PlainNursing
CMS Nursing Home Compare · March 2026

Hilltop at Blue River, the

10425 Chestnut Dr, Kansas City, MO 64137 · All homes in Kansas City

Hilltop at Blue River, the, a 160-bed for profit - corporation nursing facility in Kansas City, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8167634444

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1 / 5
Much below average · CMS overall · nat'l 3.0
2.78
Well below average · nurse hrs/day · nat'l 3.89
50
Inspection findings · 2 serious
$35K
Federal penalties (1)

Health Inspection

2/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
265597
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
160
Residents
147
In Hospital
No
County
Jackson
Last Inspection
Mar 14, 2025

Staffing Data

How the 2.78 total nursing hours per resident-day are staffed:

RN Hours
0.26 (nat'l avg: 0.68)
LPN Hours
0.54
CNA Hours
1.98
Total Nursing Hours
2.78 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
32.3%
RN Turnover
16.7%

What the CMS Record Reveals About Hilltop at Blue River, the

Hilltop at Blue River, the operates 160 certified beds in Kansas City, MO with approximately 147 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $35K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.78 total nursing hours per resident day (national average 3.89), with RN coverage at 0.26 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Hilltop at Blue River, the falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 32.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jan 2, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0551

Give the resident's representative the ability to exercise the resident's rights.

Category: Resident Rights Deficiencies

Corrected: Dec 22, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 28, 2025

E - Pattern - Minimal harm Mar 14, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 2025

E - Pattern - Minimal harm Mar 14, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2025

E - Pattern - Minimal harm Mar 14, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Mar 14, 2025 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Jan 9, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Feb 20, 2025

D - Isolated - Minimal harm Nov 8, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2024

D - Isolated - Minimal harm Sep 20, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 2, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Aug 24, 2023

F - Widespread - Minimal harm Jul 21, 2023 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Aug 24, 2023

F - Widespread - Minimal harm Jul 21, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 24, 2023

F - Widespread - Minimal harm Jul 21, 2023 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

G - Isolated - Actual harm Jul 21, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

G - Isolated - Actual harm Jul 21, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm Jul 21, 2023 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

D - Isolated - Minimal harm Jul 21, 2023 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2023

E - Pattern - Minimal harm May 2, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jun 16, 2023

E - Pattern - Minimal harm May 2, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 2, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 17, 2023

D - Isolated - Minimal harm Mar 31, 2023 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: May 25, 2023

E - Pattern - Minimal harm Mar 16, 2021 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 15, 2021

E - Pattern - Minimal harm Mar 16, 2021 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 13.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 20.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 65.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 62.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 28.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 31.7% No

Penalty History 1 penalties totaling $35K

Date Type Amount
Jul 21, 2023 Fine $35K

Frequently Asked Questions

What is the overall CMS rating for Hilltop at Blue River, the?
Hilltop at Blue River, the has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at Hilltop at Blue River, the?
Hilltop at Blue River, the reports 2.78 total nursing hours per resident day (national average: 3.89). RN hours are 0.26 per resident day (national average: 0.68). Nursing staff turnover is 32.3%.
How many beds does Hilltop at Blue River, the have?
Hilltop at Blue River, the has 160 certified beds with approximately 147 residents. The facility is located at 10425 Chestnut Dr, Kansas City, MO 64137.
Does Hilltop at Blue River, the have any deficiencies on record?
Yes, Hilltop at Blue River, the has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Hilltop at Blue River, the received any fines or penalties?
Yes, Hilltop at Blue River, the has received 1 penalties totaling $35K.
Who owns Hilltop at Blue River, the?
Hilltop at Blue River, the is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Hilltop at Blue River, the last inspected?
The most recent health inspection for Hilltop at Blue River, the was on Mar 14, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Hilltop at Blue River, the?
Hilltop at Blue River, the is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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