Nursing Care Index

Hill Top House

Bucklin, Ford County, Kansas · CCN 175500 · Government (Hospital district) · not part of a chain

CMS rates Hill Top House 5 of 5 overall as of August 2026. 29 certified beds, 23 residents a day on average. 15 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing4.38113 hours per resident per day
Registered nurses1.05815 hours per resident per day
Weekend total4.17648 hours per resident per day
Nursing staff turnover29% (registered nurses 0%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-11-20
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0726
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-04
2024-11-20
complaint survey
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-04
2024-11-20
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-04
2024-11-20
complaint survey
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-04
2024-11-20
complaint survey
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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-04
2024-11-20
complaint survey
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.
Administration Deficiencies · tag F0849
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-04
2023-02-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-03-01
2023-02-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-01
2021-08-02 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.
Administration Deficiencies · tag F0838
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-09-09
2021-08-02 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 · tag F0585
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-09-09
2021-08-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-09
2021-08-02 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 · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-09
2021-08-02 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · tag F0661
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-09
2021-08-02 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-09
2021-08-02 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2021-09-09

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Bucklin District Hospital
Organization
5% or greater direct ownership interest100%1966-06-01
Farmer, Fredrick
Individual
adp of the snf2024-01-01
Hokanson, Stephen
Individual
adp of the snf2017-01-01
Imel, Cynthia
Individual
adp of the snf2011-04-25
Kregar, Judith
Individual
adp of the snf1991-12-21
Scott, Melanie
Individual
adp of the snf2002-04-22
Hokanson, Stephen
Individual
corporate director2013-11-26
Imel, Cynthia
Individual
corporate director2011-04-25
Scott, Melanie
Individual
corporate director2002-04-22
Farmer, Fredrick
Individual
operational/managerial control2024-01-01
Kregar, Judith
Individual
operational/managerial control1991-12-21
Hokanson, Stephen
Individual
trustee of the snf2017-01-01
Imel, Cynthia
Individual
trustee of the snf2011-04-25
Scott, Melanie
Individual
trustee of the snf2002-04-22

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Ford County.