Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (44% of admissions), and a typical Medicare stay runs around 2 - 3 months.
Located in Union, Mississippi, Hilltop Manor Health & Rehabilitation Center is a 60-bed nursing home operated by 101 Kirkland Street OpCo, LLC and owned by Alex Smith. The community serves residents with short-term rehabilitation needs and longer-term nursing care. Most stay for an average of 244 days, including post-acute recovery and ongoing care arrangements. The facility accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover care.
The home focuses on comprehensive post-acute care and long-term services. Total nurse staffing averages 4 hours and 4 minutes per resident each day, with registered nurses providing 1 hour and 21 minutes of direct RN care, nurse aides 1 hour and 51 minutes, and licensed practical nurses 24 minutes. This staffing pattern provides hands-on nursing support throughout a resident’s stay.
Alzheimer’s and Dementia Care is the facility’s key specialty. Seniors with cognitive decline will find dedicated services tailored to the specific needs of memory care residents. The facility has 24-hour staffing to support residents around the clock. It also offers rehabilitation services for those recovering from illness or injury.
Union has a Walk Score of 45, which is somewhat walkable. Some nearby services can be reached on foot, but most errands will require transportation. The area has a residential character, and it’s close to local resources and medical facilities.
Hilltop Manor best suits families seeking either short-term rehabilitation in the post-hospital period or longer-term nursing care with a memory care specialization. The facility’s staffing ratios and 24-hour support provide consistent daily care for residents’ daily needs.
Hilltop Manor Health & Rehabilitation Center is legally operated by 101 Kirkland Street OpCo, LLC Franklin, and administered by C. Land.
In Mississippi, the State Department of Health, Bureau of Health Facilities Licensure conducts unannounced surveys to monitor facility compliance with health, safety, and resident rights laws.
Deficiencies
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total deficiencies
| 28 | 45 | This facility has 38% fewer total deficiencies than a typical Mississippi assisted living residence (28 vs. MS avg 45).↓ 38% better |
|
Deficiencies per year
| 7 | 11.3 | This facility has 38% fewer deficiencies per year than a typical Mississippi assisted living residence (7 vs. MS avg 11.3).↓ 38% better |
|
Deficiencies per inspection
| 9.3 | 0.9 | This facility has 933% more deficiencies per inspection than a typical Mississippi assisted living residence (9.3 vs. MS avg 0.9).↑ 933% worse |
Inspections
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total inspections
| 3 | 50 | This facility has 94% fewer total inspections than a typical Mississippi assisted living residence (3 vs. MS avg 50).↓ 94% better |
State average N/A
Last Health inspection on Dec 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 24 citations resulted from standard inspections; and 4 of 24 came from combined inspections (standard and complaint).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,960 contractor hours this quarter
| Certified Nursing Assistant | 36 | 0 | 36 | 8,839 | 92 | 100% | 7.1 |
| Registered Nurse | 15 | 0 | 15 | 4,433 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,871 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,784 | 80 | 87% | 7.7 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 475 | 63 | 68% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 63 | 68% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 446 | 66 | 72% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 363 | 50 | 54% | 7.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 297 | 51 | 55% | 5.8 |
| Qualified Social Worker | 0 | 6 | 6 | 278 | 65 | 71% | 4.2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 37 | 13 | 14% | 2.8 |
| Medical Director | 0 | 1 | 1 | 36 | 66 | 72% | 0.6 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 29 | 24 | 26% | 1.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
44% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Hilltop Manor Health & Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (44% of admissions), and a typical Medicare stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Union's city center to Hilltop Manor Health & Rehabilitation Center's address, calculated via Google Maps.
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The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
| Hilltop Manor Health & Rehabilitation Center | NH MC | Union | - | 60 | - | 45 | - |
| Traceway Retirement Community | NH AL IL MC | Tupelo (West Main Street) | - | 140 | - | 43 | Private Rooms / Semi-Private Rooms |
| Tunica Nursing Home | NH | Tunica | - | 60 | - | 49 | - |
| Landmark of DeSoto | NH HC MC PC | Horn Lake | - | 60 | A+ | 60 | - |
| Vaiden Community Living Center | NH HC NC RC | Vaiden | - | 60 | A+ | 19 | - |
Hilltop Manor Health & Rehabilitation Center is legally operated by 101 Kirkland Street OpCo, LLC Franklin, and administered by C. Land.
Hilltop Manor Health & Rehabilitation Center has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Hilltop Manor Health & Rehabilitation Center's occupancy is 96%.
Hilltop Manor Health & Rehabilitation Center is registered as a for-profit in MS.
C. Land is the administrator of Hilltop Manor Health & Rehabilitation Center.
Hilltop Manor Health & Rehabilitation Center has 60 beds.
Hilltop Manor Health & Rehabilitation Center is located at 101 Kirkland Street, Union, MS 39365.
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