Hillcrest Care Center, Inc
Nursing Home & Skilled Nursing · De Soto, MO
CMS overall rating Info 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.

Hillcrest Care Center, Inc

Nursing Home & Skilled Nursing · De Soto, MO
CMS overall rating Info 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.
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Hillcrest Care Center, Inc accepts Medicare, Medicaid, and private pay.

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 2021 · 5 years of data 96 deficiencies 16 inspections

Inspection Scorecard Info 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 2021 vs. Missouri state average
Overall vs. MO average 3 Worse Metrics worse than Missouri average:
• Total deficiencies (174% above)
• Deficiencies per year (174% above)
• Deficiencies per inspection (107% above)
0 Better No metrics in this bucket.
Latest Inspection March 28, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9635 This facility has 174% more total deficiencies than a typical Missouri assisted living residence (96 vs. MO avg 35).↑ 174% worse
Deficiencies per year Info Average deficiencies per year since 2021. 19.27 This facility has 174% more deficiencies per year than a typical Missouri assisted living residence (19.2 vs. MO avg 7).↑ 174% worse
Deficiencies per inspection Info Average deficiencies per inspection. 62.9 This facility has 107% more deficiencies per inspection than a typical Missouri assisted living residence (6 vs. MO avg 2.9).↑ 107% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1612 This facility has had 33% more total inspections than the Missouri average (16 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more

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

  • March 28, 2025 complaint investigation substantiated misappropriation of resident trust accounts and cash totaling $20,110 by a bookkeeper affecting 26 of 27 residents.
  • August 1, 2024 complaint found failure to supervise a resident who was missing for 11 hours after a fall, resulting in injuries and immediate jeopardy corrected same day.
  • October 24, 2024 annual inspection cited six deficiencies including unsafe environment, poor transfer notifications, incomplete pressure ulcer and dialysis documentation, and inadequate nurse aide dementia training.

Health Inspection History

Inspections since 2021
Total health inspections 6

State average N/A


Last Health inspection on Mar 2025

Total health citations
24 Rank #100 / 284Health citations — State benchmarkedThis home is ranked 100th out of 284 homes in Missouri for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 284 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4 Rank #76 / 284Citations per inspection — State benchmarkedThis home is ranked 76th out of 284 homes in Missouri for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 284 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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

21 of 24 citations resulted from standard inspections; and 3 of 24 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

22 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 5 years)
Abuse/Neglect moderate citation Mar 28, 2025
Corrected

Nursing Services moderate citation Oct 24, 2024
Corrected

Quality of Care moderate citation Oct 24, 2024
Corrected

Quality of Care moderate citation Oct 24, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 92
Employees 83
Contractors 9
Staff to resident ratio 1.15 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 38
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 28,422

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 36 CNA Staff are full-time employees. No contractors work on this role. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.9%

812 contractor hours this quarter

Respiratory Therapy Technician: 3 Occupational Therapy Aide: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3603613,87792100%8.3
Medication Aide/Technician130133,75192100%8.3
Nurse Aide in Training120122,86192100%7.8
Registered Nurse8082,28992100%10
Licensed Practical Nurse7071,73892100%9.4
RN Director of Nursing2029526470%8.8
Dental Services Staff2028776267%7.4
Nurse Practitioner1014775964%8.1
Administrator1014506267%7.3
Respiratory Therapy Technician0333776065%6.3
Dietitian1013384650%7.3
Physical Therapy Assistant0112523942%6.5
Occupational Therapy Aide02271910%7.9
Qualified Social Worker011683639%1.9
Occupational Therapy Assistant0112733%8.9
Speech Language Pathologist0111778%2.5
36 Certified Nursing Assistant
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
12 Nurse Aide in Training
% of Days 100%
8 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 70%
2 Dental Services Staff
% of Days 67%
1 Nurse Practitioner
% of Days 64%
1 Administrator
% of Days 67%
3 Respiratory Therapy Technician
% of Days 65%
1 Dietitian
% of Days 50%
1 Physical Therapy Assistant
% of Days 42%
2 Occupational Therapy Aide
% of Days 10%
1 Qualified Social Worker
% of Days 39%
1 Occupational Therapy Assistant
% of Days 3%
1 Speech Language Pathologist
% of Days 8%

Penalties and fines

Includes penalties issued in 2024

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 Jan 2026)

Total fines amount $11K Rank #173 / 286Federal fines — State benchmarkedThis home is ranked 173rd out of 286 homes 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 286 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
85% lower than State average

State average: $73K

Number of fines 1
59% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $11K
State average $73K
Penalty History

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

1 penalty in the past 3 years

Aug 8, 2024 · $11K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 8, 2024
$11K

Last updated: Jan 2026

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 score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.3
15% better than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.3
32% better than State average

State average: 19.5

Long-stay resident measures
Average State avg: 2.7 Info CMS 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 Info Percent of long-stay residents whose need for help with daily activities has increased 16.3%
17% better than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.0%
27% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 8.6%
52% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.0%
49% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.8%
24% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
88% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
In line with State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.0%
5% worse than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 74.7%
12% worse than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.8%
In line with State average

State average: 90.9%

Short-stay resident measures
Significantly above average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 61.7%
7% worse than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.6%
197% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 72.3%
14% better than State average

State average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 37.5%
48% worse than State average

State average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 0.0%
100% better than State average

State average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.6%
20% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

12% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

54% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

34% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 80
Medicare
2
2.5% of residents
Medicaid
60
75% of residents
Private pay or other
18
22.5% 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.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net 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."
$5.5M
Net patient income Info Net 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."
-$341.8K
For-profit Corporation
Net patient revenue Info Net 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."
$5.5M Rank #175 / 290Revenue — State benchmarkedThis home is ranked 175th out of 290 homes in Missouri for Revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net 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."
-$341.8K
Other income Info Money 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.
$183.9K
Payroll costs Info Staff 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 #173 / 290Payroll — State benchmarkedThis home is ranked 173rd out of 290 homes in Missouri for Payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M 54.3% of net patient revenue Info 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 #119 / 290Payroll % — State benchmarkedThis home is ranked 119th out of 290 homes in Missouri for Payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything 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).
$2.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.9M

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 (54% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
164 total

Coverage residents most often arrive under.

Medicare 12%
Private pay 54%
Medicaid 34%
Discharges
237 total

Coverage residents most often leave under.

Medicare 4%
Private pay 53%
Medicaid 43%

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Address 0.0 miles from city center Info Estimated distance in miles from De Soto's city center to Hillcrest Care Center, Inc's address, calculated via Google Maps.

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Frequently Asked Questions about Hillcrest Care Center, Inc

Is Hillcrest Care Center, Inc in a walkable area?

Hillcrest Care Center, Inc has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Hillcrest Care Center, Inc?

According to MO state health department records, Hillcrest Care Center, Inc's license number is 052846.

When does Hillcrest Care Center, Inc's license expire?

According to MO state health department records, Hillcrest Care Center, Inc's license expires on July 9, 2027.

What is the occupancy rate at Hillcrest Care Center, Inc?

Hillcrest Care Center, Inc's occupancy is 70%.

Are pets allowed at Hillcrest Care Center, Inc?

No, Hillcrest Care Center, Inc has a no-pet policy.

Does Hillcrest Care Center, Inc operate as a for-profit or non-profit?

Hillcrest Care Center, Inc is registered as a for-profit in MO.

Who is the administrator of Hillcrest Care Center, Inc?

Cynthia Tindall is the administrator of Hillcrest Care Center, Inc.

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