CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1755002026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Hill Top House

505 W Elm · Bucklin, KS 67834 · Ford County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds29CMS provider file
Recent citation rows21current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-11-2062024-11-205
Cycle 22023-02-1522023-02-151
Cycle 32021-08-0272021-08-020
02 / CITATION DETAIL

21 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-11-20 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2025-01-06
2024-11-20 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint
2024-11-20 · HEALTHF0726Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint
2024-11-20 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint
2024-11-20 · HEALTHF0849Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint
2024-11-20 · HEALTHF0851Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint
2024-11-20 · HEALTHF0880Severity F · widespread; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint
2024-11-20 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-01-06
2024-11-20 · FIREK0753Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

Correction field: Deficient, Provider has date of correction · 2025-01-06
2024-11-20 · FIREK0901Severity F · widespread; potential for more than minimal harm

Electrical Deficiencies

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Correction field: Deficient, Provider has date of correction · 2025-01-06
2024-11-20 · FIREK0926Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Correction field: Deficient, Provider has date of correction · 2025-01-06
2023-02-15 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2023-03-01
2023-02-15 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-03-01
2023-02-15 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2023-03-22
2021-08-02 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2021-09-09
2021-08-02 · HEALTHF0585Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2021-09-09
2021-08-02 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2021-09-09
2021-08-02 · HEALTHF0661Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Correction field: Deficient, Provider has date of correction · 2021-09-09
2021-08-02 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2021-09-09
2021-08-02 · HEALTHF0838Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2021-09-09
2021-08-02 · HEALTHF0882Severity C · widespread; potential for minimal harm

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Correction field: Deficient, Provider has date of correction · 2021-09-09
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • BUCKLIN DISTRICT HOSPITALOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 06/01/1966
  • HOKANSON, STEPHENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/26/2013
  • IMEL, CYNTHIAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 04/25/2011
  • SCOTT, MELANIEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 04/22/2002
  • FARMER, FREDRICKIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2024
  • KREGAR, JUDITHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/21/1991
  • HOKANSON, STEPHENIndividual · TRUSTEE OF THE SNF
    NOT APPLICABLE · since 01/01/2017
  • IMEL, CYNTHIAIndividual · TRUSTEE OF THE SNF
    NOT APPLICABLE · since 04/25/2011
  • SCOTT, MELANIEIndividual · TRUSTEE OF THE SNF
    NOT APPLICABLE · since 04/22/2002
  • FARMER, FREDRICKIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • HOKANSON, STEPHENIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2017
  • IMEL, CYNTHIAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/25/2011
  • KREGAR, JUDITHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/21/1991
  • SCOTT, MELANIEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/22/2002

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.38per resident day
RN hours1.06per resident day
Weekend nurse hours4.18per resident day
Staff turnover29.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Kansas ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.