Hilltop Manor Health and Rehabilitation Center

Name: Hilltop Manor Health and Rehabilitation Center
Address: 101 KIRKLAND STREET, Union, MS, 39365, US
Telephone: 6017748233

101 Kirkland Street, Union, MS 39365 · Neshoba County · 60 certified beds · avg 55 residents/day · certified since Apr 1, 2000

Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.26

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 30, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 5, 2024	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 3, 2023	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Aug 3, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 3, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 6, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 6, 2022	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 6, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 6, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 6, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 6, 2022	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 7).

Year	Citations	Worst severity that year
2022	6	F
2023	11	F
2024	7	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Mississippi avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.26	4.88	3.95	bottom 27% in Mississippi; top 30% in the U.S.
Registered Nurse hours	1.74	0.74	0.69	top 3% in Mississippi; top 3% in the U.S.
Weekend total nurse staffing	3.71	4.09	3.50	bottom 37% in Mississippi; top 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.09	0.38	0.48	top 4% in Mississippi; top 5% in the U.S.
Total nursing staff turnover (%)	44.8	45.7	45.8	bottom 50% in Mississippi; top 50% in the U.S.
RN turnover (%)	12.5	38.4	42.9	top 11% in Mississippi; top 6% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.49, RN 1.42, weekend 3.04. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Msop Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
Neshoba Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
North of Decatur Parentco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	06/01/2025
Nu C II Irrevocable Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
Nu C Irrevocable Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
SNF Care Centers LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
Zenith Holdco II LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
Zenith Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
FC Encore Union LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	05/01/2025
FC Encore Union LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Pace-Kilpatrick, Melisa	Individual	Operational/Managerial Control	NOT APPLICABLE	04/27/2026
Pace-Kilpatrick, Melisa	Individual	ADP of the SNF	NOT APPLICABLE	04/27/2026
Perry, William	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Perry, William	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
SNF Mgr LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
J G Alexander Nursing Center	2.2 mi	Union, MS	★★★☆☆	3/5
Neshoba County Nursing Home	12.2 mi	Philadelphia, MS	★★★☆☆	2/5
Choctaw Residential Center	13.6 mi	Choctaw, MS	★★☆☆☆	2/5
Bedford Care Center of Newton	19.0 mi	Newton, MS	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Union →

Facility data as of CMS processing date 2026-08-01. CCN 255260.

The Care File

Visit checklist — Hilltop Manor Health and Rehabilitation Center

101 Kirkland Street, Union, MS 39365 · 6017748233

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 255260 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)