Hilltop Village Nursing and Rehab

    1400 Hilltop Rd, Kerrville, TX, 78028
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Caring staff some cleanliness issues

    I had a largely positive experience - staff are genuinely caring and responsive under new management (Natasha Garcia), therapists and nurses are excellent, transporters like Josh are professional, the food (Laura Padilla) and activities/music are strong, and the views/rehab gave us real peace of mind. The building feels homelike and many residents seemed happy. That said, cleanliness and communication can be inconsistent and there are occasional rude or short-staffed shifts, so visit and ask questions. Overall I'd recommend it, with the caveat to verify staffing and care routines.

    Pricing

    Schedule a Tour

    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

    4.36 · 113 reviews

    Overall rating

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

      4.3
    • Staff

      4.4
    • Meals

      4.4
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Compassionate nursing staff and aides
    • Skilled physical and occupational therapy programs
    • Strong wound care services
    • Responsive new management and accessible administrator
    • Attentive LVNs and CNAs (specific staff praised)
    • Helpful maintenance and move-in assistance
    • High-quality dining and kitchen staff
    • Clean and pleasant common areas reported frequently
    • Engaging activities and entertainment programs
    • Large, well-equipped rehab gym
    • Family-like atmosphere and individualized attention
    • Smooth admissions and transition support
    • Beautiful views, chapel, and pleasant ambience
    • Low staff turnover reported by some families
    • Successful post-op rehabilitation outcomes

    Cons

    • Inconsistent staff responsiveness, especially late afternoon/overnight
    • Staffing shortages and dangerous staffing level concerns
    • Poor phone communication and difficulty reaching staff
    • Allegations of missed or withheld medications
    • Falls and safety incidents, including serious transfer-related injuries
    • Inconsistent cleanliness and occasional hygiene lapses
    • Privacy and family-notification / HIPAA concerns
    • Rude or unprofessional staff behavior reported in some cases
    • Inadequate personal care (showers, hair care) in some reports
    • Cramped shared rooms and uncomfortable beds
    • Strict or limited visitation policies (short windows, no weekends)
    • Billing disputes and difficulty obtaining refunds/credits
    • Laundry and linen handling not always honoring family wishes
    • Older facility appearance and need for cosmetic updates
    • Mixed reports about activities availability across units

    Summary review

    Overview The reviews for Hilltop Village Nursing and Rehab present a mixed but detailed portrait. Many families and residents praise the facility for compassionate hands-on care, strong therapy services, and a kitchen staff that produces good meals. At the same time, there are numerous, often serious concerns around inconsistent staff behavior, communication problems, safety incidents, and occasional hygiene lapses. Recent management changes appear to have improved responsiveness for some families, but historical or ongoing issues remain important to note.

    Care quality and clinical services A dominant and consistent positive theme is the quality of therapy and clinical care in many cases: physical and occupational therapists are repeatedly described as skilled, effective, and instrumental in successful rehabilitation outcomes. Wound care nursing receives multiple commendations, and several comments single out specific LVNs, CNAs, and therapists for exceptional attention and skill. Conversely, other reviews describe missed or withheld medications, failure to notify families after falls, and in at least one account a transfer and subsequent fall that resulted in a hip fracture and later death. These serious safety allegations coexist with many positive rehab success stories, signaling uneven performance across shifts, units, or time periods. Prospective families should prioritize clarification about medication administration protocols, fall-prevention measures, and narcotic/medication tracking.

    Staffing, responsiveness, and management Staffing and responsiveness are recurring, polarized themes. Numerous reviewers praise individual staff members by name (for example Pam, Michelle, Melissa, Monica, Susie, Eric, Josh, Missy Vasquez, and nutrition manager Laura Padilla) and report helpfulness, kindness, and professionalism. Several reviewers mention that new management and a new administrator (Natasha Garcia referenced by name) have noticeably improved call-backs, accessibility, and follow-up. Yet others report late-afternoon and overnight staff being indifferent, hard-to-reach phone lines, absent-minded or rude employees, and overall shortages that impact care. Some reviews raise serious allegations about leadership decisions (claims that administrative choices prioritized money or insufficient oversight) and one reviewer reported the ADON having a troubled background; these are serious reputational concerns that some families cited as reason for distrust. Overall, the trend in more recent reviews suggests improved communication under new administration for some residents, but variability remains.

    Safety, incidents, and family communication Multiple reviews highlight alarming lapses around safety and family communication. Reports include lack of notification after falls, a relative being allegedly removed from care with no documented investigation, and at least one death shortly after a stay. Other comments cite missed doctor appointments due to care coordination failures, privacy/HIPAA concerns, and instances where families found loved ones on the floor. These claims are serious and indicate that while many residents receive good care, there are significant outlier events that families should investigate directly with the facility and via public inspection records before placement.

    Hygiene, living conditions, and physical plant Comments on cleanliness and the physical plant are mixed. Many reviewers describe the facility as clean, airy, and well-kept, often noting pleasant smells, a beautiful chapel, and attractive views. Others report inconsistent cleanliness, food or fruit peels left on the floor, overgrown hair, poor personal hygiene, and cramped shared rooms with uncomfortable beds. The building itself is often described as older; some reviewers praise maintenance staff for keeping things functioning and for move-in assistance, while others feel the appearance could use a facelift. These contrasting perspectives suggest that cleanliness and personal care standards may vary by wing, shift, or patient population.

    Dining and activities Dining receives largely positive feedback: the kitchen and nutrition manager are singled out for top-notch meals, home-cooked flavors, and attractive presentation. Laura Padilla and the kitchen crew are mentioned repeatedly in praise. However, a minority of reviews reported poor food quality. Activities are another polarized area: many reviews report engaging programming — bingo, music, Christmas caroling, volunteering, beauty shop access, and robust entertainment — while other reviewers say activities were non-existent or poorly run. This suggests variability between units or between different time periods and staffing levels.

    Visitation, policy, and family experience Several reviewers expressed frustration with visitation policies (short windows, no weekend visits), inconsistent honoring of family requests (for example related to laundry and linens), and difficulty getting callbacks or updates. Conversely, other families felt very involved, received timely updates, and experienced staff who treated them like family. This split indicates that family experience is strongly influenced by which staff manage a resident's care and how recently administrative improvements have been enacted.

    Patterns and recommendations Overall sentiment across the reviews is polarized: many firsthand accounts praise Hilltop Village for exceptional therapy, compassionate individual caregivers, good food, and a warm atmosphere; but there are also repeated and serious reports of communication breakdowns, staffing shortfalls, safety incidents, hygiene failures, and administrative issues. Recent management changes are cited as improving responsiveness for some families, which is encouraging, but historical problems and a few severe allegations mean that due diligence is essential. For families considering Hilltop Village, it would be prudent to (1) ask about current staffing ratios, overnight coverage, and fall-prevention protocols; (2) request recent state inspection and deficiency reports; (3) clarify medication administration, wound care processes, and post-transfer communication policies; (4) tour the specific unit where the resident would live to assess cleanliness, room size, and activity offerings; and (5) speak to current residents' families about recent management changes and whether they have observed sustained improvements. The facility shows many strengths — particularly in rehab, wound care, maintenance, and dining — but variability in execution and a few serious safety/communication incidents make verification and ongoing family involvement critical.

    Location

    Map showing location of Hilltop Village Nursing and Rehab

    About Hilltop Village Nursing and Rehab

    Hilltop Village Nursing and Rehab sits at 1400 Hilltop Rd in Kerrville, Texas, right in the Texas Hill Country, and you'll notice the peaceful setting with fresh country air, trees, and open outdoor spaces that give the place a calm, welcoming feeling for residents who want to recover or who need long-term care. The facility is privately owned and people there have a long-standing reputation for offering high-quality nursing and rehabilitation care, whether someone needs skilled nursing around the clock or a short-term rehab stay, and that's something families in Kerrville have come to rely on. There are dedicated units for different needs, like post-surgical recovery, where staff keep an eye out and provide personalized therapy depending on each resident's situation. The team at Hilltop Village tries hard to be empathetic and professional, and you'll often see them taking time with residents or helping with daily activities, which help foster a supportive and friendly atmosphere. Amenities focus on the basics that matter-clean rooms, well-kept grounds, and common spaces where people can relax or join social events. The facility stays open 24/7 and allows family visits by appointment every day from 8 am to 5 pm, which helps keep everyone connected and comfortable. Under new management and no longer tied to Eduro Healthcare, Hilltop Village Nursing and Rehab continues to stick to its goal of delivering compassionate care in a warm and comfortable environment. The staff works to make sure services match the unique needs of each resident, and they're always focused on helping folks feel at home during their stay.

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