Hill Crest Manor

Nursing Home, Assisted Living, Hospice Care, Residential Care, Respite Care & Skilled Nursing · Hamilton, MO

CMS overall rating

801 South Colby, Hamilton, MO 64644-8287 View map

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Hill Crest Manor accepts Medicare, Medicaid, and private pay.

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Hill Crest Manor accepts Medicare, Medicaid, and private pay.

Overview of Hill Crest Manor

Hill Crest Manor is a nursing home in Hamilton, Missouri. It is operated by Hamilton #1, Inc. It is owned by Muhammad Amin and administered by Tyler O’Neal. The facility is on South Colby, a moderately walkable area for errands and nearby services. The facility is a relatively new property, having opened just one year ago.

The 114-bed home has a current occupancy rate of 47%, with residents staying an average of 179 days. Medicare, Medicaid, and private pay are accepted, providing several ways for families to arrange short-term rehabilitation and ongoing nursing care. Rehabilitation services are a key part of the facility’s clinical focus.

Nurse staffing averages 3 hours and 8 minutes per resident each day. Residents are cared for by registered nurses, nursing aides, and licensed practical nurses. This level of hands-on support is the foundation of daily care delivery.

State inspections documented concerns related to resident safety, dignity, and privacy; medication management practices; equipment safety; food service; adequate supervision; and staff conduct toward residents. These findings require ongoing attention and corrective action in daily operations and care practices.

Families considering Hill Crest Manor should ask about these inspection findings during a tour. This will help clarify how the home addresses regulatory concerns and improves its practices.

Facility Direct Line (816) 583-2119 adm@hillcresthc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident

3h 8m per day

This facility Missouri avg (3h 44m per day)

vs Missouri avg

-16%

5 of 6 metrics below state avg

Standout metric Nurse Aide is +11% above state avg

Staff type	Hours / Day / Resident	vs state avg
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.	19m per day	▼ 32% State avg: 28m per day · National avg: 41m per day
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.	24m per day	▼ 40% State avg: 41m per day · National avg: 52m per day
Nurse Aide 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.	2h 34m per day	▲ 11% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 58m per day	▼ 3% State avg: 3h 3m per day · National avg: 3h 26m per day
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 per day	▼ 99% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	12m per day	▼ 41% State avg: 20m per day · National avg: 28m per day

Capacity and availability

179 days

114-bed community

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

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

47%

Lower than the Missouri average: 66.6%

Occupied beds

54 / 114

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility, Residential Care Facility

StatusActive

IssuanceDecember 1, 2024

ExpirationNovember 30, 2026

CountyCaldwell

License Number052314, 052313

CMS Certification Number265665

Certification TypeMedicare / Medicaid

Hill Crest Manor is legally operated by Hamilton #1, Inc, and administered by Tyler O'neal.

Corporate EntityHAMILTON #1, INC

Owner NameHamilton #1, Inc

Skilled Nursing Facility

90 units

Residential Care Facility

24 units

Total beds

114 units

Rehabilitation Services

Pets not allowed

Since 2018 · 8 years of data 144 deficiencies 21 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

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	35	This facility has 311% more total deficiencies than a typical Missouri nursing home (144 vs. MO avg 35).↑ 311% worse
Deficiencies per inspection Average deficiencies per inspection.	6.9	2.9	This facility has 138% more deficiencies per inspection than a typical Missouri nursing home (6.9 vs. MO avg 2.9).↑ 138% 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	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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

June 27, 2025 complaint investigation found a resident eloped through an unsecured, unalarmed exit door; corrective actions were implemented after the incident.
January 29, 2025 routine inspection cited 23 deficiencies including failure to honor residents' dignity and privacy, medication management errors, unsafe use of lifts, and poor food safety.
Multiple complaint investigations from 2023 to 2024 documented substantiated abuse, inadequate supervision, poor personal hygiene care, and disrespectful staff behavior, showing ongoing compliance and care issues.

Show Inspection Reports

Inspections since 2023

Total health inspections 9

State average 6.6

Last Health inspection on Jun 2025

Total health citations

State average 36.5

Citations per inspection

6.22

State average 5.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

40 of 56 citations resulted from standard inspections; 15 of 56 resulted from complaint investigations; and 1 of 56 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

43% worse than State average

State average: 0.7

Serious health citations

100% worse than State average

State average: 1

1 critical citation State average: 0.7

2 serious citations State average: 1

52 moderate citations State average: 33.6

1 minor citation State average: 1.2

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

Total staff 74

Employees 62

Contractors 12

Staff to resident ratio 1.28 : 1

25% fewer staff per resident than Missouri average

Avg staff/day 25

Average shift 8.1 hours

0% compared with Missouri average

Total staff hours (quarter) 18,552

Nursing staff breakdown

6.6 hours

8.3 hours

8.7 hours

Contractor staffing

1,071 contractor hours 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

Staff by category


Certified Nursing Assistant	23	0	23	7,350	92	100%	8.7
Nurse Aide in Training	17	0	17	3,440	92	100%	7.9
Licensed Practical Nurse	6	0	6	2,030	92	100%	8.3
Medication Aide/Technician	5	0	5	2,015	92	100%	10.4
Registered Nurse	7	0	7	1,070	79	86%	6.6
Dental Services Staff	2	0	2	530	59	64%	7.8
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	518	71	77%	7.3
Speech Language Pathologist	0	2	2	414	64	70%	6.5
Physical Therapy Aide	0	2	2	268	40	43%	6.4
Physical Therapy Assistant	0	2	2	221	46	50%	4.8
Qualified Social Worker	0	2	2	96	28	30%	3.4
Medical Director	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	24	3	3%	8
Occupational Therapy Aide	0	1	1	24	3	3%	8
Respiratory Therapy Technician	0	1	1	1	1	1%	1.1

23 Certified Nursing Assistant

% of Days 100%

17 Nurse Aide in Training

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 100%

7 Registered Nurse

% of Days 86%

2 Dental Services Staff

% of Days 64%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 77%

2 Speech Language Pathologist

% of Days 70%

2 Physical Therapy Aide

% of Days 43%

2 Physical Therapy Assistant

% of Days 50%

2 Qualified Social Worker

% of Days 30%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

1 Occupational Therapy Aide

% of Days 3%

1 Respiratory Therapy Technician

% of Days 1%

View All Staffing Data

Total fines amount $111K

52% higher than Missouri average

Missouri average: $73K

Number of fines 2

18% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials 2

191% more payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison

This facility $111K

Missouri average $73K

Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Sep 13, 2023

$13K

Payment Denial Sep 13, 2023

10 days

Last updated: Jan 2026

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

Below average Missouri avg: 2.7

Need for Help with Daily Activities Increased 12.6%

36% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened 22.4%

9% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 7.1%

61% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury 5.4%

34% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers 1.0%

81% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection 3.6%

31% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight 5.2%

6% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms 5.3%

59% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use 23.3%

6% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine 71.9%

21% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days 2.57

24% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days 1.27

46% better than Missouri average

Missouri average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 100.0%

50% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase 5.9%

165% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine 0.0%

100% worse than Missouri average

Missouri average: 63.5%

Falls with major injury 0.0%

100% better than Missouri average

Missouri average: 0.8%

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

Total residents 58

Medicare

5.2% of residents

Medicaid

55.2% of residents

Private pay or other

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 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 44.8% ↓ 4.1pp vs 2022

Net Patient Income -$45.2K ↓ ~$238.9K vs 2022

Payroll Costs $1.4M ↑ ~$96.5K vs 2022

Operating Margin -1.4% ↓ 6.4pp vs 2022

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 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
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
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
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%
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%
Net Patient 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

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.3M

Net patient income

-$45.2K

For-profit Individual

Net patient revenue

$3.3M

Net patient income

-$45.2K

Other income

$58.5K

Payroll costs

$1.4M 41.3% of net patient revenue

Other operating costs

$2.0M

Total costs

$3.3M

TYPE OF STAY

Mostly long-term care residents

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

New residents most often arrive under Medicaid (48% of admissions), and a typical Medicaid stay runs around 10 months.

Coverage residents most often arrive under.

Medicare 17%

Private pay 35%

Medicaid 48%

Coverage residents most often leave under.

Medicare 9%

Private pay 29%

Medicaid 62%

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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 to lowest based on our ranking methodology.


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Golden Age Living Center	NH AL	Stover	61 Facility 61 MO AVG 96 Rank #338 / 450	86.9% Facility 86.9% MO AVG 65.1 Rank #56 / 418	+34%	5.45 Facility 5.45 MO AVG 3.74 Rank #14 / 270	+8%	+46%	$0 Facility $0 MO AVG $76.9k Rank #1 / 276	6 Facility 6 MO AVG 36.5 Rank #4 / 274	1.5 Facility 1.5 MO AVG 5.7 Rank #1 / 274	-	53	-	38 Facility 38 MO AVG 45 Rank #343 / 563	Golden Age Nursing Home District	$4.2MFiscal year ending 06/2024 Facility $4.2MFiscal year ending 06/2024 MO AVG $8.4M Rank #197 / 277	$3.3MFiscal year ending 06/2024 Facility $3.3MFiscal year ending 06/2024 MO AVG $3.3M Rank #148 / 277	78.5%Fiscal year ending 06/2024 Facility 78.5%Fiscal year ending 06/2024 MO AVG 45.6% Rank #25 / 277	265655
Nixa Nursing &Amp; Rehab	NH HOS SNF	Nixa	82 Facility 82 MO AVG 96 Rank #262 / 450	79.3% Facility 79.3% MO AVG 65.1 Rank #112 / 418	+22%	3.78 Facility 3.78 MO AVG 3.74 Rank #121 / 270	-32%	+1%	$0 Facility $0 MO AVG $76.9k Rank #1 / 276	9 Facility 9 MO AVG 36.5 Rank #10 / 274	3.0 Facility 3.0 MO AVG 5.7 Rank #22 / 274	-	65	-	63 Facility 63 MO AVG 45 Rank #141 / 563	N & R Of Nixa, LLC	$6.0MFiscal year ending 12/2023 Facility $6.0MFiscal year ending 12/2023 MO AVG $8.4M Rank #137 / 277	$2.8MFiscal year ending 12/2023 Facility $2.8MFiscal year ending 12/2023 MO AVG $3.3M Rank #131 / 277	47.2%Fiscal year ending 12/2023 Facility 47.2%Fiscal year ending 12/2023 MO AVG 45.6% Rank #96 / 277	265322
Aberdeen Heights	NH AL HOS IL MC SNF	Kirkwood	91 Facility 91 MO AVG 96 Rank #219 / 450	37.4% Facility 37.4% MO AVG 65.1 Rank #380 / 418	-43%	5.18 Facility 5.18 MO AVG 3.74 Rank #20 / 270	-52%	+39%	$0 Facility $0 MO AVG $76.9k Rank #1 / 276	9 Facility 9 MO AVG 36.5 Rank #10 / 274	2.3 Facility 2.3 MO AVG 5.7 Rank #10 / 274	-	34	-	89 Facility 89 MO AVG 45 Rank #29 / 563	Ashfield Active Living And Wellness Communities, Inc	$23.4MFiscal year ending 06/2024 Facility $23.4MFiscal year ending 06/2024 MO AVG $8.4M Rank #4 / 277	$8.1MFiscal year ending 06/2024 Facility $8.1MFiscal year ending 06/2024 MO AVG $3.3M Rank #11 / 277	34.7%Fiscal year ending 06/2024 Facility 34.7%Fiscal year ending 06/2024 MO AVG 45.6% Rank #270 / 277	265841
Hill Crest Manor	NH AL HOS RESC RC SNF	Colby Hamilton	114 Facility 114 MO AVG 96 Rank #149 / 450	47.4% Facility 47.4% MO AVG 65.1 Rank #339 / 418	-27%	3.13 Facility 3.13 MO AVG 3.74 Rank #214 / 270	+23%	-16%	$13.0k Facility $13.0k MO AVG $76.9k Rank #173 / 276	56 Facility 56 MO AVG 36.5 Rank #230 / 274	6.2 Facility 6.2 MO AVG 5.7 Rank #185 / 274	3	54	-	53 Facility 53 MO AVG 45 Rank #217 / 563	Muhammad Amin	$3.3MFiscal year ending 12/2023 Facility $3.3MFiscal year ending 12/2023 MO AVG $8.4M Rank #224 / 277	$1.4MFiscal year ending 12/2023 Facility $1.4MFiscal year ending 12/2023 MO AVG $3.3M Rank #267 / 277	41.3%Fiscal year ending 12/2023 Facility 41.3%Fiscal year ending 12/2023 MO AVG 45.6% Rank #264 / 277	265665

Nursing Home Explorer

Who is the owner of Hill Crest Manor?

Hill Crest Manor is legally operated by Hamilton #1, Inc, and administered by Tyler O'Neal.

Is Hill Crest Manor in a walkable area?

Hill Crest Manor has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Hill Crest Manor?

According to MO state health department records, Hill Crest Manor's license number is 052314, 052313.

When does Hill Crest Manor's license expire?

According to MO state health department records, Hill Crest Manor's license expires on November 30, 2026.

What is the occupancy rate at Hill Crest Manor?

Hill Crest Manor's occupancy is 47%.

How long has Hill Crest Manor been in business?

Hill Crest Manor has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Hill Crest Manor?

No, Hill Crest Manor has a no-pet policy.

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Hill Crest Manor

Overview of Hill Crest Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Additional Policies & Features

Contact Hill Crest Manor

Inspection History

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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

23 Certified Nursing Assistant

17 Nurse Aide in Training

6 Licensed Practical Nurse

5 Medication Aide/Technician

7 Registered Nurse

2 Dental Services Staff

1 Administrator

1 Nurse Practitioner

2 Speech Language Pathologist

2 Physical Therapy Aide

2 Physical Therapy Assistant

2 Qualified Social Worker

1 Medical Director

1 Occupational Therapy Assistant

1 Occupational Therapy Aide

1 Respiratory Therapy Technician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Hill Crest Manor

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