THE HILLTOP ON MAIN in MERIDIAN, TX was fined $29,243 by CMS following 11 deficiency citations identified during federal surveys.

THE HILLTOP ON MAIN (MERIDIAN, TX) — $29,243 in CMS Fines

Outcome: THE HILLTOP ON MAIN in MERIDIAN, TX was fined $29,243 by CMS following 11 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• Provide and implement an infection prevention and control program.


• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.


• Provide enough food/fluids to maintain a resident's health.


• Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.


• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.


• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.