Federal inspection record · CMS data as of October 1, 2026
Hilltop At Blue River, The
10425 Chestnut Dr, Kansas City, MO · (816) 763-4444
- Certified beds
- 160
- Residents per day
- 145
- Ownership
- For-Profit
- Chain
- Opco Skilled Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 23, 1994
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Hilltop At Blue River, The carries 112 inspection points. That is fewer than 34% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- D
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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- E
Provide activities to meet all resident's needs.
Resident Rights12E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
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.
Nutrition and Dietary4F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Dispose of garbage and refuse properly.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration4F
- F
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.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Pharmacy Service4E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2025-03-14
15 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-07-21
30 health deficiencies · 21 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2021-03-16
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 2 h 44 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
2 h 44 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts better | 84.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.9 pts better | 98.7% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 0.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.8 pts better | 9.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.2 pts worse | 9.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better | 18.7% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.2 pts better | 17.3% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.2 pts better | 6.6% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts better | 7.7% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts worse | 25.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 3.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21 pts worse | 44.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts better | 8.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 2.3% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 65.7% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.4 pts better | 16.3% | 25.7% | 23.4% |
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Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 10425 Chestnut Drive Mo, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 10425 Chestnut Drive Mo, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Caliber Advisors LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Crestview Trust | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| El Dorado Nursing And Rehabilitation LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Emerald Property Partners LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Emerald Property Partners LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Esdov Investments LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| First Sweetzer Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| First Sweetzer Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Garetz, David | Operational/Managerial Control · Individual | 0% | 72 facilities |
| Gibraltar Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 29 facilities |
| Gibraltar Trust | Adp Of The SNF · Organization | 0% | 29 facilities |
| Hagins, Elizabeth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 57 facilities |
| Hatteras Investments LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Hatteras Investments LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Jubilee Master Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Kaplan, Esther | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 59 facilities |
| Kaplan, Mordechai | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 42 facilities |
| Kaplan, Mosha | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Montgomery Sky Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 17 facilities |
| Montgomery Sky Trust | Adp Of The SNF · Organization | 0% | 17 facilities |
| Ozark Healthcare Realty LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 6 facilities |
| Ozark Healthcare Realty LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Rimpau Holdings Trust | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Sanders, Kayatana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanders, Kayatana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sasem Investments LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Sternshein, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 55 facilities |
| Tadakamalla, Srinath | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Tadakamalla, Srinath | Adp Of The SNF · Individual | 0% | 11 facilities |
| Unger, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 47 facilities |
| Zimmerman, Caroline | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 35 facilities |
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Fire safety
37 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install an approved automatic sprinkler system.
- E
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Construct fire resistant interior walls.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems8F
- F
Have power receptacles that are properly grounded.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the use of electrical equipment.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- F
Have simulated fire drills held at unexpected times.
Egress6F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install proper backup exit lighting.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install proper backup exit lighting.
Construction1F
- F
Use approved construction type or materials.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
·
Other homes nearby
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Bridgewood Health Care Center
Kansas City, MO · Reliant Care Management · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 45 min
- Fines
- $1,148,809
-
Kingswood Senior Living
Kansas City, MO
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 37 min
- Fines
- $134,833
-
Ignite Medical Resort Carondelet LLC
Kansas City, MO · Ignite Medical Resorts
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 3 min
- Fines
- $0