Hilltop Manor - Union

    101 Kirkland St, Union, MS 39365
    • Independent Living
    • Assisted Living
    • Skilled Nursing

    Compassionate care in clean facility

    My mother-in-law is happy and comfortable in her private room - the building and grounds are clean, well-kept, and welcoming with a nice garden patio and dayroom. Staff are compassionate, patient, and proactive (Sheila and Jessica stood out), nursing and social services communicate well, and therapy was excellent - they helped her walk again. Activities are engaging, meals are good, and I'd recommend this facility for attentive, family-like care.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.93·(42)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.1
    • Staff

      4.2
    • Meals

      4.0
    • Amenities

      4.1
    • Value

      3.9

    Pros

    • Compassionate, attentive nursing and caregiving staff
    • Skilled physical and occupational therapy services
    • Well-maintained grounds and welcoming foyer/entry decor
    • Engaging, varied activities program (including daily church services)
    • Consistent family communication and proactive discharge support
    • Home-like atmosphere with private room options
    • Regular on-site meal preparation and family-friendly dining options
    • Accessible social services and visible administrative leadership

    Cons

    • Inconsistent cleanliness and sanitation practices
    • Odor concerns in some areas
    • Pest-control concerns
    • Inconsistent staff professionalism and communication tone
    • Variable staffing levels and responsiveness across shifts
    • Aging infrastructure and need for renovation
    • Gaps in housekeeping and environmental maintenance processes
    • Challenges in recruitment, follow-up, and HR responsiveness

    Summary of reviews

    Reviews of Hilltop Manor Health and Rehabilitation Center - Gulf present a mixed but informative picture. Many families and patients praise the clinical care and therapy services, describing physical and occupational therapy as effective and patient-focused. Nursing and caregiving staff receive frequent commendation for compassion, attentiveness, and follow-through with families; social services and administrators are also highlighted for proactive communication and discharge coordination. Several individual staff members were singled out positively for exceptional service, reflecting pockets of strong leadership and interpersonal care.

    Care quality appears strongest in rehabilitative services and family communication. Multiple accounts describe therapy teams that helped residents regain mobility and clinicians who arranged follow-up with physicians. At the same time, reviewers cite unevenness in day-to-night performance: daytime aides and clinical teams are generally described as competent, whereas some night-shift feedback points to slower responsiveness and poorer bedside assistance. There are also recurring concerns about staff conduct and communication tone, including descriptions of disrespectful interactions and, in a few cases, reports suggesting discriminatory behavior; these indicate a need for consistent expectations and oversight of staff professionalism.

    Dining and activities are frequently noted as strengths. The facility offers regular meal service, opportunities for residents to participate in food preparation, daily religious services, arts/TV dayroom access, and garden patios that contribute to a home-like environment. The activity program is characterized as engaging and varied, which families identify as beneficial to resident morale.

    Facility condition and environmental maintenance show more divergence. Many reviewers describe well-kept grounds, festive foyer decor, and a welcoming interior, while others report sanitation concerns, dust accumulation, localized odor issues, and pest-control concerns that suggest inconsistent housekeeping or the need for more comprehensive environmental protocols. The building itself is described as older in some accounts and in need of renovation or deeper cleaning in places.

    Operationally, reviewers point to both strong administrative responsiveness and uneven management performance. Several families praise leadership for accessibility and coordinated care, but others cite difficulties with supervisory follow-up, delayed callbacks related to hiring or services, and perceived understaffing. These comments together suggest variability in oversight, staffing stability, and environmental maintenance processes.

    For prospective residents and families, the center’s clear strengths are its rehabilitative therapy, attentive clinicians in many units, active engagement opportunities, and a generally welcoming atmosphere in cared-for areas. The primary risks to verify in person are consistency of cleanliness and pest-control measures, night-shift staffing and responsiveness, and the facility’s plans for building upkeep. A focused tour that includes dining, a visit during activity periods, and direct questions about night staffing, housekeeping schedules, and recent pest-control or renovation efforts would help clarify whether the facility’s strengths align with an individual resident’s needs.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hilltop Manor - Union

    Hilltop Manor - Union is located at 101 Kirkland St, Union, MS, 39365.

    About Hilltop Manor - Union

    Hilltop Manor Health And Rehabilitation Center is recognized for its commitment to delivering exceptional healthcare and rehabilitation services to its residents. Built upon a strong foundation of talented and compassionate caregivers, the center strives to provide a warm and supportive environment where every resident feels valued and respected. The team at Hilltop Manor Health And Rehabilitation Center is dedicated to making residents’ experiences as comfortable and fulfilling as possible, understanding that healing and wellness are best achieved in a nurturing atmosphere.

    Residents and their loved ones have access to a range of resources designed to ease their transitions and support their wellbeing throughout their stay. At Hilltop Manor Health And Rehabilitation Center, the focus extends beyond medical care to include emotional and social support, contributing to an overall sense of community and belonging. The staff prioritizes a holistic approach to care, ensuring that each individual receives attention tailored to their unique needs, preferences, and goals.

    Whether someone is in need of short-term rehabilitation following a hospital stay or requires long-term skilled nursing care, Hilltop Manor Health And Rehabilitation Center is equipped to accommodate a broad spectrum of health challenges. The caregivers’ reputation for compassion and dedication forms the cornerstone of the center’s mission, allowing residents to feel at ease and cared for during every phase of their recovery or ongoing care. This commitment to excellence is reflected in the daily experiences of all who reside or work at Hilltop Manor Health And Rehabilitation Center, making it a trusted choice for those seeking high-quality rehabilitation and health services.

    People often ask...

    Hilltop Manor - Union offers independent living, assisted living, and skilled nursing.

    The full address for this community is 101 Kirkland St, Union, MS 39365.

    No, Hilltop Manor - Union does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.

    License numbernh-255260
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    69

    Reports

    61

    Citations

    34

    Complaints

    9

    Years

    01 Mar 2026Complaint
    Investigated an elopement risk; determined past noncompliance due to inadequate supervision; corrective actions implemented and compliance achieved.
    • 045.21.8Accidents
    01 Mar 2026Complaint
    Investigated a wandering incident where a cognitively impaired resident left the premises unattended for about five minutes due to inadequate supervision.
    • §483.25(d)Accidents
    01 Dec 2025Complaint
    Investigated three complaints and determined no deficiencies; found compliance with Medicare and Medicaid participation requirements.
    01 Dec 2025Complaint
    Found no deficiencies.
    01 Aug 2025Complaint
    Investigated a complaint of alleged abuse and found no deficiencies; compliance with licensure requirements was demonstrated.
    01 Aug 2025Complaint
    Investigated an allegation of abuse and found no deficiencies.
    01 Jan 2025Revisit
    Determined the provider was placed back in compliance after corrective actions were implemented.
    01 Jan 2025Revisit
    Determined the provider was in compliance with the minimum standards and recommended placing it back in compliance as of 2025-01-06.
    01 Dec 2024Inspection
    Identified multiple deficiencies including unsafe environment, inaccurate resident assessments, PASRR issues, insufficient activity programming, IV care gaps, unsecured medications, and infection control lapses.
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.20(k)Preadmission Screening for MD & ID
    • CFR 483.24(c)(1)Activities
    • CFR 483.25(h)Parenteral/IV Fluids
    • CFR 483.45(g)-(h)Label/Store Drugs and Biologicals
    • CFR 483.80(a)-(f)Infection Prevention & Control
    01 Dec 2024Inspection
    Identified deficiencies in residents' rights environment, medication storage, activity programming, and infection control.
    • 45.17.2Residents' Rights
    • 45.24.2Policies and procedures
    • 45.27.2Activity Program
    • 48.58.1Infection Control
    01 Dec 2024Inspection
    Found no life safety code deficiencies during the survey.
    01 Dec 2024Inspection
    Found no deficiencies. Emergency preparedness requirements were met.
    01 Oct 2024Complaint
    Investigated four complaints and determined no deficiencies were cited, finding compliance with applicable care regulations.
    01 Oct 2024Complaint
    Investigated four complaints and concluded there were no deficiencies found.
    01 Jun 2024Complaint
    Investigated two complaints and found no deficiencies.
    01 Jun 2024Complaint
    Investigated two complaints and found no deficiencies.
    01 Apr 2024Complaint
    Investigated two complaints related to care and found no deficiencies.
    01 Apr 2024Complaint
    Investigated two complaints and found no deficiencies.
    01 Mar 2024Complaint
    Investigated complaints alleging neglect, laundry concerns, and misappropriation. Determined that no deficiencies were cited.
    01 Mar 2024Complaint
    Investigated three complaints and found no deficiencies.
    01 Sept 2023Revisit
    Concluded that compliance was restored as of 2023-09-14 after reviewing the prior survey information.
    01 Sept 2023Revisit
    Investigated and found no deficiencies.
    01 Sept 2023Revisit
    Concluded that the facility was in compliance with the minimum standards and recommended placing back in compliance.
    01 Sept 2023Revisit
    Determined compliance was restored after corrective actions were implemented.
    01 Sept 2023Revisit
    Concluded that corrective actions were in place and compliance with Medicare/Medicaid requirements was restored.
    01 Sept 2023Revisit
    Concluded that the facility was in compliance with the minimum standards following a desk review.
    01 Aug 2023Complaint
    Identified significant staffing shortages leading to delayed call bell responses and inadequate activities of daily living care for residents.
    • 45.4.1Staffing Requirements for Nursing Facility
    • 45.21.2Activities of Daily Living
    01 Aug 2023Inspection
    Investigated staffing and resident care concerns; found insufficient staff to meet needs and delays in call bell responses, and inadequate ADL care for multiple residents.
    • 45.4.1Nursing Facility staffing
    • 45.21.2Activities of daily living
    01 Aug 2023Complaint
    Investigated complaints and found multiple deficiencies: odors and unclean conditions with inadequate linens, unresolved grievances, inadequate grooming/bathing for dependent residents, and insufficient nursing staff.
    • 42 CFR 483.10(i)Safe/clean/comfortable/homelike environment
    • 42 CFR 483.10(j)Grievances
    • 42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 42 CFR 483.35(a)Sufficient Nursing Staff
    01 Aug 2023Inspection
    Investigated a survey with multiple deficiencies across resident rights, care plans, ADL care, oxygen management, infection control, and staffing.
    • 483.10(f)Self-Determination
    • 483.10(i)Safe Environment
    • 483.10(j)Grievances
    • 483.20(g)Accuracy of Assessments
    • 483.21(b)Care Plans
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 483.25(c)Mobility
    • 483.25(i)Respiratory Care
    • 483.35(a)Sufficient Nursing Staff
    • 483.80(a)Infection Control
    • 483.90(i)(4)Pest Control Program
    01 Aug 2023Inspection
    Verified compliance with emergency preparedness requirements.
    01 Dec 2022Complaint
    Investigated complaints and concluded no deficiencies were cited.
    01 Dec 2022Complaint
    Found no deficiencies related to the complaint investigation and determined compliance with Medicare/Medicaid participation.
    01 Oct 2022Complaint
    Investigated an allegation of neglect after a fall; found no deficiencies and determined substantial compliance.
    01 Oct 2022Complaint
    Investigated a complaint alleging neglect after a resident fall and found no deficiencies. Substantial compliance was determined.
    01 Oct 2022Complaint
    Investigated a complaint about care after a resident's fall and found no deficiencies.
    01 Aug 2022Inspection
    Found a cracked, unlevel sidewalk at the South Hall exit that did not provide a smooth discharge surface.
    • NFPA 101 - Discharge from Exits (sections 7.7, 7.1.7, 18.2.7, 19.2.7)Discharge from Exits
    01 Apr 2022Revisit
    Concluded the provider was in compliance with participation requirements after a post-certification revisit.
    01 Apr 2022Revisit
    Concluded compliance with aging-related care standards during a follow-up visit.
    01 Feb 2022Inspection
    Identified deficiencies in daily living support, special needs care, food handling, housekeeping, and call systems. Violations were cited.
    • 45.21.2Activities of daily living
    • 45.21.11Special needs
    • 45.29.1Safe Food Handling Procedures
    • 45.35.1Housekeeping Facilities and Services
    • 45.40.11Call System
    01 Feb 2022Inspection
    Cited multiple deficiencies in resident care, infection control, and essential systems, including ADL support, respiratory care, food safety, and the call system.
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 483.25(i)Respiratory care, including tracheostomy care and tracheal suctioning
    • 483.60(i)(1)-(2)Food Safety - Food procurement, storage, preparation and serving
    • 483.80(a)Infection Prevention & Control
    • 483.90(g)(2)Resident Call System
    01 Feb 2022Revisit
    Determined that compliance was restored after corrective actions and recommended placing back in compliance.
    01 Feb 2022Revisit
    Confirmed no deficiencies were found after reviewing information related to the annual survey.
    01 Jan 2022Inspection
    Identified deficiencies in daily living assistance, oxygen labeling/storage, food handling, housekeeping, and call systems.
    • 45.21.2Activities of daily living
    • 45.21.11Special needs
    • 45.29.1Safe Food Handling Procedures
    • 45.35.1Housekeeping Facilities and Services
    • 45.40.11Call System
    01 Jan 2022Inspection
    Found multiple deficiencies affecting resident safety and care, including an unsafe environment, inadequate ADL care, improper storage/labeling of respiratory equipment, unsanitary food preparation/storage, infection control issues, and a nonfunctional call system.
    • §483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • §483.24(a)(2)ADL Care Provided for Dependent Residents
    • §483.25(i)Respiratory/Tracheostomy Care and Suctioning
    • §483.60(i)(1)-(2)Food Procurement, Store/Prepare/Serve-Sanitary
    • §483.80Infection Prevention & Control
    • §483.90(g)(2)Resident Call System
    01 Jan 2022Inspection
    Found no deficiencies.
    01 Jan 2022Inspection
    Confirmed compliance with emergency preparedness requirements.
    01 Nov 2021Revisit
    Concluded that no deficiencies were cited and compliance was restored. The determination followed a desk review of information submitted regarding infection control and emergency preparedness.
    01 Nov 2021Revisit
    Confirmed back in compliance after the state agency reviewed information related to infection control and emergency preparedness.
    01 Nov 2021Complaint
    Investigated a complaint about offensive odors and found no deficiencies.
    01 Nov 2021Complaint
    Investigated a complaint about offensive odors and found no deficiencies, confirming compliance with the applicable standards.
    01 Oct 2021Infection Control
    Found deficiencies in infection prevention and control related to airflow around a COVID-19 positive room, including a floor fan directed at an open door and the door left open.
    • 42 CFR §483.80Infection Control
    01 Oct 2021Infection Control
    Found no deficiencies after evaluating emergency preparedness status.
    01 Jul 2021Complaint
    Found no deficiencies. Investigated complaints and determined compliance with Medicare/Medicaid requirements.
    01 Jul 2021Complaint
    Found no deficiencies identified after review of the complaint investigations; it was determined there was compliance with Medicare and Medicaid participation requirements.
    01 Jul 2020Infection Control
    Determined compliance with emergency preparedness requirements related to COVID-19 during a focused survey.
    01 Jul 2020Infection Control
    Verified compliance with infection control regulations and COVID-19 preparedness practices. No deficiencies were found.
    01 May 2020Infection Control
    Verified compliance with infection control regulations and COVID-19 preparedness practices.
    01 May 2020Infection Control
    Verified no deficiencies related to Covid-19 infection control were identified during the focused inspection.
    01 Oct 2019Complaint
    Investigated a complaint and found misappropriation of a resident's property and violations of residents' rights due to staff theft.
    • 45.17.2Residents' Rights
    01 Oct 2019Complaint
    Investigated a complaint of misappropriation of a resident's bank card and found that a staff member stole the resident's card and used it for personal purchases.
    • CFR 483.12Free from Misappropriation/Exploitation
    01 Aug 2019Complaint
    Observed persistent strong urine odors throughout the hallway with improperly stored soiled linen and waste bags, indicating an unsanitary and uncomfortable environment.
    • CFR 483.90(i)Safe/Functional/Sanitary/Comfortable Environment
    01 Mar 2019Inspection
    Found no deficiencies. The review determined ongoing compliance with state licensure requirements.
    01 Mar 2019Inspection
    Found no deficiencies identified; the survey found substantial compliance with regulations.
    01 Aug 2018Complaint
    Identified disclosure requirements for findings and the conditional need for a plan of correction if deficiencies were cited, with nursing homes having longer disclosure timelines.
    01 Nov 2017Complaint
    Investigated and found no deficiencies.
    01 Nov 2017Complaint
    Explained how deficiencies are marked with an asterisk and how findings and plans of correction are disclosed after survey, including requirements for nursing homes.
    01 Jun 2017Inspection
    Identified deficiencies in medication administration timing with two dosing errors observed during medication passes.
    • 45.24.2 Policies and proceduresPolicies and procedures; general dose preparation and medication administration
    01 Jun 2017Inspection
    Identified deficiencies in medication administration timing and infection control, including improper hand hygiene and cross-contamination during care.
    • 1483.45(1)(1)Free of Medication Error
    • 483.80(a)(1)(2)(4)(e)(f)Infection control

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    Mirador Living is not affiliated with the owner or operator(s) of Hilltop Manor - Union. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hilltop Manor - Union directly. There is no cost for this service. We are compensated by the community you select.

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