Missouri › Caldwell County › Hamilton
Hill Crest Manor
801 South Colby, Hamilton, MO 64644
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Hill Crest Manor is a For-profit, corporation nursing home in Hamilton, Missouri, certified for 90 beds and caring for about 58 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 3, staffing 1 and quality measures 1.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (7, 20, 20 by cycle, most recent first), none at the actual-harm level. That is 52.2 per 100 beds, more than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $13K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 54.2%.
Compared with county, state and nation
| Measure | This facility | Caldwell Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 47 | 47 | 31 | 28.7 |
| Citations per 100 beds | 52.2 | 52.2 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.4 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 54.2% | 55.6% | 56.1% | 45.8% |
| Fines listed | $13,033 | $13,033 | $0 | — |
County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 29 Jan 2025.
Severity mix: D ×10 E ×31 F ×5 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 8 Jul 2026 |
| 7 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Jul 2026 |
| 7 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 8 Jul 2026 |
| 7 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 8 Jul 2026 |
| 7 May 2026 | F0732 | Post nurse staffing information every day. | E | Standard survey | 8 Jul 2026 |
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Jul 2026 |
| 7 May 2026 | F0801 | 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. | D | Standard survey | 8 Jul 2026 |
| 27 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Jun 2025 |
| 29 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 12 Mar 2025 |
| 29 Jan 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0761 | 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. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Mar 2025 |
| 29 Jan 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 12 Mar 2025 |
| 29 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 21 Nov 2024 |
| 23 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Jun 2024 |
| 12 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | B | Complaint investigation | 26 Apr 2024 |
| 13 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0584 | 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. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0688 | 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. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0801 | 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. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 28 Oct 2023 |
| 13 Sep 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 28 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Sep 2023 | Payment denial | — | 10 days |
| 13 Sep 2023 | Fine | $13,033 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 54.2%, RNs 60.0%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 34.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton No 1 Inc. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% or greater direct ownership interest | 100% | 05/18/2001 |
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 03/25/2025 |
| Dcb Real Estate Partnership LP | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Hamilton Development Properties LLC | Adp of the snf | NOT APPLICABLE | 01/01/2010 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 11/01/2010 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Caldwell County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Golden Age Nursing Home | Braymer | 83 | 4 | 4 | 4 | 23 | 27.7 | — | 4 Sep 2025 |
All 2 facilities in Caldwell County
Questions and answers
How many deficiencies has Hill Crest Manor been cited for?
47 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Hill Crest Manor been fined?
Yes. CMS lists fines totalling $13K in the period covered, plus 1 payment denial.
How does staffing at Hill Crest Manor compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Hill Crest Manor?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Circle B Enterprises Holding Company Inc, Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Hill Crest Manor last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.