Hillcrest Care Center Inc
1108 Clarke Street · De Soto, MO · 63020 · 6365863022
120 certified beds For profit - Corporation Chain: James & Judy Lincoln
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 1 · $10,845 |
Inspection citations (22 in the current record)
-
Potential for harm · D January 22, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 8, 2026 · Resident Rights
-
Potential for harm · D January 22, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 8, 2026 · Resident Rights
-
Potential for harm · D January 22, 2026
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 March 8, 2026 · Resident Rights
-
Potential for harm · D January 22, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 8, 2026 · Resident Rights
-
Potential for harm · F January 22, 2026
Dispose of garbage and refuse properly.
Corrected March 8, 2026 · Nutrition and Dietary
-
Potential for harm · D January 22, 2026
Provide and implement an infection prevention and control program.
Corrected March 8, 2026 · Infection Control
-
Potential for harm · E March 28, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 24, 2024
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 December 2, 2024 · Resident Rights
-
Potential for harm · D October 24, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 2, 2024 · Resident Rights
-
Potential for harm · D October 24, 2024
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.
Corrected December 2, 2024 · Resident Rights
-
Potential for harm · D October 24, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 2, 2024 · Quality of Life and Care
-
Potential for harm · D October 24, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 2, 2024 · Quality of Life and Care
-
Potential for harm · D October 24, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 2, 2024 · Nursing and Physician Services
-
Immediate jeopardy · J August 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 1, 2024 · Quality of Life and Care
-
Potential for harm · D August 25, 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 September 25, 2023 · Resident Rights
-
Potential for harm · D August 25, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 25, 2023 · Resident Rights
-
Potential for harm · D August 25, 2023
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.
Corrected September 25, 2023 · Resident Rights
-
Potential for harm · D August 25, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 25, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E August 25, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 25, 2023 · Quality of Life and Care
-
Potential for harm · D August 25, 2023
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 September 25, 2023 · Pharmacy Service
-
Potential for harm · D August 25, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 25, 2023 · Infection Control
-
Potential for harm · E August 25, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 25, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 8, 2024 | Fine | $10,845 |
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 265620 · certified since July 10, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.