Nursing home report
DE SOTO, MO · Medicare-certified · 120 beds
Hillcrest Care Center Inc in De Soto, MO has a 4 out of 5 star overall rating, with solid health inspection and quality scores but a 3-star staffing rating and reported nurse staffing below the federal benchmark (3.22 vs. 4.1 hours per resident per day). It also had $10,845 in fines in the last 24 months and a recent federal penalty; recent citations involved accident hazards/supervision, garbage disposal, and protecting residents' belongings or money.
Health inspections
Staffing
3.2157 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2157.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to properly dispose of garbage and other waste. Cited January 2026 — widespread issue, potential for harm.
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to protect residents from the wrongful use of their belongings or money. Cited March 2025 — limited pattern, potential for harm.
F-Tag 602 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2023 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2023 — limited pattern, potential for harm.
F-Tag 925 — 42 CFR §483.90 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 6 health deficiencies.
A federal fine of $10,845 was recorded.
On record with Medicare: 1 fine · $10,845 in total fines.
Federal fine
Aug 8, 2024
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.
