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Complaint Investigation

Hilltop At Blue River, The

January 2, 2026 · Kansas City, MO · 10425 Chestnut Dr
Citations 1
CMS Rating 1/5
Beds 160
Provider ID 265597
Healthcare Facility
Hilltop At Blue River, The
Kansas City, MO  ·  View full profile →
Inspection Summary

HILLTOP AT BLUE RIVER, THE in KANSAS CITY, MO — inspection on January 2, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/29/25 at 9:23 A.M. the resident said:-It was his/her exercise day, so the therapy person was in his/her room.-His/her leg was hurting on that day, and he/she did not want to do physical exercise because of the increased pain.-CMT A came in and said he/she needed to exercise.-CMT A put on his/her pants. -CMT A spoke very loudly to him/her and said he/she was going to get him/her out of bed.-The therapy person told CMT A that he/she did not have to get that rough with him/her.-CMT A grabbed him/her out of bed and placed him/her in a wheelchair even though he/she did not want to go. -The situation made him/her feel small.

During a phone interview on 12/29/25 at 11:31 A.M. CMT A said:-The resident got combative and swung at him/her before he/she tried to administer his/her medication.-The resident was always annoyed in the mornings because the morning times were not good for the resident.-He/She was trying to protect himself/herself.-He/She grabbed the resident and placed the resident from the bed to the chair.-He/She was not forcing the resident to go to therapy.He/she needed the resident to be up in a chair, because the resident would choke if the resident didn't take the medications in a sitting position.-He/She assisted the resident in getting his/her pants on.-He/She was familiar with the facility's resident rights policy.-When the resident refused, he/she could have notified the charge nurse, but he/she did not notify the charge nurse that day. -The Director of Nursing (DON) sent him/her home after the incident.

During an interview on 12/29/25 at 1:03 P.M. the SSD said:-OTA A approached him/her about a written grievance from the resident.-He/She spoke to the resident to ask him/her about what took place.-The resident said he/she was bothered by the incident because it had not happened before.- CMT A forced the resident to get out of the bed even when the resident said he/she did not want to get out bed.

During an interview on 12/29/25 at 3:04 P.M. the Administrator said he/she would expect the staff to document the residents' refusal and honor the residents' choices even if the staff must remove themselves and have someone else come in to speak with the resident.

Complaint 2697434

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in KANSAS CITY, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HILLTOP AT BLUE RIVER, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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