The Hills Nursing & Rehabilitation
201 EAST THOMPSON STREET, Decatur, TX, 76234
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 110 · avg 64 residents/day
- Total nursing staff turnover
- 48.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 42.9% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $29,325 total
State licensing & capacity
- License number
- 308634
- Service type
- Medicare/medicaid
- Licensed capacity
- 110 beds
- Bed type breakdown
- 21 Medicare-only · 89 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- March 1, 1973
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Decatur I Enterprises, Llc
- Administrator
- Andria Hammers
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (7 on record)
- Decatur i Enterprises Llc
Operational/managerial Control · 100% · since 2022
- Gary r Blake
Operational/managerial Control · 50% · since 2022
- Honor x Enterprises, Llc
Other · 100% · since 2022
- Linda f Huggins
W-2 Managing Employee · since 2022
- Malisa a Blake
Operational/managerial Control · 50% · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
+ 1 additional owner on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from The Hills Nursing & Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 19)
- E0600·Jul 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- K0689·Apr 30, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0760·Mar 14, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- K0684·Mar 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0656·Mar 14, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0580·Feb 19, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0761·Nov 20, 2024Complaint
Pharmacy Service Deficiencies
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.
- E0812·Nov 20, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20252 fines · $29K
Most recent events
- Apr 30, 2025Fine · $15K
- Mar 14, 2025Fine · $14K
Largest single fine on record: $15K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Nov 20, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Hills Nursing & Rehabilitation is a 110-bed nursing home in Decatur, Texas, licensed since 1973 and operated by Decatur I Enterprises under the Creative Solutions In Healthcare chain. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Two CMS fines totaling $29,325 have been issued. The facility is currently at roughly 58% of its licensed beds — about 64 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 158 minutes of nursing care per day, about 83 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 158 minutes stretch thinner than the number alone suggests.
Two administrators have left in the past year. That level of leadership turnover affects scheduling, staff consistency, and how reliably care plans are followed through.
CMS has issued two fines totaling $29,325 since the facility's most recent inspection cycle. About 30% of Texas nursing homes carry no fines at all.
The facility is operating at roughly 58% of its 110 licensed beds — about 64 residents on an average day. That occupancy level, alongside the 1-star health inspection and staffing ratings, is a combination that warrants direct questions during a visit.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 158 daily nursing minutes per resident — 83 fewer than at a 4-star-staffing facility in Texas — ask specifically how many nurses and aides are on the floor during overnight and weekend shifts.
Two administrators in one year
Two administrators have departed in the past 12 months; ask who is currently in charge, how long they have been in the role, and whether a permanent administrator has been named.
Health inspection deficiencies
The facility holds a 1-star health inspection rating; ask to see the most recent state inspection report and which deficiencies are still under a plan of correction.
Recent fines and corrective steps
Two CMS fines totaling $29,325 have been levied; ask what violations prompted each fine and what specific changes were made afterward.
Current occupancy and bed availability
At roughly 58% occupancy — about 64 of 110 beds filled — ask whether the low census reflects recent discharges, a pause on new admissions, or another operational factor.
Resident Council activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets, who facilitates it, and how concerns raised there are documented and addressed.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.