The Hills Nursing and Rehabilitation

    201 E Thompson St, Decatur, TX 76234
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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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

    4.63·(82)

    Overall rating

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

      4.8
    • Staff

      4.7
    • Meals

      3.9
    • Amenities

      4.7
    • Value

      2.0

    Pros

    • Compassionate, family-like caregiving staff
    • Long-tenured and experienced nursing team
    • Skilled nursing and wound-care expertise
    • Effective short-stay rehabilitation outcomes
    • Engaging, personalized activities program
    • Nutritious, flavorful meals with variety
    • Clean, fresh, well-maintained interiors
    • Accessible and involved administration
    • Strong infection-control and pandemic practices
    • Welcoming communal atmosphere and resident community
    • Responsive case-management and therapy coordination
    • Attractive dining presentation and kitchen pride

    Cons

    • Inconsistent staffing levels and staff turnover
    • Front-office and billing responsiveness gaps
    • Delays in clinical escalation and urgent-care response
    • Inconsistent meal-service continuity and temperature
    • Variability in activity coverage and program continuity
    • Limited on-site memory-care offerings
    • Aging outdoor and courtyard maintenance needs
    • Allegations of financial impropriety

    Summary of reviews

    Overall impression: The Hills Nursing and Rehabilitation elicits strongly polarized impressions. A large body of comments describe a facility with committed clinical staff, effective rehabilitation services, engaging activities, and consistently clean, well-maintained interiors. Many families emphasize a family-like culture, long-tenured caregivers, accessible leadership, and successful transitions home after rehab. At the same time, a subset of accounts describes operational weaknesses that create uneven experiences for some residents and families.

    Care and staff: Reviewers frequently praise the caregiving team’s compassion, familiarity with residents, and clinical skills — including wound care and skilled nursing services. Rehabilitation and short-stay therapy are highlighted as strengths, with multiple accounts of functional improvement and smooth transitions back home. However, there are recurring operational concerns about staffing stability. Comments describe periods of turnover or limited staffing that appear to affect responsiveness and timeliness of clinical attention. Several families raised serious clinical concerns about delayed escalation in urgent situations; such comments point to a need for consistently reliable care escalation protocols.

    Dining and nutrition: The facility’s kitchen receives frequent positive mention for flavorful, home-style meals, variety, and attractive presentation. Nutrition and meal quality are often cited as a notable strength, and the dietary team is presented as a source of pride. Conversely, some accounts describe interruptions in meal-service continuity and occasional issues with meal temperature or substitutions that feel inadequate. Those issues appear linked to staffing or operational scheduling rather than food quality per se.

    Activities and social environment: The Hills is consistently described as having an active, personalized activities program that contributes to a warm community atmosphere. Dedicated activities leadership and a range of social options are positive differentiators. That said, a few descriptions indicate variability in program availability when activity staff are absent or when resources are constrained, suggesting the program’s quality depends on continued staffing support.

    Facilities and cleanliness: Many reviewers emphasize spotless hallways, fresh-smelling rooms, and overall strong attention to cleanliness and infection control — attributes that stood out during the pandemic. The building’s interior and dining areas are often described as welcoming. Some comments note that outdoor and courtyard areas could use refreshment and that portions of the physical plant reflect an older facility footprint; these are opportunities for cosmetic and outdoor-space improvements.

    Management and operations: Families point to accessible, involved administrators and responsive case workers as positives that improve communication and care coordination. At the same time, there are repeated operational complaints about front-office responsiveness, billing delays, and a small number of serious allegations involving financial conduct. Those concerns, together with reports of inconsistent office communication, indicate that administrative processes could benefit from clearer policies and more consistent follow-through.

    Notable patterns and recommendations: The predominant pattern is one of strong direct-care and therapy performance paired with occasional operational inconsistencies. Prospective residents and families should weigh the facility’s clinical strengths, activity program, and dining against the potential for variability in staffing coverage and front-office responsiveness. For families, recommended due diligence includes asking about current staffing ratios and turnover, billing and refund procedures, activity staffing continuity, and how the facility handles clinical escalation and urgent-care events. Overall, The Hills presents many of the qualities families seek in a rehabilitation and long-term care setting, while also showing specific administrative and operational areas that warrant clarification during the tour and contracting process.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    The Hills Nursing and Rehabilitation is located at 201 E Thompson St, Decatur, TX, 76234.

    About The Hills Nursing and Rehabilitation

    The Hills Nursing And Rehabilitation has 110 certified beds and focuses on recovery and well-being with a range of services like skilled nursing, assisted living, rehab care, memory care, and vent care, and the place also has in-house dialysis services which helps when someone needs more medical support without having to travel. The center is owned by West Wharton County Hospital District and Decatur I Enterprises LLC manages it, with Gary Blake and Malisa Blake being involved since June 2022, and it's a part of the Creative Solutions In Healthcare network. Residents get about 2.98 nurse hours per day, and staff include caregivers who've had specialized training to help people with different health needs, and while the home's known for giving high quality nursing care, there have been 19 deficiencies found on inspection reports, including two related to infections, and some quality of life and care planning issues marked as immediate jeopardy, so while the staff does work to improve, careful attention is needed. Folks living here receive 24-hour care, help with medication, personal care plans, and therapy services for wound care, physical, occupational, and speech needs, and the place welcomes both long-term and short-term stays, even helping with stroke recovery, cardiac illnesses, surgery recovery, and diabetes. The building has features for comfort and safety, offers meals three times a day that people usually enjoy, provides field trips, recreational and spiritual activities, and has amenities like beauty and barber services, housekeeping, laundry, and transportation for appointments. There's also help with podiatry, dentistry, optometry, hospice, and veterans affairs. The staff aims to create a supportive, home-like feel, giving attention to physical, emotional, and social needs, and there's an online portal for families to stay connected and get updates, plus tools to locate other network facilities if needed, and options to contact staff through forms or a customer care line if there's any concern. The community tries to encourage participation in daily life, offers a variety of activities, faith services, and makes sure everyone's needs get addressed through teamwork and personal plans, but it's important to note the inspection history and staff turnover rate of about 32.5%.

    People often ask...

    The Hills Nursing and Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 17 photos of The Hills Nursing and Rehabilitation on Mirador.

    The full address for this community is 201 E Thompson St, Decatur, TX 76234.

    No, The Hills Nursing and Rehabilitation 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 Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RsKrNAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity110 residents
    LicenseeWest Wharton County Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    4

    Reports

    20

    Citations

    0

    Complaints

    0

    Years

    19 Aug 2026Inspection
    Found that information on hospice care was not included in the resident's current clinical record.
    • —Health Visit
    23 Jul 2026Inspection
    Cited two deficiencies: care did not align with the assessment, care plan, and resident choices; and caregivers were not notified about health changes.
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    26 Feb 2026Inspection
    Found deficiencies in pressure ulcer prevention, infection control, and care planning.
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    24 Feb 2026Life Safety
    Identified multiple life safety code deficiencies across evacuation design, fire alarm and sprinkler systems, hazardous chemical and oxygen storage, lighting, smoking materials, occupancy requirements, and laundry construction.
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    Disclaimer

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

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