Spearville · 67876
Southwind at Spearville
102 N Pine Street
Spearville, KS 67876
Hill Top House
Top Rated for Long-Term Care, 2026Is this your home? Get your free badge →
⌖ Bucklin, KS · Ford County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds29
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)
About Hill Top House
Hill Top House is a 29-bed government-run nursing home in Bucklin, KS. Medicare rates it 5 out of 5 stars overall (much above average); the average in Kansas is 3.1. At its last full inspection (Nov 2024), inspectors found 6 problems, fewer than the Kansas average of 9.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 23 min a day with each resident, about the same as the Kansas average of 4 hr 04 min. About 29% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameHill Top House
LocationFord County, Kansas
Phone(620) 826-3202
Address505 W Elm, Bucklin, KS 67834 · Ford County
CMS provider number175500
Ownership typeGovernment (hospital district)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 2008 (18 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 strengths and nothing that stands out as a concern in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Nov 2024.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection6 (Nov 2024)Kansas average: 9.5. Most citations are minor and corrected within weeks.Strength
- Registered nurse time per resident1 hr 03 min a dayKansas average: 43 minStrength
- Nursing staff turnover29% a yearKansas average: 48%Strength
About average
- Nurse staffing per resident4 hr 23 min a dayKansas average: 4 hr 04 minAbout average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Kansas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.2%State average: 4.3%Better than average
- Pressure sores (bedsores)4.7%State average: 4.4%About average
- Given antipsychotic drugs17.6%State average: 18.1%About average
- Hospital stays per 1,000 resident days0.9State average: 1.8Better than average
Source: Medicare (CMS) quality measures, compared with the Kansas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Kansas, Medicaid pays for 57% of resident days at a typical home.
- 65% Medicaid
- 5% Medicare
- 30% Private pay, insurance and other
Beds in use, on average89%Kansas typical: 84%
Cost of care per resident day$365Kansas typical: $318
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 3 stars in January 2019. It has ranged from 2 to 5 stars and changed 11 times.
Overall rating5★
Health inspections3★
Staffing5★
Quality of care5★
Nurse hours per resident per day4.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 3 | 5 | 1 | 4.1 |
| Jan 2020 | 4 | 5 | 5 | 1 | 4.0 |
| Jan 2021 | 4 | 4 | 5 | 1 | 5.3 |
| Jan 2022 | 5 | 4 | 5 | 3 | 4.5 |
| Jan 2023 | 4 | 4 | 5 | 1 | 4.4 |
| Jan 2024 | 3 | 4 | 4 | 1 | 4.1 |
| Feb 2025 | 4 | 3 | 5 | 3 | 4.7 |
| Feb 2026 | 4 | 3 | 5 | 4 | 4.5 |
| Sep 2026 | 5 | 3 | 5 | 5 | 4.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.