GoodStanding

Nursing home report

HILL CREST MANOR

HAMILTON, MO · Medicare-certified · 90 beds

Needs attention
For-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.2978 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found
  4. 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.