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
5
4
3
2
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
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 number
nh-255260
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
69
Reports
61
Citations
34
Complaints
9
Years
01 Mar 2026Complaint
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
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
01 Dec 2025Complaint
Investigated three complaints and determined no deficiencies; found compliance with Medicare and Medicaid participation requirements.
01 Dec 2025Complaint
01 Dec 2025Complaint
Found no deficiencies.
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated a complaint of alleged abuse and found no deficiencies; compliance with licensure requirements was demonstrated.
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated an allegation of abuse and found no deficiencies.
01 Jan 2025Revisit
01 Jan 2025Revisit
Determined the provider was placed back in compliance after corrective actions were implemented.
01 Jan 2025Revisit
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
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 483.45(g)-(h)Label/Store Drugs and Biologicals
CFR 483.80(a)-(f)Infection Prevention & Control
01 Dec 2024Inspection
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
01 Dec 2024Inspection
Found no life safety code deficiencies during the survey.
01 Dec 2024Inspection
01 Dec 2024Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Oct 2024Complaint
01 Oct 2024Complaint
Investigated four complaints and determined no deficiencies were cited, finding compliance with applicable care regulations.
01 Oct 2024Complaint
01 Oct 2024Complaint
Investigated four complaints and concluded there were no deficiencies found.
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated two complaints and found no deficiencies.
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated two complaints and found no deficiencies.
01 Apr 2024Complaint
01 Apr 2024Complaint
Investigated two complaints related to care and found no deficiencies.
01 Apr 2024Complaint
01 Apr 2024Complaint
Investigated two complaints and found no deficiencies.
01 Mar 2024Complaint
01 Mar 2024Complaint
Investigated complaints alleging neglect, laundry concerns, and misappropriation. Determined that no deficiencies were cited.
01 Mar 2024Complaint
01 Mar 2024Complaint
Investigated three complaints and found no deficiencies.
01 Sept 2023Revisit
01 Sept 2023Revisit
Concluded that compliance was restored as of 2023-09-14 after reviewing the prior survey information.
01 Sept 2023Revisit
01 Sept 2023Revisit
Investigated and found no deficiencies.
01 Sept 2023Revisit
01 Sept 2023Revisit
Concluded that the facility was in compliance with the minimum standards and recommended placing back in compliance.
01 Sept 2023Revisit
01 Sept 2023Revisit
Determined compliance was restored after corrective actions were implemented.
01 Sept 2023Revisit
01 Sept 2023Revisit
Concluded that corrective actions were in place and compliance with Medicare/Medicaid requirements was restored.
01 Sept 2023Revisit
01 Sept 2023Revisit
Concluded that the facility was in compliance with the minimum standards following a desk review.
01 Aug 2023Complaint
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
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
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 483.24(a)(2)ADL Care Provided for Dependent Residents
42 CFR 483.35(a)Sufficient Nursing Staff
01 Aug 2023Inspection
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
01 Aug 2023Inspection
Verified compliance with emergency preparedness requirements.
01 Dec 2022Complaint
01 Dec 2022Complaint
Investigated complaints and concluded no deficiencies were cited.
01 Dec 2022Complaint
01 Dec 2022Complaint
Found no deficiencies related to the complaint investigation and determined compliance with Medicare/Medicaid participation.
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated an allegation of neglect after a fall; found no deficiencies and determined substantial compliance.
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated a complaint alleging neglect after a resident fall and found no deficiencies. Substantial compliance was determined.
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated a complaint about care after a resident's fall and found no deficiencies.
01 Aug 2022Inspection
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
01 Apr 2022Revisit
Concluded the provider was in compliance with participation requirements after a post-certification revisit.
01 Apr 2022Revisit
01 Apr 2022Revisit
Concluded compliance with aging-related care standards during a follow-up visit.
01 Feb 2022Inspection
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
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
01 Feb 2022Revisit
Determined that compliance was restored after corrective actions and recommended placing back in compliance.
01 Feb 2022Revisit
01 Feb 2022Revisit
Confirmed no deficiencies were found after reviewing information related to the annual survey.
01 Jan 2022Inspection
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
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.
Confirmed compliance with emergency preparedness requirements.
01 Nov 2021Revisit
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
01 Nov 2021Revisit
Confirmed back in compliance after the state agency reviewed information related to infection control and emergency preparedness.
01 Nov 2021Complaint
01 Nov 2021Complaint
Investigated a complaint about offensive odors and found no deficiencies.
01 Nov 2021Complaint
01 Nov 2021Complaint
Investigated a complaint about offensive odors and found no deficiencies, confirming compliance with the applicable standards.
01 Oct 2021Infection Control
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
01 Oct 2021Infection Control
Found no deficiencies after evaluating emergency preparedness status.
01 Jul 2021Complaint
01 Jul 2021Complaint
Found no deficiencies. Investigated complaints and determined compliance with Medicare/Medicaid requirements.
01 Jul 2021Complaint
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
01 Jul 2020Infection Control
Determined compliance with emergency preparedness requirements related to COVID-19 during a focused survey.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Verified compliance with infection control regulations and COVID-19 preparedness practices. No deficiencies were found.
01 May 2020Infection Control
01 May 2020Infection Control
Verified compliance with infection control regulations and COVID-19 preparedness practices.
01 May 2020Infection Control
01 May 2020Infection Control
Verified no deficiencies related to Covid-19 infection control were identified during the focused inspection.
01 Oct 2019Complaint
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
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
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.
Found no deficiencies. The review determined ongoing compliance with state licensure requirements.
01 Mar 2019Inspection
01 Mar 2019Inspection
Found no deficiencies identified; the survey found substantial compliance with regulations.
01 Aug 2018Complaint
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
01 Nov 2017Complaint
Investigated and found no deficiencies.
01 Nov 2017Complaint
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
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
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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