Hill Crest Manor
801 South Colby · Hamilton, MO · 64644 · 8165832119
90 certified beds For profit - Individual Chain: Circle B Enterprises
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $13,033 |
Inspection citations (45 in the current record)
-
Potential for harm · D June 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
-
Potential for harm · E January 29, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
Assure the security of all personal funds of residents deposited with the facility.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
Give residents a notice of rights, rules, services and charges.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
Honor 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.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E January 29, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 29, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E January 29, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 12, 2025 · Quality of Life and Care
-
Potential for harm · D January 29, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected March 12, 2025 · Quality of Life and Care
-
Potential for harm · E January 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 12, 2025 · Quality of Life and Care
-
Potential for harm · E January 29, 2025
Ensure 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.
Corrected March 12, 2025 · Nursing and Physician Services
-
Potential for harm · E January 29, 2025
Ensure 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.
Corrected March 12, 2025 · Pharmacy Service
-
Potential for harm · E January 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 12, 2025 · Nutrition and Dietary
-
Potential for harm · E January 29, 2025
Keep all essential equipment working safely.
Corrected March 12, 2025 · Environmental
-
Potential for harm · E January 29, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · E October 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 21, 2024 · Quality of Life and Care
-
Potential for harm · D May 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 14, 2024 · Quality of Life and Care
-
No harm found · B April 12, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 26, 2024 · Resident Rights
-
Potential for harm · E September 13, 2023
Honor 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.
Corrected October 28, 2023 · Resident Rights
-
Potential for harm · E September 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 28, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E September 13, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 28, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 13, 2023 | Fine | $13,033 |
| September 13, 2023 | Payment Denial | 10 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265665 · certified since January 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.