What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Hill Crest Manor | Missouri | Photos & Videos

Overview of Hill Crest Manor

Hillcrest Manor is in the rural community of Hamilton, MO. The facility provides long-term care as well as rehabilitation services for the surrounding communities. It also offers residential care apartments for the surrounding community.

(816) 583-2119 adm@hillcresthc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.13/day

Overall rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 90

This home usually has availability

Lower occupancy suggests more openings may be available.

44.8%

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for

Long-term daily care Ongoing support needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

17% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

35% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

48% of new residents, often for long-term daily care.

Typical stay 10 months

Finances and operations

Home revenue

$4.3M

Profit

$13.3K

Proprietary home Corporation

Home revenue

$4,281,469.00

Profit

$13,349.00

Payroll costs

$1.2M

29% of revenue

Other operating costs

$3.0M

Total costs $4.3M

90-bed community

A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265665

Certification type: Medicare/Medicaid

County: CALDWELL

Ownership & operating entity

Hill Crest Manor is administrated by TYLER O'NEAL.

Owner name: HAMILTON #1, INC

Care Services

Nursing Services

Rehabilitation Services

Skilled Nursing

Licensed Nurses/CNAs

Amenities & Lifestyle

Programs & Activities

Specific Programs

Services, Facility, Resources, Staff, Calendar

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Hill Crest Manor

SNF

MO 64644-8287

114

AMIN, MUHAMMAD

44.8%

$4,222,961.00

$1,243,193.00

29.4%

48.80

1/5

3.1267

1/5

2/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Hill Crest Manor

Type of care: SNF AL

Community: MO 64644-8287

Bed Count: 114

Pets Allowed: No

Operator: AMIN, MUHAMMAD

CCN: 265665

Occupancy: 44.8%

Home Revenue: $4,222,961.00

Payroll Costs: $1,243,193.00

Payroll %: 29.4%

Avg Residents/Day: 48.80

Overall Rating: 1/5

Adj Nurse Hours: 3.1267

Health Insp Rating: 1/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 2

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

HAMILTON, MO 64644-8287

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Total Staff

Employees

Contractors

15,430

Total Hours (Quarter)

Avg Staff/Day

8.1

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	5	6.9	No
Licensed Practical Nurse	7	8.1	No
Certified Nursing Assistant	16	9.4	No

Staff by Category

Administration

3 staff

8hs shift avg

Nursing Staff

49 staff

8.9hs shift avg

Physicians & Practitioners

2 staff

7.5hs shift avg

Therapy Services

9 staff

4.5hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

2 staff

4.3hs shift avg

Dietary Services

1 staff

7hs shift avg

Other Services

2 staff

8.2hs shift avg

Contractor Analysis

9.4%

of total hours from contractors

1,453 contractor hours this quarter

Qualified Social Worker: 2 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	16	0	16	3,270	91	100%	9.4
Nurse Aide in Training	15	0	15	3,161	91	100%	8.7
Licensed Practical Nurse	7	0	7	2,245	91	100%	8.1
Medication Aide/Technician	6	0	6	1,889	89	98%	11.9
Registered Nurse	5	0	5	1,161	86	95%	6.9
Dental Services Staff	2	0	2	942	71	78%	8.2
Speech Language Pathologist	0	2	2	690	65	71%	5.8
Administrator	2	0	2	520	65	71%	8
Nurse Practitioner	2	0	2	520	69	76%	7.5
Qualified Social Worker	0	2	2	316	59	65%	4.3
Physical Therapy Assistant	0	1	1	296	62	68%	4.8
Dietitian	1	0	1	260	37	41%	7
Physical Therapy Aide	0	2	2	49	11	12%	4.4
Respiratory Therapy Technician	0	1	1	37	48	53%	0.8
Occupational Therapy Aide	1	1	2	31	4	4%	7.8
Medical Director	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	20	3	3%	6.7

View All Staffing Data

Total Health inspections 9

36% above Missouri average

Missouri average: 6.6

Last Health inspection on Jun 2025

Total Health citations 56

53% above Missouri average

Missouri average: 36.5

6.22 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 41 citations

Complaint investigations 16 citations

Breakdown of citations

Critical Health citations 1

43% above Missouri average

Missouri average: 0.7

Serious Health citations 2

100% above Missouri average

Missouri average: 1.0

Moderate Health citations 52

Minor Health citations 1

Citations history (last 3 years)

Quality of Care moderate citation Jun 27, 2025

Corrected

Abuse/Neglect moderate citation Jan 29, 2025

Corrected

Environmental moderate citation Jan 29, 2025

Corrected

Nursing Services moderate citation Jan 29, 2025

Corrected

Ownership: For-Profit Individual

Part of: AVANTE GUARD

Resident Census by Payment Source

58 Total Residents

Medicare 3 (5.2%)

Medicaid 32 (55.2%)

Private Pay/Other 23 (39.7%)

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 9.3

15% better than Missouri average

Missouri average: 10.9

Functional decline score 14.0

28% better than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 12.6%

36% below Missouri average.

Walking Ability Worsened 22.4%

9% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 7.1%

61% below Missouri average.

Falls with Major Injury 5.4%

34% above Missouri average.

High Risk Residents with Pressure Ulcers 1.0%

81% below Missouri average.

Urinary Tract Infection 3.6%

31% above Missouri average.

Depressive Symptoms 5.3%

59% below Missouri average.

Antipsychotic Use 23.3%

6% above Missouri average.

Pneumococcal Vaccine 100.0%

17% above Missouri average.

Influenza Vaccine 71.9%

21% below Missouri average.

Lost Too Much Weight 5.2%

6% below Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 100.0%

50% better than Missouri average

Antipsychotic medication increase 5.9%

165% worse than Missouri average

Influenza Vaccine 0.0%

100% worse than Missouri average

Total fines amount $111K

This home paid 52% more in fines than the state average.

Missouri average: $73K

Number of Fines 2

This home received 18% fewer fines than the state average.

Missouri average: 2.4

Payment Denials 2

This home had 191% more payment denials than the state average.

Missouri average: 0.7

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Sep 13, 2023

$13K

Payment Denial Sep 13, 2023

10 days

Civil Money Penalty Jan 31, 2023

$98K

Payment Denial Jan 31, 2023

63 days

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for Hill Crest Manor based on CMS SNF Cost Reports.

Occupancy Rate 44.8% ↓ 4.1pp vs 2022

Net Income $13,349 ↓ ~$331K vs 2022

Total Payroll $1,607,336 ↓ ~$112K vs 2022

Profit Margin 0.3% ↓ 6.5pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
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%
Beds	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
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
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
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
Total Payroll	$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	$1,999,597	$1,719,703	$1,607,336
Profit Margin %	6.9%	3.7%	1.0%	0.4%	1.2%	1.0%	5.7%	6.7%	7.6%	21.5%	5.5%	6.8%	0.3%
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%
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%
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%
Revenue/Day	$165	$159	$165	$167	$170	$166	$175	$170	$170	$187	$197	$189	$177
Cost/Day	$154	$154	$164	$167	$168	$164	$164	$157	$155	$182	$188	$179	$180
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

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

Hill Crest Manor

Hill Crest Manor is a Nursing Home in Missouri

Hill Crest Manor is a Nursing Home in Missouri

Hill Crest Manor

Hill Crest Manor is a Nursing Home in Missouri

Hill Crest Manor is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly long-term care residents

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Compare Nursing Homes around Missouri

Places of interest near Hill Crest Manor

Calculate Travel Distance to Hill Crest Manor

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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