Nursing HomeInspections

Hillcrest Care Center INC

Nursing home in De Soto, MO

Medicare & Medicaid certified4★ overall (CMS)

Call (636) 586-3022Send a messageMap ↗

Public-record details

Address
1108 Clarke Street, De Soto, MO 63020
Phone
(636) 586-3022
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
265620
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
81
Ownership
For-profit, corporation
Legal business name
Hillcrest Care Center, INC.
Chain
James & Judy Lincoln (56 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 10, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265620. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 22, 2026. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 25, 2023 to Jan 22, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 22, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 22, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 22, 2026Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 22, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 22, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jan 22, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Mar 28, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Oct 24, 2024Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 24, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 24, 2024Notify 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 24, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Oct 24, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 22. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,845 in the last three years.

Aug 8, 2024Fine: $10,845

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.30 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.56 hours
Total nurse staffing on weekends
2.74 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
14%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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