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Nursing homeFAID #4718

Hill Top House

505 W ELM, BUCKLIN, KS, 67834
(620) 826-3202
29 licensed beds

CMS rates Hill Top House 4 out of 5 overall. Federal inspectors issued 21 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
29
CMS facility ID
175500
Care type
Nursing home
County
Ford
Facility name
Hill Top House
Street address
505 W ELM
City / state / ZIP
Bucklin, KS 67834
Phone
(620) 826-3202

Hill Top House is a Medicare/Medicaid-certified skilled nursing facility in Bucklin, Kansas. It is licensed for 29 beds — below the median for skilled nursing facilities in Kansas (52 beds).

It is one of 2 senior care facilities in Bucklin and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hill Top House 21 times across 7 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
Government - Hospital district

Registered owners & officers

Bucklin District Hospital
Direct owner — 100% stake — since 1966
Farmer, Fredrick
Operational control · Additional disclosable party — since 2024
Hokanson, Stephen
Director · Trustee · Additional disclosable party — since 2013
Imel, Cynthia
Director · Trustee · Additional disclosable party — since 2011
Kregar, Judith
Operational control · Additional disclosable party — since 1991
Scott, Melanie
Director · Trustee · Additional disclosable party — since 2002

Regulatory standing

Licensed / certified since
2008-01-01
CMS overall rating
4 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-11-20
Nurse staffing
4.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$286 per day (≈ $8,690/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 3% Medicare · 32% private/other
Occupancy
96% (fiscal year 2023)
Vs. state median
7% below the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds
29
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2024-11-20Health inspectionComplaint-triggered6 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-04
F-0726
F · No harm foundFrom a 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 2025-01-04
F-0758
D · No harm foundFrom a 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 2025-01-04
F-0849
D · No harm foundFrom a 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 2025-01-04
F-0851
F · No harm foundFrom a complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-01-04
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-04
2023-02-15Health inspection2 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-01
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-01
3 earlier / fire-safety inspections (13 citations)
2021-08-02Health inspection7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-09-09
F-0585
E · No harm found
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 2021-09-09
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-09-09
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2021-09-09
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-09-09
F-0838
F · No harm found
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 2021-09-09
F-0882
C · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2021-09-09
2024-11-20Fire-safety inspection5 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-06
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-01-06
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2025-01-06
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-01-06
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-01-06
2023-02-15Fire-safety inspection1 citation
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-03-22
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175500.
How it compares in Kansas.
Inspection citations, 3 years
21
Among the fewest of nursing homes in the state
State median: 53
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
4.7
Higher than 77% of nursing homes in the state
State median: 4.0
Nursing staff turnover, annual
42%
Higher than 36% of nursing homes in the state
State median: 48%

Resident outcomes

On 17 federal quality measures, this facility does better than the Kansas average on 10 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased7.2%17.4%13.5%Better than state
Lose too much weight0.0%4.8%5.1%Better than state
With a catheter inserted and left in their bladder0.0%1.4%0.7%Better than state
With a urinary tract infection0.0%2.8%1.5%Better than state
Have depressive symptoms0.0%6.6%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury0.0%4.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine93.0%92.9%93.7%Near state average
Ability to walk independently worsened5.6%14.5%12.7%Better than state
Received an antianxiety or hypnotic medication12.0%23.4%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%94.9%95.3%Near state average
With pressure ulcers12.8%4.4%4.5%Worse than state
With new or worsened bowel or bladder incontinence16.4%21.6%18.3%Better than state
Received an antipsychotic medication16.7%17.7%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.931.691.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days2.792.001.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine67.7%77.1%82.3%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.
Where to check, and what's nearby.

Who to contact in Kansas

  • Licensing: Kansas Department for Aging and Disability Services (KDADS)
  • Adult Protective Services: 800-922-5330. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Kiowa County Memorial Hospital, about 19 miles.
  • Minneola District Hospital, about 22 miles.
  • Comanche County Hospital, about 26 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 21 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered