Hilltop Manor Health and Rehabilitation Center — nursing home in Union, MS

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 55.0 CMS, MDS-derived
CMS Certification Number: 255260
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2000
Ownership type: For profit - Limited Liability company
Operator (legal business name): 101 Kirkland Street Opco LLC
CMS chain: Avardis Health 38 facilities
Phone: (601) 774-8233
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 13, 2026

Citations

28

27 health · 1 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E5	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 255260
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Apr 1, 2000
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Mississippi.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 13, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 13, 2026	Health	Health Standard	8	Potential harm	—	Open →
Mar 30, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 5, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 5, 2024	Health	Health Standard	7	Potential harm	—	Open →
Aug 3, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 3, 2023	Health	Health Standard	11	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E5	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 13, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2026
Aug 13, 2026	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 14, 2026
Aug 13, 2026	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2026
Aug 13, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2026
Aug 13, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2026
Aug 13, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2026
Aug 13, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 14, 2026
Aug 13, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 14, 2026
Mar 30, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance	Complaint
Dec 5, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 6, 2025
Dec 5, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 6, 2025
Dec 5, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 6, 2025
Dec 5, 2024	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 6, 2025
Dec 5, 2024	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 6, 2025
Dec 5, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 6, 2025
Dec 5, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 6, 2025
Aug 3, 2023	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 25, 2023
Aug 3, 2023	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 14, 2023
Aug 3, 2023	F-0585	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 Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Sep 14, 2023
Aug 3, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 3, 2023	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 14, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.7

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 2.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.49

State avg 4.20US avg 3.90

Registered nurse (RN)1.20

State avg 0.63US avg 0.69

Licensed practical nurse0.26

State avg 1.11US avg 0.86

Nurse aide2.02

State avg 2.46US avg 2.35

Weekend total nurse3.09

State avg 3.48US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.26 (case-mix index 1.15).

Staff turnover

Total nursing staff turnover48.3%

State avg 44.4%US avg 45.3%

Registered nurse turnover18.8%

State avg 36.6%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Aug 13, 2026
Cycle 1 health score: 44
Total weighted score: 41

Operating entity

101 Kirkland Street Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avardis Health

38 facilities in 4 states. CMS chain ID 843.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

25

Organizations

10

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
North of Decatur Parentco LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Msop Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Neshoba Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Nu C II Irrevocable Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Nu C Irrevocable Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
SNF Care Centers LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Zenith Holdco II LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Zenith Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
North of Decatur Parentco LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Msop Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Neshoba Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Nu C II Irrevocable Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Nu C Irrevocable Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
SNF Care Centers LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Zenith Holdco II LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Zenith Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2025
Tiffany Hoback	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2025
SNF Mgr LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Tiffany Hoback	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Tequilla Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Melisa PACE-Kilpatrick	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 27, 2026
William Perry	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Crystal Tate	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
John Thomas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Fc Encore Union LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 1, 2025
Fc Encore Union LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
SNF Mgr LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 17, 2025
Tiffany Hoback	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Tequilla Jones	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Melisa PACE-Kilpatrick	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 27, 2026
William Perry	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Crystal Tate	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
John Thomas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025

Same chain in Mississippi

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Courtyard Health and Rehabilitation 501 South Locust Street, Mccomb, MS 39648 CCN 255145SFF CandidateAbuse icon	145	Jun 18, 2026	3610 IJ	$27k
Middleton Oaks Health and Rehabilitation 627 Middleton Road, Winona, MS 38967 CCN 255171	120	Mar 31, 2026	294 harm	$26k
Starkville Manor Health Care and Rehabilitation Ce 1001 Hospital Road, Starkville, MS 39759 CCN 255172	119	Jul 15, 2026	14	$52k
Grand Trace Health and Rehabilitation 555 John R. Junkin Drive, Natchez, MS 39120 CCN 255173	96	Apr 1, 2026	393 harm	$26k
The Oaks Rehabilitation and Healthcare Center 3716 Highway 39 North, Meridian, MS 39301 CCN 255261	82	May 7, 2026	335 IJ	$32k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 101 Kirkland Street, Union, MS 39365
ZIP: 39365
County: Neshoba County FIPS 28099
State: Mississippi
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
J G Alexander Nursing Center 25112 Highway 15, Union, MS 39365 CCN 255318	3.5 km	60		Apr 30, 2026	173 harm	$11k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	255260	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	255260	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 255260

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction