All states › Missouri › De Soto › Hillcrest Care Center
1108 Clarke Street De Soto, MO 63020 · Jefferson County
All 3 nursing homes in De Soto, MO (3 take Medicaid)
CMS certification number 265620 · See this home on Medicare Care Compare
Is Hillcrest Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hillcrest Care Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.25 hours per resident per day at Hillcrest Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.75 hours, 15% below its all-week average. Ask how weekends are staffed. 47.1% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Hillcrest Care Center: Medicare and Medicaid
Hillcrest Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 22, 2026 and found 6 deficiencies. In total, inspectors issued 22 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 22 citations at Hillcrest Care Center across 5 inspection dates, 2 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 8, 2024 (complaint inspection). The most common areas cited were resident rights (10) and quality of life and care (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, August 8, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
January 22, 2026 · 6 citations
FDispose of garbage and refuse properly.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DHonor 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.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide and implement an infection prevention and control program.
March 28, 2025 · 1 citation · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
October 24, 2024 · 6 citations
DHonor 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
August 8, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 25, 2023 · 8 citations
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Hillcrest Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 8, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 28, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $10,845 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 8, 2024 | Fine | $10,845 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
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Location
Hospitals near Hillcrest Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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9.6 mi
Jefferson Regional Medical Center Crystal CityEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 22m for patients treated and sent home
- 16.6 mi
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19.3 mi
Washington County Memorial Hospital PotosiEmergency roomMedian ER visit 2h 26m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Hillcrest Care Center › All nursing homes in De Soto ›
Compare Hillcrest Care Center with the 3 closest homes side by side ›
Other James & Judy Lincoln nursing homes in Missouri
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- California Care Center · California · 5 stars
- Nixa Nursing & Rehab · Nixa · 5 stars
- Republic Nursing & Rehab · Republic · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 55 James & Judy Lincoln nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.