THE HILLS NURSING & REHABILITATION
201 E THOMPSON ST, DECATUR, TX 76234 · CCN 676004
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 110
- Avg residents/day
- 64.3
- Phone
- 9406272165
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-20 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2023-09-28 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2022-07-19 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.63 | 48.9% |
| RN staffing (reported) | 0.32 | 42.9% |
| Total nurse staffing (adjusted) | 3.03 | — |
Fines & penalties
- Total fines
- $29,325
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (19)4 immediate jeopardy
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-17 · Health · corrected 2025-07-24
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-04-07
Immediate jeopardy
- KF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-14 · Health · corrected 2025-03-15
Immediate jeopardy
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-14 · Health · corrected 2025-03-15
Immediate jeopardy
- KF0760Ensure that residents are free from significant medication errors.2025-03-14 · Health · corrected 2025-03-15
Immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-19 · Health · corrected 2025-02-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-20 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-20 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-20 · Health · corrected 2024-11-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-20 · Health · corrected 2024-11-22
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-28 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-09-28 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-28 · Health · corrected 2023-09-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-09-29
Potential for more than minimal harm
- FF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-05-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-07-19 · Health · corrected 2022-07-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-19 · Health · corrected 2022-07-20
Potential for more than minimal harm
- EF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2022-07-19 · Health · corrected 2022-08-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-06-01 |
| DECATUR I ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-01 |
| MAK, DAVID | Individual | CORPORATE OFFICER | — | 2021-05-17 |
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE | — | 2022-06-01 |
Other facilities in DECATUR
| Name | Overall | Beds |
|---|---|---|
| HERITAGE PLACE OF DECATUR | ★★★★☆ | 60 |
| DECATUR MEDICAL LODGE | ★★★☆☆ | 124 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.