Nursing home · Hamilton, MO
Hill Crest Manor
801 South Colby, Hamilton, MO 64644 · 90 certified beds · for profit ownership · part of Circle B Enterprises
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on May 7, 2026, when they cited 7 problems. The most common area was resident assessment and care planning (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 7 are marked corrected in the CMS data. At its most recent standard inspection (May 7, 2026) it had 7 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.01 hours per resident per day here, 12% less than the Missouri average (3.43) and 22% less than the U.S. average (3.86). Registered nurses account for 0.25 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 54% over the past year, 2 points lower than Missouri (56%) and 8 points higher than the U.S. (46%).
How Hill Crest Manor compares
This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).
| This home | Chillicothe area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.01 | 3.28 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.25 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.77 | 2.88 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 54% | 56% | 56% | 46% |
| Registered nurse turnover (past year) | 60% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 7 | 10.1 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 47 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 7, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| May 7, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| May 7, 2026 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| May 7, 2026 | Post nurse staffing information every day. Nursing and physician services | E | Deficient, Provider has date of correction |
| May 7, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| May 7, 2026 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and dietary | D | Deficient, Provider has date of correction |
| May 7, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 27, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Past Non-Compliance |
| Jan 29, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Assist a resident in gaining access to vision and hearing services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 29, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 29, 2025 | Keep all essential equipment working safely. Environmental | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 29, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | The resident has the right to receive notices in a format and a language he or she understands. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Give residents a notice of rights, rules, services and charges. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Jan 29, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Oct 29, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Apr 12, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | B | Deficient, Provider has date of correction |
| Sep 13, 2023 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 13, 2023 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and physician services | D | Deficient, Provider has date of correction |
| Sep 13, 2023 | Provide activities to meet all resident's needs. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 13, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Sep 13, 2023 | Put firmly secured handrails on each side of hallways. Environmental | E | Deficient, Provider has date of correction |
| Sep 13, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | E | Deficient, Provider has date of correction |
| Sep 13, 2023 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Sep 13, 2023 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Sep 13, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning | F | Deficient, Provider has date of correction |
| Sep 13, 2023 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of life and care | E | Deficient, Provider has date of correction |
| Sep 13, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Hill Crest Manor
Answers computed from CMS data for this facility.
What is Hill Crest Manor's Medicare rating?
Medicare rates Hill Crest Manor 1 out of 5 stars overall (much below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.
How did Hill Crest Manor do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 7, 2026, when they cited 7 problems. The most common area was resident assessment and care planning (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 7 are marked corrected in the CMS data. At its most recent standard inspection (May 7, 2026) it had 7 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Has Hill Crest Manor been fined?
CMS reports no federal fines for this facility in the past three years.
Does Hill Crest Manor accept Medicaid?
Hill Crest Manor is certified for both Medicare and Medicaid. Call (816) 583-2119 to ask whether a Medicaid bed is open.
Other nursing homes near Hamilton
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- 4/5Golden Age Nursing HomeBraymer · 83 beds
- 4/5Pearl's Ii Eden for EldersPrinceton · 60 beds
- 3/5Daviess County Nursing and RehabilitationGallatin · 97 beds
- 3/5Life Care Center of CarrolltonCarrollton · 120 beds
- 3/5Pioneer Skilled Nursing CenterMarceline · 96 beds
Compare all 20 Chillicothe-area nursing homes · · Chillicothe guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.