The Hilltop On Main
1015 N Main, Meridian, TX, 76665
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 94 · avg 29 residents/day
- Total nursing staff turnover
- 52.6% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $29,243 total
Medicare certification
- CMS Certification Number
- 675518
- Certified beds
- 94 beds · avg 29 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Msl Meridian
CMS Care Compare, processing date June 1, 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 May 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 15)
- D0741·Mar 3, 2026
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- E0732·Mar 3, 2026
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- F0727·Mar 3, 2026
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.
- F0725·Mar 3, 2026
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E0700·Mar 3, 2026
Quality of Life and Care Deficiencies
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…
- D0641·Mar 3, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- 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.
Federal penalties
By year
- 20241 fine · $29K
Most recent events
- Mar 26, 2024Fine · $29K
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Mar 3, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Hilltop On Maininto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.