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Hill Crest Manor
Nursing Home, Assisted Living, Hospice Care, Residential Care, Respite Care & Skilled Nursing · Hamilton, MO
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nursing Home, Assisted Living, Hospice Care, Residential Care, Respite Care & Skilled Nursing · Hamilton, MO
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hill Crest Manor accepts Medicare, Medicaid, and private pay.
Overview of Hill Crest Manor
Hill Crest Manor in Hamilton, Missouri, offers a combination of assisted living, residential care apartments, nursing home options, skilled nursing, hospice care, and respite services. Personal care assistance helps residents manage daily routines like dressing and bathing within residential accommodations. Clinical recovery programs include rehabilitation services for short-term stays, while temporary respite options assist family caregivers needing time away.
Managing a total of 114 beds, the center operates under administrator Tyler O’Neal and operator Hamilton #1. Nurse staffing across the property averages 3 hours per resident each day. Situated in a neighborhood rated 53 on the walk score index, the location provides proximity to select local destinations on foot. Accepted payment routes include Medicare, Medicaid, and private funds.
Interested families exploring care options can contact Hill Crest Manor to inquire about current room availability, discuss payment methods, or arrange a personal visit.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health InspectionBased on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
StaffingMeasures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality MeasuresBased on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 214th out of 266 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This facility
MO avg 3h 40m
↓ 18% · MO 3h 40mThis facility: 3h 0m per resident per day, 18% below the Missouri average of 3h 40m (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#214 / 266Nurse hours — State benchmarkedThis nursing home is ranked 214th out of 266 nursing homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 266 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 214th out of 266 nursing homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 266 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 0m
Standout metric: Certified nursing assistant is +6% above Missouri average
5 of 6 metrics below Missouri average
Daily care time per resident, by role
MO average · US = national average
Registered nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 7 are the facility's own employees; no agency contractors work in this role.7 staff · 6.6-hour shifts
15m↓ 46% · MO 28mThis facility: 15m per resident per day, 46% below the Missouri average of 28m (among Missouri facilities reporting a recent figure).
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 41m
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 6 are the facility's own employees; no agency contractors work in this role.6 staff · 8.3-hour shifts
17m↓ 58% · MO 41mThis facility: 17m per resident per day, 58% below the Missouri average of 41m (among Missouri facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 23 are the facility's own employees; no agency contractors work in this role.23 staff · 8.7-hour shifts
2h 27m↑ 6% · MO 2h 19mThis facility: 2h 27m per resident per day, 6% above the Missouri average of 2h 19m (among Missouri facilities reporting a recent figure).
US average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 20m
Physical therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
0m↓ 100% · MO 2mThis facility: 0m per resident per day, 100% below the Missouri average of 2m (among Missouri facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.RN + LPN + aide · Sat–Sun
2h 45m↓ 10% · MO 3h 3mThis facility: 2h 45m per resident per day, 10% below the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 26m
RN, weekends Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.Sat–Sun
9m↓ 53% · MO 20mThis facility: 9m per resident per day, 53% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
US average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 28m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.74
62 employees · 12 contractors · 25 on an average day Staff per resident74 total staff / 58 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.1.28 : 1↓ 23% · MO 1.66This facility: 1.28 staff per resident, 23% below the Missouri average of 1.66 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
74 staff ÷ 58 residents See full Missouri ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.8.1 h≈ 0% · MO 8.1 hThis facility: 8.1 h, level with the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
18,552 staff hours this quarter See full Missouri ranking →
94.2%
of staff hours were worked by the facility's own employees
Missouri average: 92.5% · Contractors this quarter: Qualified Social Worker (2), Speech Language Pathologist (2), Physical Therapy Assistant (2), Physical Therapy Aide (2), Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Respiratory Therapy Technician (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.114Rank#133 / 288Bed count — State benchmarkedThis nursing home is ranked 133rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 133rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.Rank#77 / 167Years in operation — State benchmarkedThis nursing home is ranked 77th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Years in operation — State benchmarkedThis nursing home is ranked 77th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1year
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.Rank#129 / 297Walk Score — State benchmarkedThis nursing home is ranked 129th out of 297 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 129th out of 297 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
53/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.Rank#235 / 271Occupancy rate — State benchmarkedThis nursing home is ranked 235th out of 271 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 271. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Occupancy rate — State benchmarkedThis nursing home is ranked 235th out of 271 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 271. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
47.4%This home usually has availability
Based on 54 residents and 114 beds. Source: state inspection report (Jun 2025)
Lower than the Missouri average: 67.7%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
97days
About This Community
License Details
Facility TypeSkilled Nursing Facility, Residential Care Facility
StatusActive
IssuanceDecember 1, 2024
ExpirationNovember 30, 2026
CountyCaldwell
License Number052314, 052313
CMS Certification Number265665
Certification TypeMedicare / Medicaid
Ownership & Operating Entity
Hill Crest Manor is legally operated by Hamilton #1, Inc, and administered by Tyler O'neal.
Corporate EntityHAMILTON #1, INC
Owner NameHamilton #1, Inc
Type Of Units
Skilled Nursing Facility
90 units
Residential Care Facility
24 units
Total beds
114 units
Additional Policies & Features
Pets not allowed
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Since 2018 · 8 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.144 deficiencies21 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2018 vs. Missouri state average
Overall vs. MO average
2 Worse
Metrics worse than Missouri average:
• Total deficiencies (125% above)
• Deficiencies per inspection (38% above)
0 Better
No metrics in this bucket.
Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.
This Facility
MO Average
vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.
144
64.0
This facility has 125% more total deficiencies than a typical Missouri nursing home (144 vs. MO avg 64).↑ 125% worse
Deficiencies per inspection Average deficiencies per inspection.
6.9
5.0
This facility has 38% more deficiencies per inspection than a typical Missouri nursing home (6.9 vs. MO avg 5).↑ 38% worse
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
MO Average
vs. MO Avg
Total inspections Combined count of all inspections conducted at this facility.
21
12.0
This facility has had 75% more total inspections than the Missouri average (21 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 75% more
Since 2023 · 3 years of data · Last health inspection May 2026
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections7State avg 6.6
Total health citations
47Rank#209 / 273Health citations — State benchmarkedThis nursing home is ranked 209th out of 273 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 273 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 209th out of 273 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 273 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
State avg 36.1 (30% worse than State average)
Citations per inspection
6.71Rank#217 / 273Citations per inspection — State benchmarkedThis nursing home is ranked 217th out of 273 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 273 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 217th out of 273 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 273 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
State avg 5.6 (20% worse than State average)
Citation severity
100% corrected
47 of 47 citations corrected
Bar = mix of this home's 47 citations, not a state comparison
Lighter shade = corrected
CriticalJ–L
0State avg 0.6 (100% better than State average)
Immediate jeopardy
SeriousG–I
0State avg 1.1 (100% better than State average)
Actual harm
ModerateD–F
46State avg 33.3 (38% worse than State average)
No harm, more than minimal risk
MinorA–C
1State avg 1.1 (9% better than State average)
No harm, minimal risk
Citations history
Most recent first
May 07, 20267 citations
Abuse/Neglect moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Jun 27, 20251 citation
Quality of Care moderate citation
Corrected
Jan 29, 202518 citations
Abuse/Neglect moderate citation
Corrected
Environmental moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nutrition moderate citation
Corrected
Pharmacy moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Oct 29, 20241 citation
Quality of Care moderate citation
Corrected
May 23, 20241 citation
Quality of Care moderate citation
Corrected
Apr 12, 20241 citation
Resident Rights minor citation
Corrected
Sep 13, 202318 citations
Administration moderate citation
Corrected
Environmental moderate citation
Corrected
Infection Control moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Top deficiency categories
Share of 47 citations
Quality of Life & Care12 deficiencies (26%)
Resident Rights10 deficiencies (21%)
Resident Assessment & Care Planning6 deficiencies (13%)
Nutrition & Dietary6 deficiencies (13%)
Nursing & Physician Services6 deficiencies (13%)
Abuse, Neglect & Exploitation2 deficiencies (4%)
Environmental2 deficiencies (4%)
Infection Control1 deficiency (2%)
Administration1 deficiency (2%)
Pharmacy Services1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
42 of 47 citations resulted from standard inspections; 4 of 47 resulted from complaint investigations; and 1 of 47 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious).
Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines)
and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
(Data as of Aug 2026)
Total fines on record
$13K Rank#173 / 274Federal fines — State benchmarkedThis nursing home is ranked 173rd out of 274 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 274 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Federal fines — State benchmarkedThis nursing home is ranked 173rd out of 274 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 274 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
84% lower than Missouri average
Missouri average: $81K
Number of fines on record
1
48% fewer fines than Missouri average
Missouri average: 1.9
Payment denials on recordSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
43% more payment denials than Missouri average
Missouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility$13K
Missouri average$81K
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Penalties issued more than 3 years ago are included in the totals above, not in this list.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.9.9
In line with Missouri average
Missouri average: 9.8
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.16.2
9% better than Missouri average
Missouri average: 17.8
Long-stay resident measures
Significantly below averageMissouri avg: 2.7CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased18.4%
In line with Missouri average
Missouri average: 18.1%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened15.1%
13% better than Missouri average
Missouri average: 17.4%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder15.1%
15% better than Missouri average
Missouri average: 17.8%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury6.0%
48% worse than Missouri average
Missouri average: 4.1%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers3.6%
20% better than Missouri average
Missouri average: 4.5%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection4.2%
79% worse than Missouri average
Missouri average: 2.3%
Lost Too Much Weight Percent of long-stay residents who lose too much weight6.2%
16% worse than Missouri average
Missouri average: 5.3%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms21.5%
16% worse than Missouri average
Missouri average: 18.5%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication34.6%
47% worse than Missouri average
Missouri average: 23.5%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine100.0%
19% better than Missouri average
Missouri average: 84.1%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine71.9%
21% worse than Missouri average
Missouri average: 90.9%
Hospitalizations per 1,000 days Number of hospitalizations per 1,000 long-stay resident days.2.57
24% worse than Missouri average
Missouri average: 2.08
ED visits per 1,000 days Number of outpatient emergency department visits per 1,000 long-stay resident days.1.27
46% better than Missouri average
Missouri average: 2.35
Short-stay resident measures
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine100.0%
52% better than Missouri average
Missouri average: 65.7%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication7.3%
231% worse than Missouri average
Missouri average: 2.2%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine0.0%
100% worse than Missouri average
Missouri average: 63.5%
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.0.0%
100% better than Missouri average
Missouri average: 0.8%
Breakdown by payment type
Medicare
9% of new residents, usually for short-term rehab.
Typical stay27 days
Private pay
50% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
41% of new residents, often for long-term daily care.
Typical stay5 - 6 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents58
Medicare
3
5.2% of residents
Medicaid
32
55.2% of residents
Private pay or other
23
39.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Hill Crest Manor from 2011–2024, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Net Patient Income$53.5K↑ ~$98.7K vs 2023
Payroll Costs$1.7M↑ ~$323.0K vs 2023
Operating Margin1.4%↑ 2.7pp vs 2023
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Occupancy %
46.3%
46.5%
42.1%
42.5%
43.5%
42.7%
50.0%
51.9%
53.2%
51.1%
47.8%
48.9%
44.8%
49.9%
Beds
114
114
114
114
114
114
114
114
114
114
114
114
114
114
Net Income
$244,329
$131,395
$33,382
$14,389
$39,531
$34,267
$229,713
$279,009
$316,360
$1,003,792
$299,114
$344,351
$13,349
$127,366
Gross Revenue
$3,540,999
$3,541,495
$3,220,231
$3,315,104
$3,451,382
$3,286,632
$4,068,497
$4,187,718
$4,169,837
$4,675,396
$5,461,212
$5,033,257
$4,222,961
$5,519,534
Operating Expenses
$2,966,722
$2,981,284
$2,870,473
$2,943,370
$3,046,894
$2,924,573
$3,420,665
$3,397,048
$3,434,682
$3,875,689
$3,747,032
$3,646,740
$3,349,123
$3,880,209
Net Patient Income
$202,709
$114,014
$11,526
$13,793
$33,912
$35,354
$222,923
$266,485
$325,968
$119,146
$169,417
$193,774
-$45,159
$53,523
Net Patient Revenue
$3,169,431
$3,095,298
$2,881,999
$2,957,163
$3,080,806
$2,959,927
$3,643,588
$3,663,533
$3,760,650
$3,994,835
$3,916,449
$3,840,514
$3,303,964
$3,933,732
Payroll Costs
$1,075,580
$1,138,359
$1,167,305
$1,217,812
$1,406,560
$1,291,587
$1,430,522
$1,412,032
$1,450,913
$1,534,709
$1,268,698
$1,269,486
$1,365,944
$1,688,976
Operating Margin %
6.4%
3.7%
0.4%
0.5%
1.1%
1.2%
6.1%
7.3%
8.7%
3.0%
4.3%
5.1%
-1.4%
1.4%
Medicare %
10.0%
7.3%
7.2%
9.7%
8.9%
5.6%
8.7%
7.4%
5.6%
10.0%
10.3%
8.8%
4.4%
2.5%
Medicaid %
44.1%
48.7%
54.4%
48.5%
44.0%
47.8%
50.7%
53.4%
60.6%
52.8%
65.2%
68.3%
76.1%
68.2%
Private %
45.9%
44.0%
38.4%
41.7%
47.1%
46.6%
40.6%
39.2%
33.8%
37.1%
24.5%
22.9%
19.5%
29.3%
Net Patient Revenue/Day
$165
$159
$165
$167
$170
$166
$175
$170
$170
$187
$197
$189
$177
$189
Cost/Day
$154
$154
$164
$167
$168
$164
$164
$157
$155
$182
$188
$179
$180
$186
Avg Length of Stay
219.9 days
187.8 days
163.9 days
127.9 days
14.0 days
152.8 days
227.8 days
151.1 days
180.4 days
146.6 days
158.0 days
175.9 days
179.1 days
97.1 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
For-profit
Operated by a single business entity.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9MFiscal year ending 12/2024
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$53.5KFiscal year ending 12/2024
For-profit Operated by a single business entity.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9MFiscal year ending 12/2024Rank#221 / 249Net patient revenue — State benchmarkedThis nursing home is ranked 221st out of 249 nursing homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 221st out of 249 nursing homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$53.5KFiscal year ending 12/2024
Other incomeMoney the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$73.8KFiscal year ending 12/2024
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#240 / 249Payroll costs — State benchmarkedThis nursing home is ranked 240th out of 249 nursing homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 240th out of 249 nursing homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$1.7MFiscal year ending 12/2024
42.9% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#224 / 249Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 224th out of 249 nursing homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 224th out of 249 nursing homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.2MFiscal year ending 12/2024
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.9MFiscal year ending 12/2024
Certification details
License Number:265665
Owner Name:Hamilton #1, Inc
Rural vs. Urban:Urban
County:Caldwell
Type of Control:For-profit — Operated by a single business entity.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
211 total
Coverage residents most often arrive under.
Medicare9%
Private pay50%
Medicaid41%
Discharges
200 total
Coverage residents most often leave under.
Medicare2%
Private pay56%
Medicaid42%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Places of interest near Hill Crest Manor
0.0 miles from city center Estimated distance in miles from Hamilton's city center to Hill Crest Manor's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
74
62 employees · 12 contractors · 25 on an average day 
100% corrected 
