Nursing home · De Soto, MO
Hillcrest Care Center
1108 Clarke Street, De Soto, MO 63020 · 120 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jan 22, 2026, when they cited 6 problems. The most common area was resident rights (4 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (Jan 22, 2026) it had 6 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.30 hours per resident per day here, 4% less than the Missouri average (3.43) and 15% less than the U.S. average (3.86). Registered nurses account for 0.39 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 46% over the past year, 10 points lower than Missouri (56%) and 0 points lower than the U.S. (46%).
How Hillcrest Care Center compares
This home's latest CMS figures next to the averages for De Soto-area homes (11), Missouri (487) and the U.S. (14,680).
| This home | De Soto area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.30 | 3.26 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.39 | 0.40 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.74 | 2.90 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 46% | 60% | 56% | 46% |
| Registered nurse turnover (past year) | 14% | 53% | 48% | 43% |
| Citations at the most recent standard inspection | 6 | 8.3 | 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 22 of 22 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jan 22, 2026 | Dispose of garbage and refuse properly. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 22, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Jan 22, 2026 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | D | Deficient, Provider has date of correction |
| Jan 22, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| Jan 22, 2026 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Jan 22, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| Mar 28, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | E | Past Non-Compliance |
| Oct 24, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 24, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | D | Deficient, Provider has date of correction |
| Oct 24, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 24, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Oct 24, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Oct 24, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | D | Deficient, Provider has date of correction |
| Aug 8, 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 | J immediate jeopardy | Past Non-Compliance |
| Aug 25, 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 |
| Aug 25, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | E | Deficient, Provider has date of correction |
| Aug 25, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | D | Deficient, Provider has date of correction |
| Aug 25, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Aug 25, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Aug 25, 2023 | 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 | D | Deficient, Provider has date of correction |
| Aug 25, 2023 | 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 | D | Deficient, Provider has date of correction |
| Aug 25, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Aug 8, 2024 | Fine | $10,845 |
Location
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Reviews
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Questions about Hillcrest Care Center
Answers computed from CMS data for this facility.
What is Hillcrest Care Center's Medicare rating?
Medicare rates Hillcrest Care Center 4 out of 5 stars overall (above average). The average for De Soto-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.
How did Hillcrest Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jan 22, 2026, when they cited 6 problems. The most common area was resident rights (4 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (Jan 22, 2026) it had 6 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.
Has Hillcrest Care Center been fined?
Yes. CMS reports 1 fine totaling $10,845 in the past three years.
Does Hillcrest Care Center accept Medicaid?
Hillcrest Care Center is certified for both Medicare and Medicaid. Call (636) 586-3022 to ask whether a Medicaid bed is open.
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.