location

Decatur, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

201 E THOMPSON ST, Decatur, Texas 76234

(940) 627-2165

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 February 26, 2026, state inspectors cited 6 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 2 hours 44 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined The Hills Nursing & Rehabilitation 3 times in the last three years, $54,815 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 44 minutesBelow the Texas average
Registered nurse time per resident, per day21 minutesBelow the Texas average
Nursing staff who left in the past year93%Above the Texas average

2 administrators have left the home in the past year.

Inspections

16 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 23, 2026 · Complaint investigation · 2 citations

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintAlready fixed before the inspection
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed before the inspection

February 26, 2026 · Standard inspection · 4 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 17, 2026
  • Provide 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 Mar 17, 2026
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 17, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 17, 2026
July 17, 2025 · Complaint investigation · 1 citation+
  • 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 24, 2025
April 30, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintAlready fixed by Apr 7, 2025
March 14, 2025 · Complaint investigation · 3 citations+
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a pattern (level K)Pharmacy ServiceFrom a complaintCorrected Mar 15, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Mar 15, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Immediate danger to residents, a pattern (level K)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 15, 2025
February 19, 2025 · Complaint investigation · 1 citation+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 20, 2025
November 20, 2024 · Standard inspection · 4 citations+
  • Procure 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 Nov 22, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 22, 2024
  • 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 few residents (level D)Pharmacy ServiceFrom a complaintCorrected Nov 22, 2024
  • 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 few residents (level D)Resident RightsCorrected Nov 22, 2024

Fines and payment denials

3 fines totaling $54,815 in the last three years.

  • July 23, 2026Fine: $25,490
  • April 30, 2025Fine: $15,151
  • March 14, 2025Fine: $14,174

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
West Wharton County Hospital District
Medicare-certified beds
110
Average residents per day
69
Accepts
Medicare and Medicaid
First certified
February 18, 2004
Part of a chain
Creative Solutions in Healthcare, 149 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676004

Location

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201 E THOMPSON STDecatur, TX 76234

6 other communities within 10 miles

Senior living near Decatur

Questions about The Hills Nursing & Rehabilitation

How did The Hills Nursing & Rehabilitation do on its last inspection?+

State inspectors visited on February 26, 2026 and cited 6 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at The Hills Nursing & Rehabilitation?+

Nurses and aides spend 2 hours 44 minutes with each resident per day, including 21 minutes from registered nurses. 93% of nursing staff left over the past year.

Has The Hills Nursing & Rehabilitation been fined by Medicare?+

Yes. Medicare fined The Hills Nursing & Rehabilitation 3 times in the last three years, totaling $54,815.

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.

Senior living in Decatur Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026