970 Hilltop Dr, Weatherford, TX 76086 · Parker County · (817) 599-0000
132 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675988 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 4, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 22 health citations since July 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $102,810 in the last three years; the largest was $102,810, and the latest is dated February 14, 2025.
Nurses and nurse aides worked 3.62 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.21 of those hours.
73.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Priority Management, an affiliated group of 38 nursing homes.
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.
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 22 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents had 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/ she preferred for 1 of 6 residents (Resident #3 ) reviewed for antipsychotic consents. The facility failed to ensure Resident #3, or her representative signed consent for the antipsychotic medication Seroquel (quetiapine) (an antipsychotic medication used to treat mental health disorders, such as schizophrenia) prior to administering the medication, and after the dosage was increased prior to administering the new dosage ordered by physician. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident's right to be free from chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident's medical symptoms 1 of 6 residents (Resident #3) whose records were reviewed for chemical restraints. Resident #3 was administered Quetiapine (Seroquel), an antipsychotic, without a diagnosis for justification of use. The facility's failure could affect residents by placing them at risk for adverse reactions and negative side effects from the administration of medication that was not indicated for use to treat medical conditions and symptoms.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident within 48 hours of the resident's admission for 1 of 6 residents (Resident #3) whose records were reviewed. The facility failed to ensure Resident #3 had a Baseline Care Plan developed and implemented within 48 hours following admission to the facility. This failure could place the residents at risk of not receiving care and services required to meet their individual needs from the date and time they were admitted to the facility.
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 for 1 of 1 kitchen and 1 of 3 nourishment refrigerators (200/300 hall) reviewed for food services in that:The facility failed to store foods in the kitchen refrigerator and freezer that were sealed and labeled with an identifier and/or opened/expiration date for 1 of 2 refrigerator/freezers. The facility failed to store foods and drinks in a unit nourishment refrigerator that were sealed and labeled with an opened date for 1 of 2-unit refrigerators. These failures could place residents at risk for decline in nutritional health status and foodborne illness.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were secured on 1 of 6 medication carts (medication cart E) and 1 of 3 medication rooms (medication room B) reviewed for pharmacy services. The facility did not ensure medication carts and medication storage rooms were secured and locked. This failure could put residents at risk for drug diversions.
Inspectors wroteBased on interview and record review, the facility failed to immediately inform the resident, consult with the resident's physician; and notify, consistent with his or her authority, the resident representative where there was a significant change in the resident's physical, mental, or psychosocial status and when there was a need to alter treatment significantly for one of six (Resident #1) residents reviewed for notification of change in condition. The facility failed to notify Resident #1's attending physician of nausea, vomiting and diarrhea which lasted from 12/22/2024 to 12/30/2024 without improvement. An Immediate Jeopardy (IJ) situation was identified on 01/29/2025 at 4:21 pm . The IJ was removed on 01/31 /2025 at 10:24 AM. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide treatment and care in accordance with professional standards of practice and the comprehensive care plan for one of six (Resident #1) residents reviewed for notification of change in condition. The facility failed to ensure Resident #1's feedings were administered as ordered by the physician over a period of 8 days, from 12/22/2024 to 12/30/2024. The facility failed to notify Resident #1's attending physician of feedings being held due to nausea, vomiting and diarrhea. On 12/30/24 Resident #1 required hospitalization for hypovolemic shock, sepsis, UTI, and required emergency surgical intervention for treatment of a rectus abdominus hematoma. An Immediate Jeopardy (IJ) situation was identified on 01/29/2025 at 4:20 pm . The IJ was removed on 01/31 /2025 at 10:24 AM. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling infections for 2 of 2 residents (Resident #2 and Resident #7) reviewed for infection control (incontinent Care). 1. The facility failed to ensure CNA J washed or sanitized her hands before and during incontinent care for Resident #2. 2. The facility failed to ensure CNA D washed or sanitized her hands before and during incontinent care for Resident #7 This deficient practice placed residents at risk for cross contamination and/or acquiring an infection.
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 and 1 of 2 resident nourishment rooms, in that: 1. Knife blades and serving utensils were stored on a rack and suspended in the air with their sanitized food surfaces exposed to contaminants in the air. 2. Appliances and equipment were soiled with grease and food. 3. A cardboard case with diced potatoes was stored on the floor in the walk-in freezer. 4. The ice scoop was placed on top of the ice inside the ice machine. 5. The dishwasher recorded the water temperature and sanitizer level for the low temperature dish machine on the daily dish machine log prior to running the dish machine for two meals on 8/20/24. 6. [...]
Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive person-centered care plan for each resident 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 2 of 20 residents (Residents #26 and #61) reviewed for comprehensive care plans. 1. Resident #26 had orders for the antipsychotic medication Seroquel and the mood stabilizing medication Nuedexta. The medications were not included in the resident's comprehensive care plan. 2. Resident #61 received an order dated 6/11/24 to be admitted to hospice care services with a diagnosis of Alzheimer's disease. A significant change MDS assessment dated [DATE] was completed due to the resident being admitted to hospice care services. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to coordinate the assessment for one of four residents (Resident #74) with the pre-admission screening and resident review (PASRR) program, of resident assessments reviewed for PASRR evaluations. The facility did not identify Resident #74 as having a mental illness with a with diagnoses of Paranoid schizophrenia, bipolar disorder and dementia that would require a PASRR 1012 form or a new PL1 form to initiate a PASSR evaluation by the local intellectual and developmental disability authorities. This failure could affect residents with mental illness who may not be evaluated for PASRR services and place them at risk of not receiving services needed for care and treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain informed consents for bed rails, prior to installation, for 1 (Resident (R#49) of 8 residents reviewed for bed rails, in that: The facility did not have consent or orders for the use of bed rails for Resident #49. This failure could put residents at risk for injuries or entrapment.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infections for 1 (Resident #18) of 8 residents reviewed for infection control, in that: On 08/20/2024 at 07:36 AM the facility failed to ensure nurse put on proper personal protective equipment for resident on isolation precautions including gown, gloves, and mask while providing care to resident. Facility also failed to ensure that staff used proper hand hygiene. This failure could affect residents and place them at risk for cross contamination and infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to post the actual hours worked by the licensed and unlicensed nursing (RN, LVN and CNA) staff directly responsible for resident care per shift daily. The daily nursing staffing information was posted on 08/20/2024 and 08/22/2024 but did not include the total numbers of actual hours worked for RNs, LVNs, and CNAs. The facility's failure could affect the residents and/or visitors to the facility who may desire to know how many nursing staff were present and on duty and the actual time worked per each shift daily.
Inspectors wroteBased on interview and record review the facility failed to have assessments that accurately reflect the status of 1 of 2 residents (Resident #1) reviewed for resident assessments. Resident #1's admission MDS assessment did not reflect her skin integrity issues, treatments and impairment in lower extremities accurately. This failure puts residents at risk of a decreased quality of care and not having their individualized needs met or communicated accurately to staff.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a base line care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident within 48 hours of the resident's admission for 1 of 2 residents (Resident #1) whose records were reviewed in that: 1. Resident #1 did not have a Baseline Care Plan developed and implemented or reviewed by an RN following admission to the facility on [DATE]. This failure could place the residents at risk for not receiving care and services required to meet their individual needs from the date and time they were admitted to the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain clinical records that were complete and accurate for 1 of 3 (Resident #1) residents reviewed for clinical records in that: The facility did not maintain accurate and current nursing documentation related to wound treatments. The facility did not maintain accurate and current shower records. The facility did not maintain accurate and current bladder records. This failure could place residents at risk for inaccurate records.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the daily nurse staffing information, including the facility name, current date, total number and actual hours worked by Registered Nurses, Licensed Practical Nurses or Licensed Vocational Nurses, Certified Nurse Aides, and the resident census, was posted on a daily basis at the beginning of each shift in a prominent place readily accessible to residents and visitors for 1 of 1 facility. The facility failed to update the daily staffing information posting. This failure could affect residents, their families, and facility visitors by placing them at risk of not having access to information regarding staffing data and facility census.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals, and preferences for 3 of 3 residents (Resident #'s 1, 3 and 5) reviewed for respiratory care. The facility failed to ensure Residents #1, #3, and #5's nebulizer mask was kept in a bag while not in use. These failures could place residents at risk for infections and transmission of communicable diseases.
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 one of one kitchen observed, by failing to ensure: Facility staff cleaned or sanitized their hands during meal services when three nursing staff members (LVN1, CNA2 and CNA3) failed to sanitize hands between serving plates to residents in the dining room. LVN1 was observed placing ice in a drinking glass and then placing the ice scoop into the ice bucket, burying the scoop up to the handle. This failure by the facility places all residents at risk of acquiring a foodborne illness.
Inspectors wroteBased on observation, interview, and record review the facility failed to complete an assessment that accurately reflected the resident's status for 1 of 24 sampled residents (Residents #79) whose records were reviewed for MDS accuracy, in that: The facility failed to ensure Resident #79's MDS Assessment accurately reflected her limited range of motion on her left upper and lower extremities. This failure could place residents at risk for not receiving care and services to meet their needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals, and preferences for 1 of 1 Resident (Resident #10) reviewed for respiratory care. A. The facility failed to ensure Resident #10's nebulizer was kept in a bag and dated while not in use. This failure could place the resident at risk for infections and transmission of communicable diseases.
14 fire safety citations on file: 6 on September 4, 2025, 8 on August 22, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 14, 2025 | Fine | $102,810 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.62 | 3.39 | 3.86 |
| Registered nurses | 0.21 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.27 | 2.98 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 1.37 | ||
| Nursing staff turnover (share who left in a year) | 73.3% | 55.3% | 45.8% |
| Registered nurse turnover | 75.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.76 on weekdays and 3.27 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.40 in April to June 2025 to 3.62 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.62 | 0.21 | 3.76 | 3.27 | 20.5% | 0 of 90 | 86 |
| Oct to Dec 2025 | 3.30 | 0.19 | 3.48 | 2.85 | 5.0% | 1 of 92 | 92 |
| Jul to Sep 2025 | 3.46 | 0.25 | 3.65 | 2.98 | 10.5% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.40 | 0.32 | 3.54 | 3.06 | 13.6% | 0 of 91 | 95 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.8 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Hilltop Park Rehabilitation and Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.6% 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. 112 eligible stays.
10.6% 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. 129 eligible stays.
7.9% 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. 86 eligible stays.
58.7% 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. 46 residents counted.
1.5% 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. 66 residents counted.
3.7% 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. 66 residents counted.
96.7% this home
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. 30 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.
Legal business name: PARKER COUNTY HOSPITAL DISTRICT. CMS links this home to Priority Management, a group of 38 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Parker County Hospital District | 5% or greater direct ownership interest | Organization | 100% | 01/15/2015 |
| Bauder Family Investments, LLC | 5% or greater mortgage interest | Organization | 01/15/2015 | |
| Boulware St. James LLC | 5% or greater mortgage interest | Organization | 01/15/2015 | |
| Pmg Realco-Hilltop, LLC | 5% or greater mortgage interest | Organization | 01/15/2015 | |
| Steven Boulware Family Investments LLC | 5% or greater mortgage interest | Organization | 01/15/2015 | |
| Bauder, Kelly | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Bauder, Madison | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Bauder, Parker | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Bauder, William | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Boulware, Douglas | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Boulware, Sandra | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Boulware, Steven | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Boulware, Thomas | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Walker, Katie | 5% or greater mortgage interest | Individual | 01/15/2015 | |
| Bacus, Randy | Corporate officer | Individual | 01/15/2015 | |
| Pmg Opco - Hilltop LLC | Operational/managerial control | Organization | 01/15/2015 | |
| Bauder, William | Operational/managerial control | Individual | 01/15/2015 | |
| Boulware, Steven | Operational/managerial control | Individual | 01/15/2015 | |
| Bauder Family Investments, LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Boulware St. James LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Bridgepointe Finanical Services, LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Innovative Nurse Consulting, LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Pmg Opco - Hilltop LLC | Adp of the SNF | Organization | 02/20/2025 | |
| Pmg Realco-Hilltop, LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Priority Management Group, LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Progressive Rehab Solutions, LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Steven Boulware Family Investments LLC | Adp of the SNF | Organization | 01/15/2015 | |
| Bauder, Kelly | Adp of the SNF | Individual | 01/15/2015 | |
| Bauder, Madison | Adp of the SNF | Individual | 01/15/2015 | |
| Bauder, Parker | Adp of the SNF | Individual | 01/15/2015 | |
| Bauder, William | Adp of the SNF | Individual | 01/15/2015 | |
| Boulware, Douglas | Adp of the SNF | Individual | 01/15/2015 | |
| Boulware, Sandra | Adp of the SNF | Individual | 01/15/2015 | |
| Boulware, Steven | Adp of the SNF | Individual | 01/15/2018 | |
| Boulware, Thomas | Adp of the SNF | Individual | 01/15/2015 | |
| Walker, Katie | Adp of the SNF | Individual | 01/15/2015 | |
| Ward, Norman | Adp of the SNF | Individual | 01/15/2015 | |
| Wusterhausen, Kris | Adp of the SNF | Individual | 01/15/2015 |
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.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.