Nursing homeActive

Hilltop At Blue River, The

10425 Chestnut Dr, Kansas City, MO 641378167634444160 certified beds · 147 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2021
Deficiencies
48
0462
Penalties · 3 yrs
none on file
Last survey
2026-05-01
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-01Complaint010CMS-2567 (Care Compare)
2026-01-02Complaint010CMS-2567 (Care Compare)
2025-12-18Complaint010CMS-2567 (Care Compare)
2025-03-14Standard0110CMS-2567 (Care Compare)
2025-01-09Complaint010CMS-2567 (Care Compare)
2024-11-08Complaint010CMS-2567 (Care Compare)
2023-09-20Complaint010CMS-2567 (Care Compare)
2023-07-21Standard0262CMS-2567 (Care Compare)
2021-03-16Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Missouri Department of Health & Senior 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.

2026-05-01Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 265597-20260501-F600
2026-01-02Complaint survey · 1 deficiencyOfficial report
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.Correction not yet recordedRecord 265597-20260102-F550
2025-12-18Complaint survey · 1 deficiencyOfficial report
F551Give the resident's representative the ability to exercise the resident's rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 265597-20251218-F551
2025-03-14Standard survey · 11 deficienciesOfficial report
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F625
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F692
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 2025-04-28Record 265597-20250314-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F725
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F790
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 265597-20250314-F880
2025-01-09Complaint survey · 1 deficiencyOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-20Record 265597-20250109-F554
2024-11-08Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 265597-20241108-F689
2023-09-20Complaint survey · 1 deficiencyOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-02Record 265597-20230920-F755
2023-07-21Standard survey · 28 deficienciesOfficial report
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 2023-08-24Record 265597-20230721-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-08-24Record 265597-20230721-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F550
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F553
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F580
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F607
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F625
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 2023-08-24Record 265597-20230721-F656
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F679
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F688
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F698
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F740
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F744
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F745
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F756
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 2023-08-24Record 265597-20230721-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F759
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F800
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F814
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 2023-08-24Record 265597-20230721-F838
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F847
F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F848
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 265597-20230721-F883
2021-03-16Standard survey · 3 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-04-15Record 265597-20210316-F578
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-04-15Record 265597-20210316-F679
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-04-15Record 265597-20210316-F761

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.25
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day2.62
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.33
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover38%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover20%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.6%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
16.5%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.6%2.3%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
7.5%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
11.9%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
18.9%25.6%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)
EntityRoleInterestSinceRegistry
Garetz, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sanders, Kayatana
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Tadakamalla, Srinath
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
10425 Chestnut Drive Mo, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
10425 Chestnut Drive Mo, LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Caliber Advisors LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Crestview Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
El Dorado Nursing And Rehabilitation LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Emerald Property Partners LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Emerald Property Partners LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Esdov Investments LLC
Organization
ADP OF THE SNFNOT APPLICABLE
First Sweetzer Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
First Sweetzer Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Gibraltar Trust
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Gibraltar Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Hagins, Elizabeth
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Hatteras Investments LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Hatteras Investments LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Jubilee Master Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Kaplan, Esther
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Kaplan, Mordechai
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Kaplan, Mosha
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Montgomery Sky Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Montgomery Sky Trust
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Ozark Healthcare Realty LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ozark Healthcare Realty LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Rimpau Holdings Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Sanders, Kayatana
Individual
ADP OF THE SNFNOT APPLICABLE
Sasem Investments LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Sternshein, Jennifer
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Tadakamalla, Srinath
Individual
ADP OF THE SNFNOT APPLICABLE
Unger, Jeffrey
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Zimmerman, Caroline
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Part of a chain
Opco Skilled Management66 facilities
View chain record

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 Missouri.

No county cost figures on file for Jackson.

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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01