Hilltop at Blue River, the
10425 Chestnut Dr · Kansas City, MO · 64137 · 8167634444
160 certified beds For profit - Corporation Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.65 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 2.38 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $34,704 |
Inspection citations (47 in the current record)
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Potential for harm · D January 2, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Past Non-Compliance · Resident Rights
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Potential for harm · D December 18, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected December 22, 2025 · Resident Rights
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Potential for harm · D March 14, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D March 14, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D March 14, 2025
Provide activities to meet all resident's needs.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 28, 2025 · Nursing and Physician Services
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Potential for harm · D March 14, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · E March 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · D March 14, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D March 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 20, 2025 · Resident Rights
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Potential for harm · D November 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D September 20, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 2, 2023 · Pharmacy Service
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Actual harm · G July 21, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 24, 2023 · Quality of Life and Care
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Actual harm · G July 21, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected August 24, 2023 · Quality of Life and Care
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Potential for harm · D July 21, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected August 24, 2023 · Resident Rights
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Potential for harm · E July 21, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 24, 2023 · Resident Rights
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Potential for harm · D July 21, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 24, 2023 · Resident Rights
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Potential for harm · E July 21, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 24, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 21, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 24, 2023 · Resident Rights
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Potential for harm · D July 21, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected August 24, 2023 · Resident Rights
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Potential for harm · D July 21, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 24, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 21, 2023 | Fine | $34,704 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265597 · certified since November 23, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.