HILL CREST MANOR Inspection Report, Violations & Safety Grade (HAMILTON, Missouri)

801 SOUTH COLBY, HAMILTON, Missouri 64644

Phone: 8165832119

CMS Overall:2/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

56.1

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Caldwell

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health3/5

Staffing1/5

Quality2/5

Nurse Staffing Check

Metric	This Facility	Missouri Avg	Difference
RN Hours per Resident per Day	0.31	0.46	-0.15
Total Nurse Hours per Resident per Day	3.11	3.40	-0.29
CMS Staffing Rating	1/5	2.2/5	-
Nursing Staff Turnover	57.4%	56.9%	-

Health Citation History

47 health citations on record

Date	Category	Description	Severity
2026-05-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E – Moderate Harm Potential
2026-05-07	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E – Moderate Harm Potential
2026-05-07	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2026-05-07	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E – Moderate Harm Potential
2026-05-07	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	E – Moderate Harm Potential
2026-05-07	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-05-07	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	D – Moderate Harm Potential
2025-06-27	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	Give residents a notice of rights, rules, services and charges.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	The resident has the right to receive notices in a format and a language he or she understands.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	E – Moderate Harm Potential
2025-01-29	Resident Rights Deficiencies	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.	E – Moderate Harm Potential
2025-01-29	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E – Moderate Harm Potential
2025-01-29	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2025-01-29	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2025-01-29	Nursing and Physician Services Deficiencies	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.	E – Moderate Harm Potential
2025-01-29	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2025-01-29	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2025-01-29	Environmental Deficiencies	Keep all essential equipment working safely.	E – Moderate Harm Potential
2025-01-29	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D – Moderate Harm Potential
2025-01-29	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2025-01-29	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D – Moderate Harm Potential
2024-10-29	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2024-05-23	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2024-04-12	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	B – Minimal Harm Potential
2023-09-13	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F – Moderate Harm Potential
2023-09-13	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F – Moderate Harm Potential
2023-09-13	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-09-13	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	F – Moderate Harm Potential
2023-09-13	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F – Moderate Harm Potential
2023-09-13	Resident Rights Deficiencies	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.	E – Moderate Harm Potential
2023-09-13	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E – Moderate Harm Potential
2023-09-13	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2023-09-13	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	E – Moderate Harm Potential
2023-09-13	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2023-09-13	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	E – Moderate Harm Potential
2023-09-13	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E – Moderate Harm Potential
2023-09-13	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E – Moderate Harm Potential
2023-09-13	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	E – Moderate Harm Potential
2023-09-13	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2023-09-13	Nursing and Physician Services Deficiencies	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.	D – Moderate Harm Potential
2023-09-13	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D – Moderate Harm Potential
2023-09-13	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D – Moderate Harm Potential

Fire Safety Citation History

47 fire safety citations on record

Date	Category	Description	Severity
2026-05-07	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2026-05-07	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	F – Moderate Harm Potential
2026-05-07	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2026-05-07	Construction Deficiencies	Use approved construction type or materials.	D – Moderate Harm Potential
2026-05-07	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	D – Moderate Harm Potential
2026-05-07	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	D – Moderate Harm Potential
2026-05-07	Egress Deficiencies	Have properly located and lighted "Exit" signs.	D – Moderate Harm Potential
2026-05-07	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	D – Moderate Harm Potential
2026-05-07	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2025-01-29	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	F – Moderate Harm Potential
2025-01-29	Construction Deficiencies	Meet requirements for sections of health care facilities separated by fire resistive construction.	F – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	F – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2025-01-29	Construction Deficiencies	Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.	E – Moderate Harm Potential
2025-01-29	Construction Deficiencies	Use approved construction type or materials.	E – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Conform to length requirements for dead end corridors.	E – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Have exits that are accessible at all times.	E – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	E – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2025-01-29	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2025-01-29	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2025-01-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have power receptacles that are properly grounded.	E – Moderate Harm Potential
2025-01-29	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Meet other general requirements.	D – Moderate Harm Potential
2025-01-29	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	D – Moderate Harm Potential
2025-01-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate Harm Potential
2023-09-13	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	L – Immediate Jeopardy
2023-09-13	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	F – Moderate Harm Potential
2023-09-13	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2023-09-13	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	F – Moderate Harm Potential
2023-09-13	Egress Deficiencies	Install proper backup exit lighting.	F – Moderate Harm Potential
2023-09-13	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2023-09-13	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2023-09-13	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	F – Moderate Harm Potential
2023-09-13	Services Deficiencies	Install properly constructed and protected linen or trash chutes.	F – Moderate Harm Potential
2023-09-13	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	F – Moderate Harm Potential
2023-09-13	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	E – Moderate Harm Potential
2023-09-13	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2023-09-13	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2023-09-13	Egress Deficiencies	Have properly located and lighted "Exit" signs.	D – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

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