All states › Missouri › Hamilton › Hill Crest Manor
801 South Colby Hamilton, MO 64644 · Caldwell County
CMS certification number 265665 · See this home on Medicare Care Compare
Is Hill Crest Manor 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 Hill Crest Manor as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 3.11 hours per resident per day at Hill Crest Manor, below the Missouri median of 3.37 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.75 hours, 12% below its all-week average. 57.4% of nursing staff left within a year (Missouri median 56.8%). 2 administrators left in the past year.
About this nursing home
Paying for care at Hill Crest Manor: Medicare and Medicaid
Hill Crest Manor 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 May 7, 2026 and found 7 deficiencies. In total, inspectors issued 47 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 47 citations at Hill Crest Manor across 7 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 46 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (12) and resident rights (10). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level F, September 13, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 7 citations
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide safe and appropriate respiratory care for a resident when needed.
EPost nurse staffing information every day.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
June 27, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 29, 2025 · 18 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EAssure the security of all personal funds of residents deposited with the facility.
EGive residents a notice of rights, rules, services and charges.
EThe resident has the right to receive notices in a format and a language he or she understands.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure 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.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep all essential equipment working safely.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
October 29, 2024 · 1 citation · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
May 23, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 12, 2024 · 1 citation · includes complaint inspection
BHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
September 13, 2023 · 18 citations
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
FImplement a program that monitors antibiotic use.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EPut firmly secured handrails on each side of hallways.
DProvide activities to meet all resident's needs.
DEnsure 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.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Questions to ask on a tour of Hill Crest Manor
- CMS cited the home under its abuse and neglect rules on May 7, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 3/5 | 1/5 | 1/5 |
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Location
Hospitals near Hill Crest Manor
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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11.7 mi
Cameron Community Hospital CameronEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 1h 48m for patients treated and sent home
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24.3 mi
Hedrick Medical Center ChillicotheEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 4m 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.
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Other Circle B Enterprises nursing homes in Missouri
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- Riverways Manor · Van Buren · 5 stars
- Puxico Nursing and Rehabilitation Center · Puxico · 4 stars
- Houston House · Houston · 4 stars
- Riverview Nursing Center · Mokane · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Circle B Enterprises 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.