HILL CREST MANOR (HAMILTON, MO) has a 1 out of 5 overall rating, with 1-star staffing and quality measures and 2-star health inspections. It is flagged for the lowest overall rating, has reported nurse staffing below the federal benchmark (3.30 vs. 4.1 hours per resident per day), and had $0 in fines in the last 24 months.
Last inspection: June 27, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2978.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
0.41
Nurse aides
2.57
Weekend nursing
2.96
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
26.3%29%Worsening
Residents with a fall causing major injury
5.5%8.2%Worsening
Residents with pressure ulcers (bedsores)
0%5.6%Worsening
Residents with a urinary tract infection
7.7%4.2%Improving
Residents who lost too much weight
12%9.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.9%20.5%Worsening
Residents whose ability to walk got worse
33.9%16.9%Improving
Long-stay residents on antianxiety or sleep medication
32.1%26.7%Improving
Short-stay residents newly given an antipsychotic
—9.5%—
Residents with a long-term catheter
2.1%2%No change
Residents with new or worsening incontinence
7.4%12.7%Worsening
Residents with depressive symptoms
8.2%26.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—71.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—0%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: F
The home failed to monitor antibiotic use properly. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,033 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 13, 2023
10 days
Federal fine
Sep 13, 2023
$13,033
Operator & ownership
Ownership
For profit - Individual
Chain
Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
Occupancy
54.1 residents on an average day (60% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.