Missouri › Jefferson County › De Soto
Hillcrest Care Center Inc
1108 Clarke Street, De Soto, MO 63020
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.
Hillcrest Care Center Inc is a For-profit, corporation nursing home in De Soto, Missouri, certified for 120 beds and caring for about 81 residents a day.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (6, 8, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 18.3 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 45.8%.
Compared with county, state and nation
| Measure | This facility | Jefferson Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 22 | 33 | 31 | 28.7 |
| Citations per 100 beds | 18.3 | 21.9 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.0 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 45.8% | 53.8% | 56.1% | 45.8% |
| Fines listed | $10,845 | $6,368 | $0 | — |
County and state figures are medians across facilities (11 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: 22 Jan 2026, 24 Oct 2024.
Severity mix: J ×1 D ×17 E ×3 F ×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 |
|---|---|---|---|---|---|
| 22 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 8 Mar 2026 |
| 22 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Mar 2026 |
| 22 Jan 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 8 Mar 2026 |
| 22 Jan 2026 | 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. | D | Standard survey | 8 Mar 2026 |
| 22 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 8 Mar 2026 |
| 22 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Mar 2026 |
| 28 Mar 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 10 Feb 2025 |
| 24 Oct 2024 | 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. | D | Standard survey | 2 Dec 2024 |
| 24 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 2 Dec 2024 |
| 24 Oct 2024 | F0625 | 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 | Standard survey | 2 Dec 2024 |
| 24 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Dec 2024 |
| 24 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 Dec 2024 |
| 24 Oct 2024 | 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 | 2 Dec 2024 |
| 8 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 1 Aug 2024 |
| 25 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 25 Sep 2023 |
| 25 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 25 Sep 2023 |
| 25 Aug 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. | D | Standard survey | 25 Sep 2023 |
| 25 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 25 Sep 2023 |
| 25 Aug 2023 | F0625 | 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 | Standard survey | 25 Sep 2023 |
| 25 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Sep 2023 |
| 25 Aug 2023 | 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. | D | Standard survey | 25 Sep 2023 |
| 25 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 25 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Aug 2024 | Fine | $10,845 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 45.8%, RNs 14.3%; 0 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 | 14.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.6% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.1% | 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. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Hillcrest Care Center, Inc..
No organisations are listed in the CMS ownership record for this facility.
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 Jefferson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crystal Oaks | Festus | 131 | 4 | 4 | 3 | 12 | 9.2 | $165K | 4 Dec 2025 |
| Fountainbleau Nursing Center | Festus | 116 | 4 | 4 | 2 | 19 | 16.4 | — | 12 Feb 2026 |
| Scenic Wellness and Rehabilitation Center | Herculaneum | 189 | 4 | 5 | 1 | 14 | 7.4 | — | 11 Apr 2025 |
| Stonebridge Desoto | De Soto | 56 | 4 | 4 | 2 | 25 | 44.6 | $6K | 24 Jul 2025 |
| Baisch Nursing Center | De Soto | 61 | 2 | 3 | 1 | 36 | 59.0 | — | 28 Feb 2025 |
| Woodland Manor Nursing Center | Arnold | 178 | 2 | 4 | 1 | 39 | 21.9 | — | 27 Mar 2026 |
| Arbor View Nursing and Rehabilitation | Cedar Hill | 150 | 1 | 2 | 1 | 55 | 36.7 | $29K | 18 Nov 2025 |
| Maple Grove Wellness & Rehabilitation | Fenton | 144 | 1 | 2 | 1 | 53 | 36.8 | — | 29 Aug 2025 |
All 11 facilities in Jefferson County
Questions and answers
How many deficiencies has Hillcrest Care Center Inc been cited for?
22 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Hillcrest Care Center Inc been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Hillcrest Care Center Inc compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Hillcrest Care Center Inc?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Hillcrest Care Center Inc last inspected?
The most recent survey or investigation in the CMS record is dated 22 Jan 2026; the most recent standard health survey was 22 Jan 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.