Hill Crest Manor

Name: Hill Crest Manor
Address: 801 SOUTH COLBY, Hamilton, MO, 64644, US
Telephone: 8165832119

801 South Colby, Hamilton, MO 64644 · Caldwell County · 90 certified beds · avg 58 residents/day · certified since Jan 1, 1997

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

$13,033

Fines, last 3 years

3.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (47)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 7, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
May 7, 2026	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 7, 2026	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 7, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 7, 2026	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
May 7, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 7, 2026	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jun 27, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 29, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jan 29, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 29, 2025	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jan 29, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jan 29, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 29, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
May 23, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 12, 2024	B · Minimal risk, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Sep 13, 2023	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Sep 13, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Sep 13, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 13, 2023	F · Potential for harm, facility-wide	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 13, 2023	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Sep 13, 2023	E · Potential for harm, repeated	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Sep 13, 2023	E · Potential for harm, repeated	The facility did not have firmly secured handrails on both sides of its hallways.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (18 → 7).

Year	Citations	Worst severity that year
2023	18	F
2024	3	E
2025	19	E
2026	7	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $13,033, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Sep 13, 2023	Fine	$13,033
Sep 13, 2023	Payment Denial	10 days from Oct 18, 2023

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.00	3.66	3.95	bottom 23% in Missouri; bottom 14% in the U.S.
Registered Nurse hours	0.25	0.49	0.69	bottom 18% in Missouri; bottom 6% in the U.S.
Weekend total nurse staffing	2.76	3.22	3.50	bottom 29% in Missouri; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.33	0.48	bottom 15% in Missouri; bottom 6% in the U.S.
Total nursing staff turnover (%)	54.2	56.0	45.8	top 42% in Missouri; bottom 27% in the U.S.
RN turnover (%)	60.0	47.8	42.9	bottom 33% in Missouri; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.01, RN 0.25, weekend 2.77. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Circle B Enterprises Holding Company INC	Organization	5% or Greater Direct Ownership Interest	100%	05/18/2001
Agh1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/02/2016
Agh1 LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/25/2025
Amin, Muhammad	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Amin, Muhammad	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2022
Beaird, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Beaird, Todd	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bedell, Bryan	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/12/2025
Bedell, Donald	Individual	Corporate Director	NOT APPLICABLE	05/18/2001
Bedell, Donald	Individual	Corporate Officer	NOT APPLICABLE	05/18/2001
Bedell, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	05/18/2001
DCB Real Estate Partnership LP	Organization	ADP of the SNF	NOT APPLICABLE	04/11/2025
FG LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2016
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	08/16/2021
Hamilton Development Properties LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2010
Mid States INC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2010
O'Neal, Tyler	Individual	Operational/Managerial Control	NOT APPLICABLE	09/12/2025
O'Neal, Tyler	Individual	ADP of the SNF	NOT APPLICABLE	09/12/2025
Sovereign Healthcare Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/23/2021
Sovereign Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/06/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Where do you post your daily staffing numbers, and can I see today's?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Daviess County Nursing and Rehabilitation	12.3 mi	Gallatin, MO	★★★☆☆	3/5
Cameron Nursing Center	13.3 mi	Cameron, MO	★☆☆☆☆	2/5
Quail Run Health Care Center	13.9 mi	Cameron, MO	★★☆☆☆	2/5
Golden Age Nursing Home	14.5 mi	Braymer, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Hamilton →

Facility data as of CMS processing date 2026-08-01. CCN 265665.

The Care File

Visit checklist — Hill Crest Manor

801 South Colby, Hamilton, MO 64644 · 8165832119

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $13,033

Questions for the administrator:

☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265665 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)