The Hilltop On Main
1015 N MAIN, Meridian, TX, 76665
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 - Corporation
- Certified beds
- 94 · avg 28 residents/day
- Total nursing staff turnover
- 45% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $29,243 total
State licensing & capacity
- License number
- 147963
- Service type
- Medicare/medicaid
- Licensed capacity
- 94 beds
- Bed type breakdown
- 43 Medicare-only · 51 Medicaid/Medicare
- Current license effective
- September 1, 2023
- Current license expires
- September 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Msl Meridian Llc (Limited Liability Company (LLC))
- Administrator
- Susan Trocino
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (4 on record)
- Christopher Neal Strong
Adp of The Snf · since 2025
- Kadijatu Kamara
Adp of The Snf · since 2025
- Msl Meridian
5% or Greater Direct Ownership Interest · 100% · since 2013
- Troy Issac
5% or Greater Direct Ownership Interest · 100% · since 2013
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 11)
- D0880·Jan 23, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jan 23, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0758·Mar 26, 2024Complaint
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is li…
- J0742·Mar 26, 2024Complaint
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- J0692·Mar 26, 2024Complaint
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- J0656·Mar 26, 2024Complaint
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.
- E0880·Dec 7, 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0727·Dec 7, 2023
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Federal penalties
By year
- 20241 fine · $29K
Most recent events
- Mar 26, 2024Fine · $29K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Jan 23, 2025. 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 Hilltop On Main is a 94-bed nursing home in Meridian, Texas, licensed since 1971 and currently operating at roughly 29% of capacity — about 28 residents on a typical day. CMS rates it 2 stars overall, with a 1-star staffing rating. Quality-measure outcomes rate 4 stars. A single CMS fine of $29,243 has been issued. Licensed to MSL Meridian LLC, with an active license running through September 2026.
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 159 minutes of nursing care per day, about 82 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — less mobile or medically complex on average — so those 159 minutes stretch thinner than the raw number suggests. RN coverage averages 18 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in Texas.
One CMS fine totaling $29,243 has been issued. The state median fine across penalized Texas nursing homes is about $20,699, placing this fine above the midpoint. About 30% of Texas nursing homes have received no fines.
The facility is operating at roughly 29% of its 94 licensed beds, with about 28 residents on a typical day. At this occupancy level, staffing ratios and activity programming can look different in practice than on paper — a near-empty building runs differently than one at or near full capacity.
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
CMS rates staffing 1 star and weekend nursing hours average 2.25 per resident per day — ask how many nurses and aides are on each shift, including overnight and Saturday and Sunday.
RN presence each day
Reported RN hours average 18 minutes per resident per day; ask whether a registered nurse is on-site around the clock or only during certain hours.
Low census and its effect on care
With roughly 28 residents in a 94-bed building, ask how staffing, activities, and dining are structured when occupancy is this low.
The $29,243 CMS fine
One fine of $29,243 appears in the CMS record — ask what the deficiency was, when it occurred, and what the facility changed in response.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how families are kept informed of concerns raised.
Ownership and leadership continuity
The facility is licensed to MSL Meridian LLC — ask how long the current ownership group has operated this location and whether any leadership changes are planned.
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.