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Hillside Heights Rehabilitation Suites

6650 South Soncy Road, Amarillo, TX 79119 · Randall County · (806) 457-6700

120 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675498 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 29, 2026, inspectors cited 10 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 30 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $14,901 in the last three years; the largest was $14,901, and the latest is dated April 25, 2025.

Nurses and nurse aides worked 3.09 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

56.5% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Fundamental Healthcare, an affiliated group of 66 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 30 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
23D
5E
1F
Potential for minimal harm
0A
0B
0C
June 4, 2026Complaint inspection · 1 citation
  1. D
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteBased on interview and record review the facility failed to provide training to their staff that at a minimum educates staff on activities that constitute abuse, neglect, exploitation, and misappropriation of resident property and procedures for reporting incidents of abuse, neglect, exploitation, or the misappropriation of resident property for 1 (CNA A) of 5 employees reviewed for staff training. The facility failed to ensure required Abuse and Neglect training was verified or provided prior to CNA A providing resident care on [DATE]. This failure could place residents at risk of injury or harm due to being cared for by untrained staff.
April 29, 2026Standard inspection, Complaint inspection · 10 citations
  1. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure the resident has the right to be free from abuse, neglect, misappropriation of resident property, for 6 residents (Resident #1, Resident #5, Resident #15, Resident #17, Resident #22, and Resident #41) of 83 residents reviewed for abuse and neglect. The facility failed to ensure Resident #1, Resident #5, Resident #15, Resident #17, Resident #22, and Resident #41 were not neglected during the 06:00 PM to 06:00 AM shift beginning on 04/19/26. The facility failed to ensure Resident #1 was not lying in a bed covered in feces. The facility failed to ensure Resident #5 was not lying in a bed soaked in urine. The facility failed to ensure Resident #15 was not lying asleep on a couch in just a soaked brief and t-shirt and later on a soaked couch in just a brief. [...]
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure freezer items were properly stored, labeled, and dated.2. The facility failed to ensure pantry foods were properly stored, labeled, and dated.3. The facility failed to ensure opened foods were discarded according to their policy. These failures could place residents who ate food served by the kitchen at risk of food-borne illness.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 (Resident #15) of 21 residents reviewed for resident rights. The facility failed to ensure Resident #15 was not sleeping on a couch in view of the hallway in a t-shirt and brief and later in just the t-shirt the night of 04/19/2026. This failure could place residents at risk of lack of personal privacy and dignity. [...]
  4. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure all residents had the right to formulate an advanced directive for 2 of 21 residents (Resident #15, Resident #103) reviewed for advanced directives. The facility failed to ensure the OOH-DNR for Resident #15 included a date by the physician signature. The facility failed to ensure the physician signed Resident #103's OOH-DNR in the required spaces. This failure could place residents at risk of not having an accurate advanced directive such as a DNR (Do Not Resuscitate), recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care and not receiving healthcare as per their or their legal representatives wishes. Findings Included: [...]
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and Adult Protective Services where state law provides jurisdiction) in accordance with State law through established procedures for 1 (Resident #9) of 21 residents reviewed for reporting of alleged violations. The facility failed to report to the State within 2 hours when Resident #9 was allegedly abused by a staff member. This failure could place residents at risk of ongoing abuse.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that an assessment accurately reflected a resident's status for 1 (Resident #9) of 21 residents reviewed for accuracy of assessments. The facility failed to accurately assess Resident #9 for the use of a restraint on the MDS assessment. This failure could place residents at risk for inaccurate and incomplete MDS assessments, which could result in residents not receiving appropriate care and services.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to based on the comprehensive assessment of a resident, ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #22) of 21 residents reviewed for quality of care. The facility failed to follow their fall management policy and assess Resident #22 after she reported falling on the night of 04/19/26. The facility failed to follow their on-call policy and provide support and staffing for the provision of quality resident care on the night of 04/19/26. These failures could place residents at risk of harm due to untreated/unrecognized injuries. [...]
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure that the resident environment remained as free from accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #83) of 21 residents reviewed for accident hazards. The facility failed to ensure Resident #83 did not fall from the Hoyer lift on 01/10/2026. This failure could place residents at risk for serious physical injury, including fractures, head trauma, or internal bleeding resulting from falls. [...]
  9. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure that nurse aides are able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 (Resident #83) of 21 residents reviewed for staff competency. The facility failed to train nurse aides on use of Hoyer lifts. This failure could place residents at risk of injury or harm. [...]
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #68) of 5 residents reviewed for infection control. -RN F did not follow EBP precautions when administering medications via Resident #68's PEG tube. This failure could place residents at risk for the spread of infections, tissue breakdown, and feelings of isolation related to poor hygiene.
April 25, 2025Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident received adequate supervision to prevent accidents for 1 of 1 Residents (Resident #1) reviewed for Accidents and Hazards. On 04/05/2025, the facility failed to secure the van lift strap to Resident #1's wheelchair while in use which resulted in Resident #1 rolling off backwards when the lift was suspended in the air and caused Resident #1 to be hospitalized in the Intensive Care Unit with multiple fractures on his spine. The noncompliance was identified as PNC. The IJ began on 04/05/2025 and ended on 04/07/2025. The facility had corrected the noncompliance before the survey began. This deficient practice could place residents at-risk of harm, serious injury, or death.
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed protect a resident's right to be free from misappropriation of resident property and/or exploitation for 2 of 3 residents (Resident #4 and Resident #5) reviewed for Misappropriation of Resident Property. LVN C was found to have left the facility with pain pills belonging to Residents #4 and #5 on the morning of 04/11/2025 as he left his shift at 7:00AM. This failure could cause residents to experience a decreased quality of life, unrelieved pain, and mental anguish.
March 4, 2025Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 24, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 10 residents (Resident #1) reviewed for care planning. The facility failed to ensure that Resident #1's care plan addressed the use of an arm immobilizing device. This failure could cause residents to experience a decreased quality of life and reduced mental and psychosocial well-being due to resident's needs not being met.
January 23, 2025Standard inspection · 9 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice for 1 of 24 residents (Resident #25) reviewed for physician orders for treatments. In eight observations over three days, the facility failed to follow physician orders and apply TED hose as ordered for Resident # 25. (Thrombo-Embolic Deterrent hose which are medical stockings designed to prevent blood clots to the legs). The failure could affect residents currently residing in the facility resulting in not receiving needed care to maintain optimum health and placing them at risk for injury and/or deterioration in their condition.
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who need respiratory care were provided such care consistent with professional standards of practice for 3 (Resident #68, Resident #78, and Resident #246) of 24 residents reviewed for respiratory care. -The facility failed to have orders for oxygen administration for Resident #68 who was receiving oxygen therapy via NC. -The facility failed to change nebulizer tubing for Resident #79 for 4 months. -The facility failed to have orders for oxygen administration for Resident #246 who was receiving oxygen therapy via NC. This failure could affect residents on respiratory therapy by placing them at risk for respiratory compromise and associated complications such as shortness of breath, confusion, respiratory failure, and exacerbation of their condition.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure freezer items were properly stored, labeled, and dated. 2. The facility failed to ensure proper hand hygiene and glove use was practiced. These failures could place residents who ate food served by the kitchen at risk of food-borne illness.
  4. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure the residents had the right to participate in his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 1 of 24 residents (Resident #38) reviewed for resident rights. The facility failed to obtain a signed informed consent based on information of the benefits, risks, and options available for Resident #38's prior to administering Seroquel, a psychotropic medication, (a psychoactive drug taken to exert an effect on the chemical make-up of the brain and nervous system). [...]
  5. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on interview, and record review, the facility failed to ensure all residents had the right to formulate an advanced directive for 1 (Resident #21) of 15 residents reviewed for advanced directives in that: Resident #21 had a DNR in her record that both witnesses signed the document 5 days before the Medical Power of Attorney signed the document. This failure could place residents a risk for not receiving healthcare as per their or their legal representatives wishes.
  6. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 (Resident #246) of 24 residents reviewed for baseline care plans. The facility failed to include Resident #246's oxygen therapy in her baseline care plan. This failure could result in residents not receiving needed care and treatment. Findings Included: [...]
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and described the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 (Resident #68 and Resident #92) of 24 residents reviewed for care plans. 1. The facility failed to include oxygen treatment in Resident #68's comprehensive care plan. 2. The facility failed to remove conflicting information regarding Resident #92 eating and being NPO from his care plan. [...]
  8. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to, in accordance with accepted professional standards and practices, maintain medical records that were complete, accurately documented, readily accessible, and systematically organized for 2 (Resident #79 and Resident #92) of 24 residents reviewed for accuracy of medical records. 1. The facility failed to maintain orders regarding Resident #79's indwelling catheter care. 2. The facility failed to maintain MDS, care plan, CNA documentation, and orders that were in agreement regarding Resident #92's feeding tube and NPO status. This failure placed all residents requiring care at risk for incorrect or omitted treatment, duplicated treatments, poor self-esteem and self-worth, and a failure to ensure continuity of care. Findings Included: 1. [...]
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (CNA H) of 5 staff observed for resident care and 2 (Resident #79 and #18) of 24 residents observed for infection control. CNA H did not change her gloves or wash her hands when providing incontinent care for Resident #18. Resident #79's catheter bag was on the floor. These failures have the potential to affect residents in the facility receiving incontinent care and/or having catheters by exposing them to care that could lead to the spread of infections, tissue breakdown, and feelings of isolation related to poor hygiene.
December 6, 2023Standard inspection, Complaint inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure stored food was properly labeled and dated. This failure could put/ place residents at risk for foodborne illness or cross contamination. Findings Included: Observation of refrigerated foods on 12/04/2023 at 8:27 am revealed the following: 1. Container of chicken broth in refrigerator 1 with no label or date. 2. Box of oranges in refrigerator 1 with no label or date. 3. Whipping cream in refrigerator 2 with no label or date. 4. Bowel of individual packets of butter in refrigerator 2 with no label or date. 5. 3 boxes of creamy wheat on counter with no label or date. 6. 3 cans of evaporated milk on counter with no label or date. 7. [...]
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (Resident #7) reviewed for incontinent care. - Facility failed to obtain order for foley catheter care for Resident #7. This deficient practice could place residents at risk by exposing them to care that could lead to infection, tissue breakdown, communicable diseases, and feelings of isolation related to poor hygiene.
  3. D
    Ensure 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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a resident fed by enteral means received the appropriate treatment and services to prevent complications of enteral feedings, for 1 (Resident #26) of 4 residents reviewed for feeding tubes, in that: -The facility staff failed to raise the head of Resident #26's bed during his nutritional feeding This failure could affect residents in the facility receiving enteral feeding by placing them at risk of complication such as aspiration pneumonia, pneumothorax, perforations, empyema, bronchopleural fistula, and hospitalization.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who need respiratory care were provided such care consistent with professional standards of practice for 2 (Resident #13 and #17) of 6 residents reviewed for respiratory care. The facility failed to obtain orders for Resident #13's oxygen therapy. The facility failed to obtain orders for Resident #17's oxygen therapy. This failure could place residents at risk for respiratory compromise and associated complications such as shortness of breath, confusion, respiratory failure, and exacerbation of their condition.
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview and record review; the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles to include the appropriate accessory and cautionary instructions, and the expiration date when applicable on 2 of 3 medication carts (Hall 300 medication cart and Hall 200 medication cart) and 1 of 1 medication rooms. Reviewed for expired medications. 1. The 300 Hall medication cart had 4 loos pills and 2 bottles of expired medications. 2. The 200 Hall medication cart #2 had 1 bottle of expired medication on the cart. These failures could place residents at risk for drug diversion, exposure to expired drugs, and accidental administration to the wrong resident.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections as is possible for 1 of 1 medication room. The facility failed to ensure expired needles were not available for use in the medication room. These failures could place residents at risk of injury.
October 31, 2023Complaint inspection · 1 citation
  1. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on interview, and record review the facility failed to review the risks and benefits of bed rails with the resident or resident's representative and obtain informed consent prior to installation of bed rails for 1 (Resident #1) of 8 residents reviewed for bedrails. The facility failed to inform Resident #1 or her representative of the use of bed rails and obtain consent for the use of bed rails. This deficient practice could place all residents with bed rails at risk for injuries such as abrasion, fractures, and entrapment.

Fines and payment denials

DatePenaltyAmount or length
April 25, 2025Fine $14,901

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.093.393.86
Registered nurses0.350.430.69
All nursing staff on weekends2.782.983.42
Nurse aides1.69
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)56.5%55.3%45.8%
Registered nurse turnover12.5%54.6%42.9%
Administrators who left0

CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.21 on weekdays and 2.78 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.14 in April to June 2025 to 3.09 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.090.353.212.78 27.9%0 of 9094
Oct to Dec 20253.060.373.172.77 20.2%0 of 9292
Jul to Sep 20253.100.463.232.78 17.8%0 of 9292
Apr to Jun 20253.140.473.272.82 20.8%0 of 9192
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Hillside Heights Rehabilitation Suites. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.015.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.214.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.53.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.49.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.325.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.012.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hillside Heights Rehabilitation Suites's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

55.5% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 198 eligible stays.

Potentially preventable readmissions

12.8% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 231 eligible stays.

Infections that led to a hospital stay

7.8% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 148 eligible stays.

Self-care and mobility at discharge

40.0% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 110 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 121 residents counted.

New or worsened pressure ulcers

2.4% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 121 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: STRATFORD HOSPITAL DISTRICT. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Stratford Hospital District5% or greater direct ownership interestOrganization100%08/26/2020
Chumley, RichardCorporate directorIndividual05/01/2007
Thi of Texas at Canyon, LLCOperational/managerial controlOrganization12/01/2014
Esquibel, CarolOperational/managerial controlIndividual03/20/2023
Forman, MurrayIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/30/2025
Fundamental Administrative Services LLCAdp of the SNFOrganization08/26/2020
Fundamental Clinical and Operational Services, LLCAdp of the SNFOrganization08/26/2020
Esquibel, CarolAdp of the SNFIndividual03/20/2023
Henson, HarryAdp of the SNFIndividual05/01/2018

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on April 29, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on April 29, 2026: "Ensure each resident receives an accurate assessment."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on June 4, 2026: "Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 29, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.78 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hillside Heights Rehabilitation Suites's Medicare star rating?
CMS rates Hillside Heights Rehabilitation Suites 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hillside Heights Rehabilitation Suites get at its last inspection?
10 health deficiencies at the standard inspection on April 29, 2026. The Texas average is 9.4.
Has Hillside Heights Rehabilitation Suites been fined?
Yes. CMS lists 1 fine totaling $14,901 in the last three years.
Does Hillside Heights Rehabilitation Suites accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hillside Heights Rehabilitation Suites?
CMS lists 9 owners and managers, and links the home to Fundamental Healthcare. Legal business name: STRATFORD HOSPITAL DISTRICT.

Sources

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