| Hilltop Lodge Health and Rehabilitation Center | |
| 815 N Independence Avenue, Beloit, Kansas 67420 | |
| (785) 738-3516 | |
| Name | Hilltop Lodge Health and Rehabilitation Center |
|---|---|
| Location | 815 N Independence Avenue, Beloit, Kansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 69.78% |
| Medicare ID (CCN) | 175348 |
| Legal Business Name | Hilltop Lodge Health and Rehabilitation Center LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Recover-care Healthcare (27 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1730780727 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Hilltop Lodge Health and Rehabilitation Center LLC |
| Doing Business As | Hilltop Lodge Health and Rehabilitation Center |
| Address | 815 N Independence Ave, Beloit, KS 67420 |
| Phone Number | 785-738-3515 |
| NPI Number | 1417933656 |
| Match | Possible same name, address or phone number |
| Organization Name | Hilltop Lodge, Inc. |
| Doing Business As | Hilltop Lodge Nursing Home |
| Address | 815 N. Independence Ave, Beloit, KS 67420 |
| Phone Number | 785-738-3516 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.42 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.57 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.48 | 0.86 |
| Nurse aide hours per resident per day | 2.37 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.13 | 3.42 |
| RN hours per resident per day on the weekend | 0.42 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 47% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $28,937 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 16, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 10, 2026 |
| Jan 13, 2026 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jan 13, 2026 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by Feb 6, 2026 |
| Nov 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Feb 29, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Feb 29, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.49 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.39 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.69 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.68 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.38 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.24 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 57.66 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.21 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.71 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.42 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.24 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.18 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.08 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.85 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.84 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.82 | 15.38 |
Mitchell County Hospital Health Systems Ltcu Location: 400 W 8th Street, Beloit, Kansas 67420 Phone: (785) 738-9590 |