Home›Texas›Kerr County›HILLTOP VILLAGE NURSING AND REHABILITATION
F
Critical

HILLTOP VILLAGE NURSING AND REHABILITATION

1400 HILLTOP RD · KERRVILLE, TX 78028

8308953200 · For profit - Limited Liability company

150 beds104.9 residents299 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HILLTOP VILLAGE NURSING AND REHABILITATION receives an overall staffing grade of F (Critical). With 3.0644 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.152 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.06% compared to weekdays. The facility relies heavily on temporary agency staff (35.85% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0644 HPRD — needs 0.42 more hours per resident per day.
⚠️RN staffing (0.152 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️35.85% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0644hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.152hrs/resident/day▼ 0.53
Recommended: 0.75
Weekend Drop-off
17.06%
3.2196 weekday → 2.6704 weekend
Agency Staff
35.85%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6552hrs/resident/day
Direct care aides
LPN HPRD
0.9319hrs/resident/day
Licensed practical nurses
Consistency
0.2775std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Kerr County Average-0.21 HPRD
3.27
03.06 HPRD
vs. Texas State Average-0.34 HPRD
3.40
03.06 HPRD
vs. National Average-0.83 HPRD
3.90
03.06 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HILLTOP VILLAGE NURSING AND REHABILITATION ★
KERRVILLE · This facility
—
F
3.06440.152★☆☆☆☆
Arbor View Nursing & Rehabilitation
KERRVILLE
2.7 mi
D
3.62990.2737★☆☆☆☆
Avir at Enchanted Rock
FREDERICKSBURG
20.9 mi
D
3.09580.3871★☆☆☆☆
KNOPP HEALTHCARE AND REHAB CENTER INC
FREDERICKSBURG
22.7 mi
C
3.11750.5038★★★★☆
Town and Country Nursing and Rehabilitation Center
Boerne
31.7 mi
C
3.20030.4913★☆☆☆☆
COMMUNITY CARE CENTER OF HONDO
HONDO
49.8 mi
B
3.66260.7127★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
53
Total Deficiencies
$0
Fines Assessed
Aug 27, 2025Health
10 deficiencies cited
▼
Jun 2, 2025Health
4 deficiencies cited
▼
May 2, 2025Health
6 deficiencies cited
▼
Jul 12, 2024Health
11 deficiencies cited
▼
Jul 1, 2024Health
2 deficiencies cited
▼
May 27, 2023Health
18 deficiencies cited· Includes actual harm
▼
Mar 24, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.