Federal inspection record · CMS data as of October 1, 2026
Hilltop Manor Health And Rehabilitation Center
101 Kirkland Street, Union, MS · (601) 774-8233
- Certified beds
- 60
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 2000
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Mississippi homes
Hilltop Manor Health And Rehabilitation Center carries 41 inspection points. That is fewer than 49% of Mississippi's 199 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–30 pts
- 3★ 30–47 pts
- 2★ 47–78.5 pts
- 1★ over 78.5 pts
Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care8E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights7E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning6D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service2D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-08-13
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-05
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-08-03
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 1 h 12 min of it from a registered nurse.
This home
3 h 29 min
Mississippi average
4 h 12 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 19% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.4 | 2.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 2.5 | 2.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better | 99.5% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts better | 98.1% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts better | 0.6% | 1.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 2.3% | 6.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.2 pts worse | 31.0% | 23.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.5 pts better | 12.3% | 21.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts worse | 21.1% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 19.3% | 20.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 2.1% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 2.1% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12 pts worse | 31.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 4.3% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 93.3% | 89.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse | 15.4% | 15.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 3.2% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.9 pts better | 96.9% | 85.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.9 pts better | 16.2% | 27.1% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fc Encore Union LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Fc Encore Union LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Msop Holdco LLC | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Neshoba Holdco LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| North Of Decatur Parentco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Nu C Ii Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Nu C Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Pace-Kilpatrick, Melisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pace-Kilpatrick, Melisa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Perry, William | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Perry, William | Adp Of The SNF · Individual | 0% | 2 facilities |
| Snf Care Centers LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Tate, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tate, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Thomas, John | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thomas, John | Adp Of The SNF · Individual | 0% | 18 facilities |
| Zenith Holdco Ii LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Zenith Holdco LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1D
- D
Have exits that are accessible at all times.
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Other homes nearby
-
J G Alexander Nursing Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 27 min
- Fines
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-
Neshoba County Nursing Home
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-
Choctaw Residential Center
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- Nursing / resident / day
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