Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 215 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 34% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 14 findings, above the MO average of 12.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Hilltop at Blue River presents a polarized experience, with recent reviews highlighting significant improvements under new management, while older and some recent negative reports describe severe neglect, poor hygiene, and unresponsive staff. Families should be aware of the stark contrast between praise for the facility's physical appearance and therapy team versus alarming accounts of residents being left in soiled garments or experiencing delayed medical attention.
Quality Themes
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Concerns
Rating Trends
Tap a year to see what changed
Distribution · 216 analyzed
Personalized based on this facility's data
Key Review Excerpts
“The nursing staff have been kind, attentive, and respectful towards my client, and the social work team is always quick to res”
“My mom stayed at Hilltop at Blue River for several months after her surgery, and I can’t say enough about the care she received. From the nurses to the therapy team, everyone treated her like family.”
“This place is a house of horrors. The first contact at the 'gate', large woman with glasses, is rude and obnoxious. Majority of staff operates just one click off her attitude and demeanor.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows concerning patterns with recurring issues in fire safety, resident rights, and medication management across multiple surveys spanning several years. Families have filed reports leading to complaint-triggered inspections revealing problems with accident prevention, medication handling, and abuse prevention policies. While the facility corrects identified deficiencies, many issues persist or reappear in subsequent inspections, suggesting ongoing compliance challenges that families should carefully consider when evaluating this facility.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Federal Penalties
Fine
Jul 21, 2023
$34,704
Hilltop at Blue River, the
for profit
Opco Skilled Management
68 facilities nationwide
Chain avg rating: 1.5/5 · Rank 4 of 6 (Lowest rating)
Owners
El Dorado Nursing and Rehabilitation LLC
Owner · Organization
Caliber Advisors LLC
Owner (parent company) · Organization
Crestview Trust
Owner (parent company) · Organization
First Sweetzer Holdings LLC
Owner (parent company) · Organization
Hatteras Investments LLC
Owner (parent company) · Organization
Rimpau Holdings Trust
Owner (parent company) · Organization
Sasem Investments LLC
Owner (parent company) · Organization
Hagins, Elizabeth
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Esther
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Mordechai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Mosha
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Sternshein, Jennifer
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Unger, Jeffrey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Zimmerman, Caroline
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
215 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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