Nursing homeActive
Hill Top House
505 W Elm, Bucklin, KS 67834620826320229 certified beds · 23 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2021
Deficiencies
15
● 1● 13● 1
Penalties · 3 yrs
—
none on file
Last survey
2024-11-20
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 3
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-11-20 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-02-15 | Standard | 011 | CMS-2567 (Care Compare) | — |
| 2021-08-02 | Standard | 160 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 175500-20241120-F655
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 175500-20241120-F726
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 175500-20241120-F758
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 175500-20241120-F849
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 175500-20241120-F851
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 175500-20241120-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-03-01Record 175500-20230215-F689
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 175500-20230215-F657
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-09Record 175500-20210802-F550
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-09-09Record 175500-20210802-F585
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-09Record 175500-20210802-F656
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-09Record 175500-20210802-F661
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-09Record 175500-20210802-F695
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-09-09Record 175500-20210802-F838
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2021-09-09Record 175500-20210802-F882
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.06
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day4.38
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours4.18
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover29%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover0%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.7% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.6% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.2% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.4% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.5% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bucklin District Hospital Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Farmer, Fredrick Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kregar, Judith Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Farmer, Fredrick Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hokanson, Stephen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hokanson, Stephen Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Hokanson, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Imel, Cynthia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Imel, Cynthia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Imel, Cynthia Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Kregar, Judith Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scott, Melanie Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Scott, Melanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scott, Melanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.
No county cost figures on file for Ford.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Southwind At Spearville Spearville | 21.8 mi | 2026-01-29 | 0130 |
| Minneola District Hospital Ltcu Minneola | 21.6 mi | 2025-03-04 | 192 |
| Protection Valley Manor Protection | 25.8 mi | 2025-07-01 | 021 |
| Pioneer Lodge Coldwater | 25.7 mi | 2025-09-23 | 2190 |
| Medicalodges Kinsley Kinsley | 28.5 mi | 2025-07-02 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |