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Hilltop Village

Nursing Home Facility

1400 Hilltop Cr, Kerrville, TX 78028

Nursing Home Care Senior Living

Hilltop Village is a senior care community located in Kerrville, TX. It provides nursing home care and senior living for older adults in the Kerrville area. To learn more or schedule a tour, call (830) 895-3200.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

With 150 beds, Hilltop Village is one of the larger communities in the area, senior care communities in Kerrville average about 74 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.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 10 deficiencies.

Residents receive about 3.0 hours of nursing care per day on average, including 0.1 hours from a registered nurse. Nursing staff turnover over the past year was about 78%, which is high and can affect continuity of care.

The community is located in Kerr County, TX.

Medicare five-star ratings

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

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 51 problems at Hilltop Village. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 13 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern 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.

    Inspected August 2025. Corrected by September 23, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected August 2025. Corrected by September 23, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025. Corrected by September 23, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected August 2025. Corrected by September 23, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected August 2025. Corrected by September 23, 2025.

  • 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.

    Inspected August 2025. Corrected by September 23, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected August 2025. Corrected by September 23, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure 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.

    Inspected August 2025. Corrected by September 23, 2025.

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  • Could cause more than minimal harm, one or a few residents Environmental

    Have policies on smoking.

    Inspected August 2025. Corrected by September 23, 2025.

  • Minimal harm or the potential for it, a pattern Environmental

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Inspected August 2025. Corrected by September 23, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Hilltop Village offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 150
  • Nursing hours per resident/day 3.0
  • Annual staff turnover 78%
  • Last health inspection August 2025

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