Hill Top House
505 W Elm · Bucklin, KS · 67834 · 6208263202
29 certified beds Government - Hospital district
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.95 | 0.55–0.75 |
| Weekend hours / resident-day | 4.18 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D November 20, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 20, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 4, 2025 · Nursing and Physician Services
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Potential for harm · D November 20, 2024 · found via complaint
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.
Corrected January 4, 2025 · Pharmacy Service
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Potential for harm · D November 20, 2024 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected January 4, 2025 · Administration
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Potential for harm · F November 20, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 4, 2025 · Administration
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Potential for harm · F November 20, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 4, 2025 · Infection Control
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Actual harm · G February 15, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 1, 2023 · Quality of Life and Care
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Potential for harm · D February 15, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 2, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 9, 2021 · Resident Rights
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Potential for harm · E August 2, 2021
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.
Corrected September 9, 2021 · Resident Rights
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Potential for harm · D August 2, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 2, 2021
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 9, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 2, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 9, 2021 · Quality of Life and Care
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Potential for harm · F August 2, 2021
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected September 9, 2021 · Administration
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No harm found · C August 2, 2021
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected September 9, 2021 · Infection Control
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175500 · certified since January 1, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.