Nursing home
Hillcrest Care Center
1108 Clarke Street, De Soto, MO 63020 · Map
For profit - Corporation · Part of James & Judy Lincoln (58 facilities) · 120 certified beds
Hillcrest Care Center is a Medicare-certified nursing home in De Soto, Missouri. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.05 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Oct 24, 2024 cited 7 deficiencies.
- 1 fine totaling $10,845In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hillcrest Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.05 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.38 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 44.6% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 22, 2026 inspection was corrected by March 8, 2026
Penalties in CMS records: 1 fine totaling $10,845, 1 total penalty.
What inspectors found at Hillcrest Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 28, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Oct 24, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1108 Clarke Street
De Soto, MO 63020 - CMS certification #
- 265620
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 90.3
- Provider type
- Medicare and Medicaid
- First certified
- 1995-07-10
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Urban
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hillcrest Care Center using Google Maps.
Other public records
- Website says Works with hospice, transportation
- Workplace safety 2 OSHA workplace safety inspections since 2020, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Hillcrest Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
We have registered nurses and certified nursing assistants as well as visits from psychiatrists, podiatrists, dentists and hospice.
(page, checked Oct 15, 2026) - Provides transportation.
To ensure your loved one does not miss an appointment, our home offers facility transportation through handicapped accessible vans.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Aug 6, 2013.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 14, 2022: follow-up inspection, partial (safety). Case closed Jan 24, 2022. No violations cited. OSHA record. OSHA recorded the employer as Hillcrest Care Center, LLC.
- Oct 27, 2020: referral inspection, partial (health). Case closed Jun 29, 2021. 2 violations cited (2 serious). Penalties: $13,653 proposed, $6,827 now. OSHA record. OSHA recorded the employer as Hillcrest Care Center, LLC.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $13,653 proposed, $6,827 now. To be fixed by Jul 9, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $0 proposed, $0 now. To be fixed by Jul 9, 2021.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Jefferson, Crystal City. 11.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Stonebridge Desoto, De Soto. 4.2 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Of Missouri, Hillsboro. 7.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Westland Health Mart Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63020 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Jefferson County Dialysis Center, Festus, 9.6 miles away, straight line (CMS rating 1 of 5 stars)
Davita Crystal City Dialysis Center, Festus, 10.0 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 63020.
Serenity Hospicecare, office in Park Hills, 22.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Generation Clinical Partners LLC, Waterloo. 27.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Hillcrest Care Center a good nursing home?
CMS gives Hillcrest Care Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hillcrest Care Center staffed?
Hillcrest Care Center reports 3.05 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Hillcrest Care Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Hillcrest Care Center have?
Hillcrest Care Center is certified for 120 beds.