Hillcrest Care Center INC
Nursing home in De Soto, MO
Medicare & Medicaid certified4★ overall (CMS)
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
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”.
| Inspection | Citation | Severity |
|---|---|---|
| Jan 22, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Jan 22, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D |
| Jan 22, 2026 | 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. | D |
| Jan 22, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| Jan 22, 2026 | Provide and implement an infection prevention and control program. | D |
| Jan 22, 2026 | Dispose of garbage and refuse properly. | F |
| Mar 28, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. | E |
| Oct 24, 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. | D |
| Oct 24, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| Oct 24, 2024 | 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. | D |
| Oct 24, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Oct 24, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
Fines and payment denials
CMS records 1 fine totalling $10,845 in the last three years.
| Aug 8, 2024 | Fine: $10,845 |
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
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.