Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hill Top House during CMS and state inspections, most recent first.
The facility failed to ensure that three CNAs had the necessary competencies for resident care, as training records lacked evidence of procedure checklists. Not all staff attended a skills check-off, and no further competencies were scheduled. This placed residents at risk of impaired care.
The facility failed to submit accurate staffing information through the PBJ, as required by CMS, indicating a lack of 24/7 licensed nurse coverage on multiple days. However, timesheet data showed that a licensed nurse was on duty 24/7. Administrative staff suggested the discrepancy might be due to the submission of break hours, which had been adjusted. The facility's policy required complete and accurate staffing data submission, and this failure placed residents at risk for inadequate staffing.
The facility failed to implement a water management plan for Legionella risk and did not maintain an antibiotic tracking system. The infection control policies were not reviewed annually, and the facility lacked documentation for antibiotic prescriptions. These deficiencies placed 21 residents at increased risk for infection.
A resident with multiple medical conditions was admitted without a baseline care plan being developed within 48 hours, as required by the facility's policy. This oversight was confirmed by staff and placed the resident at risk for impaired care due to unaddressed needs. The resident experienced low blood sugar levels and dizziness, highlighting the need for a timely care plan.
A facility failed to obtain a stop date for PRN lorazepam for a resident with Alzheimer's, anxiety, and dementia, placing them at risk for unnecessary medication. The resident's care plan included monitoring behavior and administering psychotropic medications as ordered, but the physician's order for lorazepam had an indefinite duration, contrary to the facility's policy requiring a specific stop date.
The facility failed to ensure effective communication and collaboration with hospice providers for two residents receiving hospice services. The care plans lacked specific information related to hospice services, and clinical records did not contain evidence of hospice assessments or visit notes. This placed the residents at risk of impaired end-of-life care.
Deficiency in Staff Competency and Training
Penalty
Summary
The facility failed to ensure that three out of five reviewed staff members, specifically Certified Nurse Aides (CNAs) O, P, and Q, possessed the necessary knowledge, skills, and competencies required for resident care needs. This deficiency was identified through a review of training records and skills checks, which lacked evidence of the facility's procedure checklist related to the direct care of residents. An interview with Administrative Nurse D revealed that although a skills check-off was conducted the previous summer, not all employees attended, and the facility did not reschedule or complete further competencies for those who missed it. The facility's undated Required Training of Nurse Aides documentation stated that nurse aides should demonstrate competency in skills and techniques necessary for resident care as identified through assessments and care plans. The lack of proper training and competency checks placed residents at risk of impaired care.
Inaccurate PBJ Data Submission
Penalty
Summary
The facility failed to submit complete and accurate staffing information through the Payroll Based Journal (PBJ) as required by CMS. The PBJ report for Fiscal Year 2023 Quarter 4 indicated that the facility did not have licensed nurse coverage 24 hours a day, seven days a week on multiple days. However, a review of the facility's licensed nurse timesheet data showed that a licensed nurse was on duty 24 hours a day, seven days a week. Administrative Staff A suggested that the discrepancy might be due to the submission of licensed nurse break hours, which had been adjusted to capture all the hours worked by licensed nurses. Administrative Staff D confirmed that the facility had nurse coverage 24 hours a day. The facility's policy required the electronic submission of complete and accurate direct care staffing information, including agency and contracted staff, based on payroll and other verifiable and auditable data. The failure to submit accurate PBJ data placed the residents at risk for unidentified and ongoing inadequate staffing.
Failure to Implement Water Management and Antibiotic Tracking
Penalty
Summary
The facility failed to implement a water management plan to mitigate risks for Legionella, a bacterium that can cause pneumonia, particularly in adults over 50 and those with weakened immune systems. The facility did not have a water management program for its hot and cold-water distribution system, as indicated by Appendix A for Identifying Buildings at Increased Risk. Administrative Staff A confirmed that the facility had not reviewed its infection control policies annually and had not set up a water management program to address Legionella risk. Additionally, the facility did not maintain an antibiotic tracking system. The log of prescriptions from 2024 showed eight antibiotic prescriptions with unknown infections being treated, lacking documentation of onset, symptoms, or cultures. The facility's Infection Preventionist verified that there was no ongoing monitoring process for tracking infections. The Antibiotic Stewardship policy outlined the need for monitoring antibiotic use and resistance patterns, but these activities were not being conducted. The facility's failure to maintain an antibiotic tracking system and review infection control policies placed the 21 residents at increased risk for infection.
Failure to Develop Baseline Care Plan Within 48 Hours of Admission
Penalty
Summary
The facility failed to develop a baseline care plan within 48 hours of admission for a resident, identified as R123, which placed the resident at risk for impaired care due to unidentified or uncommunicated care needs. R123's electronic medical record documented multiple diagnoses, including diabetes mellitus, urinary incontinence, hypertension, gastroesophageal reflux disease, nutritional deficiencies, anxiety, depression, irritable bowel syndrome, a history of transient ischemic attack, and cerebral infarction without residual deficits. Despite these complex medical needs, the resident's clinical record lacked a baseline care plan from the date of admission. Observations and interviews revealed that upon admission, R123 was assisted by a family member in settling into the room, and vital signs were taken. However, on a subsequent observation, the resident reported feeling unwell and dizzy, with a low blood sugar level being noted. A licensed nurse confirmed the absence of a baseline care plan in the resident's electronic medical record, and an administrative nurse verified this deficiency, acknowledging that a care plan should have been developed within 48 hours of admission. The facility's policy on interim temporary care plans mandates the development and initiation of an interim plan upon admission, with ongoing evaluations and revisions as needed, which was not adhered to in this case.
Failure to Obtain Stop Date for PRN Lorazepam
Penalty
Summary
The facility failed to obtain a stop date from the physician for the use of PRN lorazepam for a resident, identified as R9, which placed the resident at risk for complications related to psychotropic medications and unnecessary medication. R9's electronic medical record documented diagnoses of Alzheimer's disease, anxiety, insomnia, and dementia with agitation. The care plan for R9 included directives for staff to provide positive interaction, monitor behavior episodes, and administer psychotropic medications as ordered. However, the physician's order for lorazepam, dated 11/04/24, directed staff to administer the medication every four hours as needed for agitation or restlessness with an indefinite duration, contrary to the facility's policy requiring a specific stop date. Observations and interviews revealed that R9 had a history of becoming agitated with care, including hitting and slapping, but had declined in health and was less alert. The facility's psychotropic medication use policy stated that any resident admitted with a PRN psychoactive medication should have a 14-day stop date, and any psychotropic medication ordered as an emergency treatment should have a 72-hour stop date. Despite this policy, the facility did not obtain a stop date for R9's PRN lorazepam, as verified by Administrative Nurse D, which was a failure to comply with the facility's policy and placed the resident at risk for unnecessary medication use.
Lack of Coordination with Hospice Services
Penalty
Summary
The facility failed to ensure effective communication and collaboration with hospice providers for two residents, R9 and R17, who were receiving hospice services. For R9, the care plan did not include any mention of hospice services, and the clinical record lacked information regarding hospice staff assessments, care, or visits. Observations revealed that R9, who had Alzheimer's disease and other conditions, was receiving hospice services, but there was no documentation of hospice involvement in her care plan. The facility's Hospice Agreement required detailed clinical records for hospice patients, but this was not adhered to for R9. Similarly, for R17, the care plan documented that the resident received hospice care services, but it lacked specific information related to the hospice provider, services, equipment, or medications provided. The clinical record did not contain evidence of hospice assessment findings or visit notes. Observations and interviews with staff indicated that hospice services were being provided, but there was no documentation to support this in the facility's records. The facility's Hospice Agreement also required complete and detailed clinical records, which were not maintained for R17. The lack of documentation and communication between the facility and hospice providers placed both residents at risk of impaired end-of-life care. The facility did not follow up on receiving information from the hospice provider, and there was a failure to ensure that hospice assessment findings and visit notes were included in the residents' clinical records. This deficiency highlights a significant gap in the coordination of care for residents receiving hospice services.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 19 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bucklin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Minneola District Hospital Ltcu | 21.6 mi | ★★★★★ | 0 | 0 |
| Southwind At Spearville | 21.8 mi | ★★★★★ | 19 | 0 |
| Sunporch Of Dodge City | 25.1 mi | ★★★★★ | 1 | 0 |
| Kansas Soldiers Home | 25.4 mi | ★★★★★ | 5 | 0 |
| Manor Of The Plains | 25.7 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.