Facility type
Nursing Home Facilities
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Hilltop Manor Health & Rehabilitation Center
Hilltop Manor Health and Rehabilitation is located in Union, MS. It offers skilled nursing care, rehabilitation therapy, and specialized services for Alzheimer's and dementia care. The facility is committed to providing personalized and compassionate care to support the aging process.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
95.8%
Residents per day (avg)
55
Occupancy rate
95.8%
Residents per day (avg)
55
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
44% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
31% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
24% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Home revenue
$8.0M
Operating loss
-$20.1K
Privately-owned community
Home revenue
$7,964,027.00
Operating loss
$-20,135.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.0M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License details
County:
Neshoba
Additional licensing details
CMS Certification Number:
255260
Ownership & operating entity
Hilltop Manor Health & Rehabilitation Center is administrated by LLC Scott Smith.
Owner name:
101 Kirkland Street OpCo,
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
Skilled Nursing Care, Comprehensive Post-acute Care, Rehabilitation Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Long-term Care Services, Alzheimer's and Dementia Care
Operating Hours
Always Open 24 Hours
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
3
Mississippi average 4.4
Last Health inspection on Dec 2024
Total health citations
24
Mississippi average 16.9
Citations per inspection
8
Mississippi average 3.83
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Mississippi averageMississippi average: 1
Serious Health citations
0
0
100% better than Mississippi averageMississippi average: 1.1
0 critical citations
0 serious citations
24 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 05, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 05, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Dec 05, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Dec 05, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 05, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 05, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 05, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 05, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Mississippi The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
Bedford Care Center of Mendenhall
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Mendenhall
60
93.5%
+14%
5.42
+17%
1
5
0
56
Bedford Health Properties, Llc
$8,7M
$2,5M
29.3%
255149
Billdora Senior Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Tylertown
60
77.1%
-6%
5.14
+11%
1
9
1
49
-
$5,9M
$2,5M
42.7%
255243
Azalea Gardens Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Wiggins
99
65.4%
-21%
4.32
-7%
0
13
6
61
Cain, Avonna
$8,2M
$3,3M
40.3%
255233
Hilltop Manor Health & Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Union
60
95.8%
+16%
4.07
-12%
0
24
0
55
Smith, Alex
$7,9M
$2,1M
26.1%
255260
Attala County Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kosciusko
120
75.9%
-8%
4.03
-13%
0
18
2
100
Hood, Amy
$8,7M
$4,3M
48.8%
255191
Places of interest near Hilltop Manor Health & Rehabilitation Center
0.0 miles from city center
101 Kirkland Street, Union, MS 39365
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
143
Employees
124
Contractors
19
Staff to resident ratio
2.70:1
59% better than Mississippi averageMississippi average ratio: 1.69:1
Avg staff/day
32
Average shift
7.1 hours
11% worse than Mississippi averageMississippi average: 8 hours
Total staff hours (quarter)
20,796
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.3%
1,306 contractor hours this quarter
Qualified Social Worker: 4
Respiratory Therapy Technician: 3
Occupational Therapy Assistant: 3
Medical Director: 2
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Physical Therapy Aide: 2
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 54 | 0 | 54 | 8,740 | 91 | 100% | 7.6 |
| Registered Nurse | 26 | 0 | 26 | 3,667 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 14 | 0 | 14 | 2,398 | 91 | 100% | 7.7 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 1,672 | 70 | 77% | 6.6 |
| Nurse Aide in Training | 10 | 0 | 10 | 1,117 | 47 | 52% | 7.2 |
| Administrator | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 469 | 59 | 65% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 451 | 58 | 64% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 424 | 53 | 58% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 332 | 44 | 48% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 318 | 46 | 51% | 6.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 284 | 43 | 47% | 6.5 |
| Qualified Social Worker | 0 | 4 | 4 | 248 | 45 | 49% | 5.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 47 | 33 | 36% | 1.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 45 | 13 | 14% | 3.5 |
| RN Director of Nursing | 2 | 0 | 2 | 33 | 5 | 5% | 6.6 |
| Medical Director | 0 | 2 | 2 | 21 | 65 | 71% | 0.3 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 10 | 13 | 14% | 0.8 |
54 Certified Nursing Assistant
% of Days
100%
26 Registered Nurse
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
10 Clinical Nurse Specialist
% of Days
77%
10 Nurse Aide in Training
% of Days
52%
2 Administrator
% of Days
71%
2 Other Dietary Services Staff
% of Days
65%
2 Mental Health Service Worker
% of Days
64%
2 Nurse Practitioner
% of Days
58%
2 Physical Therapy Aide
% of Days
48%
2 Speech Language Pathologist
% of Days
51%
2 Physical Therapy Assistant
% of Days
47%
4 Qualified Social Worker
% of Days
49%
3 Respiratory Therapy Technician
% of Days
36%
1 Occupational Therapy Aide
% of Days
14%
2 RN Director of Nursing
% of Days
5%
2 Medical Director
% of Days
71%
3 Occupational Therapy Assistant
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
53 residents
Residents by payment source
Medicare
8 residents (15.1%)
Medicaid
41 residents (77.4%)
Private pay or other
4 residents (7.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
20% worse than Mississippi averageMississippi average: 12.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.7
38% worse than Mississippi averageMississippi average: 22.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.6%
Percent of long-stay residents whose need for help with daily activities has increased
30.6%
45% worse than Mississippi averageMississippi average: 21.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
34.2%
Percent of long-stay residents whose ability to move independently worsened
34.2%
40% worse than Mississippi averageMississippi average: 24.5%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
27% worse than Mississippi averageMississippi average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
26% better than Mississippi averageMississippi average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
29% better than Mississippi averageMississippi average: 7.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
17% worse than Mississippi averageMississippi average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.2%
Percent of long-stay residents who lose too much weight
2.2%
64% better than Mississippi averageMississippi average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
65% better than Mississippi averageMississippi average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.1%
Percent of long-stay residents who received an antipsychotic medication
3.1%
86% better than Mississippi averageMississippi average: 21.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
In line with Mississippi averageMississippi average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Mississippi averageMississippi average: 97.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
14% better than Mississippi averageMississippi average: 87.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
16% better than Mississippi averageMississippi average: 2.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
15% better than Mississippi averageMississippi average: 84.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Hilltop Manor Health & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
95.8%
↑ 1.2pp vs 2022
Net Income
-$20,135
↓ ~$50K vs 2022
Total Payroll
$2,331,471
↑ ~$98K vs 2022
Profit Margin
-0.3%
↓ 0.6pp vs 2022
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