Arcadia Rehabilitation and Nursing Center
Nursing Home Facility
300 Happy Ln, Hillsboro, TX 76645
Arcadia Rehabilitation and Nursing Center is a senior care community located in Hillsboro, TX. It provides nursing home care, in-home care, and senior living for older adults in the Hillsboro area. To learn more or schedule a tour, call (254) 582-8482.
With 138 beds, Arcadia Rehabilitation and Nursing Center is one of the larger communities in the area, senior care communities in Hill County average about 81 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 32% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Hill County average of roughly 61%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Hill County average about 2.0 stars. Its most recent standard health inspection was in September 2025 and recorded 12 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 62%, which is high and can affect continuity of care.
The community is located in Hill County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 30 problems at Arcadia Rehabilitation and Nursing Center. 5 findings involved harm to a resident, including 4 that put residents in immediate danger. 9 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $52,089. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Assess the resident when there is a significant change in condition
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Show 4 more
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Arcadia Rehabilitation and Nursing Center offers nursing home care, in-home care, and senior living.
Facility details
- Organization type Non profit - Church related
- Beds / units 138
- Religious affiliation Church Based
- Occupancy 32%
- Nursing hours per resident/day 3.1
- Annual staff turnover 62%
- Last health inspection September 2025
Resident & family reviews
No one has shared a review of Arcadia Rehabilitation and Nursing Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.