HILLCREST CARE CENTER INC (De Soto, MO) has an overall rating of 4 out of 5 stars, with 4 stars for health inspections and 3 stars for staffing and quality measures. It reports 3.30 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, has $10,845 in fines over the last 24 months, and has a recent federal penalty; recent citation areas included accident hazards/supervision, garbage disposal, and protecting residents’ belongings or money.
Last inspection: January 22, 2026Penalties, last 24 months: $10,845recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.301.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.35
Nurse aides
2.56
Weekend nursing
2.74
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 14%
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
19.6%31.1%Worsening
Residents with a fall causing major injury
4.9%2.4%Improving
Residents with pressure ulcers (bedsores)
3%5.9%Worsening
Residents with a urinary tract infection
1.2%2.5%Worsening
Residents who lost too much weight
3.2%7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.5%20%Worsening
Residents whose ability to walk got worse
10.3%18%Worsening
Long-stay residents on antianxiety or sleep medication
22.2%19%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.2%2.6%Worsening
Residents with new or worsening incontinence
6%7.8%Worsening
Residents with depressive symptoms
0%0%No change
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
—90.8%—
Long-stay residents given the pneumonia vaccine
72.8%70.7%Worsening
Short-stay residents given the seasonal flu vaccine
—72.3%—
Short-stay residents given the pneumonia vaccine
65.9%73.3%Improving
What the inspectors found
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $10,845 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $10,845 in total fines.
Federal fine
Aug 8, 2024
$10,845
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
Occupancy
81.3 residents on an average day (68% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 31 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.