The Hilltop at Blue River

Nursing Home & Palliative Care · Kansas City, MO

CMS overall rating

10425 Chestnut Dr, Kansas City, MO 64137 View map

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The Hilltop at Blue River accepts Medicare, Medicaid, and private pay.

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The Hilltop at Blue River accepts Medicare, Medicaid, and private pay.

Overview of The Hilltop at Blue River

The Hilltop at Blue River is a community where residents are sure to thrive during their golden years. The skilled nursing home and rehabilitation center strives in providing all the necessary needs of its residents while striving to balance holistic wellness. The community prides itself on its team of dedicated staff who deliver quality service with compassion and kindness. Hilltop’s unique approach to senior nursing is found in the innovative and creative approach while maintaining a sense of community, individuality, and independence.

The Hilltop’s center of excellence is found in the range of healthcare services offered, activities, and social services; these include wound care and therapy (occupational, physical, and speech). Personalized care is also offered to maximize the potential of its residents by ensuring that their needs are all met.

Facility Direct Line (816) 763-4444 info@hilltopblueriver.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 38m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	15m per day	▼ 45% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	30m per day	▼ 26% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 54m per day	▼ 19% State avg: 2h 20m per day · National avg: 2h 21m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 23m per day	▼ 22% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 12% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 30% State avg: 20m per day · National avg: 29m per day

Capacity and availability

127 days

160-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

3 years in operation

An established community with some operational experience and growing routines.

Walk Score: 4 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

89%

Higher than the Missouri average: 66.6%

Occupied beds

143 / 160

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

CountyJackson

The Hilltop at Blue River is legally operated by 10425 Opco Llc, and administered by Kayatana Sanders.

Corporate Entity10425 OPCO LLC

Staffing

Key information about the people who lead and staff this community.

ContactMiranda Wilson, Business Manager

Rehabilitation Services

Short-Term Rehab

24-Hour Staffing

Barber

Activities

Volunteer Program

Since 2021 · 5 years of data 48 deficiencies 10 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Missouri state average

Overall vs. MO average

Latest Inspection January 2, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	48	35	This facility has 37% more total deficiencies than a typical Missouri assisted living residence (48 vs. MO avg 35).↑ 37% worse
Deficiencies per year Average deficiencies per year since 2021.	9.6	7	This facility has 37% more deficiencies per year than a typical Missouri assisted living residence (9.6 vs. MO avg 7).↑ 37% worse
Deficiencies per inspection Average deficiencies per inspection.	4.8	5	This facility has 4% fewer deficiencies per inspection than a typical Missouri assisted living residence (4.8 vs. MO avg 5).↓ 4% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	10	7	This facility has 43% more total inspections than a typical Missouri assisted living residence (10 vs. MO avg 7).↑ 43% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on January 2, 2026, found one deficiency for forcing a resident out of bed against their will, which was corrected with immediate staff education.
The facility had 11 deficiencies on March 14, 2025, including unsafe smoking area hazards, inadequate staffing, poor food service, and failure to implement infection control precautions.
Multiple complaint investigations documented failures in medication management, resident dignity, and supervision from 2023 through 2026, showing recurring issues with resident rights and safety practices.

Show Inspection Reports

Inspections since 2021

Total health inspections 9

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

5.56

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

40 of 50 citations resulted from standard inspections; 8 of 50 resulted from complaint investigations; and 2 of 50 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

48 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 5 years)

Infection Control moderate citation Mar 14, 2025

Corrected

Nursing Services moderate citation Mar 14, 2025

Corrected

Nutrition moderate citation Mar 14, 2025

Corrected

Nutrition moderate citation Mar 14, 2025

Corrected

Total staff 121

Employees 105

Contractors 16

Staff to resident ratio 0.87 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 61

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 45,177

Nursing staff breakdown

8.2 hours

9.1 hours

8.3 hours

Contractor staffing

2,316 contractor hours this quarter

Therapeutic Recreation Specialist: 5 Qualified Social Worker: 4 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2

Staff by category


Certified Nursing Assistant	48	0	48	21,322	92	100%	8.3
Licensed Practical Nurse	12	0	12	5,693	92	100%	9.1
Medication Aide/Technician	9	0	9	3,950	92	100%	8.6
Physical Therapist	13	0	13	3,513	92	100%	6.6
Registered Nurse	8	0	8	2,137	91	99%	8.2
Other Dietary Services Staff	6	0	6	2,059	91	99%	7.4
RN Director of Nursing	2	0	2	1,050	74	80%	7.8
Clinical Nurse Specialist	2	0	2	784	65	71%	7.6
Occupational Therapy Aide	1	0	1	724	78	85%	9.3
Therapeutic Recreation Specialist	0	5	5	654	67	73%	5.8
Nurse Practitioner	1	0	1	510	63	68%	8.1
Physical Therapy Aide	0	2	2	498	64	70%	6.1
Mental Health Service Worker	1	0	1	491	64	70%	7.7
Administrator	1	0	1	463	58	63%	8
Physical Therapy Assistant	0	2	2	445	65	71%	6.7
Respiratory Therapy Technician	0	3	3	391	66	72%	5.9
Qualified Social Worker	0	4	4	328	63	68%	5.1
Dietitian	1	0	1	165	21	23%	7.8

48 Certified Nursing Assistant

% of Days 100%

12 Licensed Practical Nurse

% of Days 100%

9 Medication Aide/Technician

% of Days 100%

13 Physical Therapist

% of Days 100%

8 Registered Nurse

% of Days 99%

6 Other Dietary Services Staff

% of Days 99%

2 RN Director of Nursing

% of Days 80%

2 Clinical Nurse Specialist

% of Days 71%

1 Occupational Therapy Aide

% of Days 85%

5 Therapeutic Recreation Specialist

% of Days 73%

1 Nurse Practitioner

% of Days 68%

2 Physical Therapy Aide

% of Days 70%

1 Mental Health Service Worker

% of Days 70%

1 Administrator

% of Days 63%

2 Physical Therapy Assistant

% of Days 71%

3 Respiratory Therapy Technician

% of Days 72%

4 Qualified Social Worker

% of Days 68%

1 Dietitian

% of Days 23%

View All Staffing Data

Total fines amount $35K

52% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $35K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 21, 2023 · $35K

Civil Money Penalty Jul 21, 2023

$35K

Last updated: Jan 2026

High-risk clinical events score 8.1

26% better than State average

State average: 10.9

Functional decline score 16.3

16% better than State average

State average: 19.5

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 12.4%

37% better than State average

State average: 19.8%

Walking Ability Worsened 13.8%

33% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 22.6%

25% worse than State average

State average: 18.1%

Falls with Major Injury 0.6%

85% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.2%

57% better than State average

State average: 5.0%

Urinary Tract Infection 0.4%

85% better than State average

State average: 2.7%

Lost Too Much Weight 11.7%

110% worse than State average

State average: 5.6%

Depressive Symptoms 24.4%

90% worse than State average

State average: 12.8%

Antipsychotic Use 5.6%

75% better than State average

State average: 22.0%

Pneumococcal Vaccine 67.5%

21% worse than State average

State average: 85.2%

Influenza Vaccine 62.3%

31% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.43

31% better than State average

State average: 2.08

ED visits per 1,000 days 1.59

32% better than State average

State average: 2.35

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 26.0%

61% worse than State average

State average: 66.6%

Antipsychotic medication increase 3.9%

76% worse than State average

State average: 2.2%

Influenza Vaccine 31.8%

50% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 23.2%

8% better than State average

State average: 25.3%

Emergency department visits 8.1%

40% better than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 51.9%

In line with State average

State average: 53.7%

Successful return to home or community 37.8%

25% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

9% of new residents, usually for short-term rehab.

Typical stay 3 months

Private pay

38% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

53% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 139

Medicare

4.3% of residents

Medicaid

2.2% of residents

Private pay or other

130

93.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for The Hilltop at Blue River from 2011–2024, based on CMS SNF Cost Reports.

Occupancy Rate 82.0% ↑ 2.7pp vs 2023

Net Patient Income $1.8M ↑ ~$2.5M vs 2023

Payroll Costs $6.3M ↑ ~$2.1M vs 2023

Operating Margin 12.8% ↑ 21.0pp vs 2023

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	86.5%	86.6%	82.2%	85.8%	86.6%	84.7%	61.1%	80.7%	81.6%	78.5%	69.9%	79.0%	79.3%	82.0%
Beds	160	160	160	160	160	160	160	160	160	160	160	160	160	160
Net Income	-$1,768,226	$71,476	-$457,315	$83,091	-$41,174	-$427,693	-$161,888	-$279,271	-$638,845	$949,867	-$783,028	-$790,938	-$647,644	$1,857,842
Gross Revenue	$13,069,519	$13,463,686	$12,653,011	$13,748,478	$13,490,710	$12,087,246	$8,392,951	$11,313,350	$11,487,774	$13,255,065	$9,723,839	$8,668,026	$7,340,292	$15,146,155
Operating Expenses	$11,180,210	$9,496,619	$9,473,317	$9,874,712	$9,891,437	$10,120,503	$7,049,240	$9,723,113	$9,968,160	$10,894,995	$10,210,760	$9,154,670	$8,555,213	$12,539,586
Net Patient Income	-$1,768,858	$67,834	-$458,369	$83,091	-$41,174	-$427,704	-$167,785	-$283,099	-$706,727	-$185,214	-$989,904	-$845,768	-$650,343	$1,833,596
Net Patient Revenue	$9,411,352	$9,564,453	$9,014,948	$9,957,803	$9,850,263	$9,692,799	$6,881,455	$9,440,014	$9,261,433	$10,709,781	$9,220,856	$8,308,902	$7,904,870	$14,373,182
Payroll Costs	$4,404,782	$4,519,761	$4,453,352	$4,638,395	$4,612,036	$4,493,815	$3,554,941	$4,800,440	$5,178,225	$6,136,745	$5,604,340	$5,001,545	$4,253,154	$6,339,434
Operating Margin %	-18.8%	0.7%	-5.1%	0.8%	-0.4%	-4.4%	-2.4%	-3.0%	-7.6%	-1.7%	-10.7%	-10.2%	-8.2%	12.8%
Medicare %	7.9%	6.1%	4.2%	5.1%	4.7%	4.7%	3.0%	4.3%	4.1%	7.8%	5.0%	4.8%	6.4%	3.7%
Medicaid %	68.9%	74.7%	79.3%	76.8%	82.2%	84.1%	74.7%	79.5%	83.7%	73.2%	74.6%	81.1%	87.4%	90.3%
Private %	23.2%	19.2%	16.6%	18.1%	13.1%	11.2%	22.4%	16.1%	12.2%	19.0%	20.4%	14.1%	6.2%	6.0%
Net Patient Revenue/Day	$186	$189	$188	$199	$195	$195	$193	$200	$194	$233	$226	$209	$237	$299
Cost/Day	$221	$187	$197	$197	$196	$204	$197	$206	$209	$237	$250	$231	$256	$261
Avg Length of Stay	133.9 days	152.3 days	142.8 days	132.2 days	186.0 days	106.0 days	145.1 days	151.5 days	192.8 days	89.7 days	108.6 days	139.8 days	103.9 days	127.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 08/2024.

Net patient revenue

$14.4M

Net patient income

$1.8M

For-profit Corporation

Net patient revenue

$14.4M

Net patient income

$1.8M

Other income

$24.2K

Payroll costs

$6.3M 44.1% of net patient revenue

Other operating costs

$6.2M

Total costs

$12.5M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (53% of admissions), and a typical Medicaid stay runs around 1 years.

Coverage residents most often arrive under.

Medicare 9%

Private pay 38%

Medicaid 53%

Coverage residents most often leave under.

Medicare 15%

Private pay 29%

Medicaid 56%

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Compare Nursing Homes around Kansas

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


The Hilltop at Blue River	NH PC	Kansas City (South Kansas City)	-	160	A+	4	-
Armour Oaks Senior Living Community	NH AL IL	Kansas City (Waldo Homes)	-	38	A+	73	Studio / 1 Bed / 2 Bed / 3 Bed
Kingswood Senior Living Community	NH AL IL MC	Kansas City (South Kansas City)	-	86	-	42	Studio / 1 Bed / 2 Bed
Linden Woods Village	NH AL IL	Gladstone	-	40	-	53	-
Northland Rehabilitation & Health Care	NH HC RC	Kansas City (Chouteau Estates)	-	118	-	34	-

Nursing Home Explorer

What neighborhood is The Hilltop at Blue River in?

The Hilltop at Blue River is in the South Kansas City neighborhood of Kansas City.

Who is the owner of The Hilltop at Blue River?

The Hilltop at Blue River is legally operated by 10425 Opco Llc, and administered by Kayatana Sanders.

Is The Hilltop at Blue River in a walkable area?

The Hilltop at Blue River has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at The Hilltop at Blue River?

The Hilltop at Blue River's occupancy is 89%.

Does The Hilltop at Blue River operate as a for-profit or non-profit?

The Hilltop at Blue River is registered as a for-profit in MO.

Who is the administrator of The Hilltop at Blue River?

Kayatana Sanders is the administrator of The Hilltop at Blue River.

How many beds does The Hilltop at Blue River have?

The Hilltop at Blue River has 160 beds.

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The Hilltop at Blue River

Overview of The Hilltop at Blue River

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact The Hilltop at Blue River

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

48 Certified Nursing Assistant

12 Licensed Practical Nurse

9 Medication Aide/Technician

13 Physical Therapist

8 Registered Nurse

6 Other Dietary Services Staff

2 RN Director of Nursing

2 Clinical Nurse Specialist

1 Occupational Therapy Aide

5 Therapeutic Recreation Specialist

1 Nurse Practitioner

2 Physical Therapy Aide

1 Mental Health Service Worker

1 Administrator

2 Physical Therapy Assistant

3 Respiratory Therapy Technician

4 Qualified Social Worker

1 Dietitian

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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