Hillcrest Care Center INC

Name: Hillcrest Care Center INC
Address: 1108 CLARKE STREET, De Soto, MO, 63020, US
Telephone: 6365863022

1108 Clarke Street, De Soto, MO 63020 · Jefferson County · 120 certified beds · avg 81 residents/day · certified since Jul 10, 1995

Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

$10,845

Fines, last 3 years

3.88

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Aug 8, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Aug 1, 2024 (Past Non-Compliance)

All citations in the current public record (22)

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
Jan 22, 2026	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Jan 22, 2026	D · Potential for harm, one-off	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.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 22, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 28, 2025	E · Potential for harm, repeated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Oct 24, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Oct 24, 2024	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.
Aug 8, 2024	▲ J · Immediate jeopardy, 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
Aug 25, 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.
Aug 25, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Aug 25, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 25, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Aug 25, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Aug 25, 2023	D · Potential for harm, one-off	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.
Aug 25, 2023	D · Potential for harm, one-off	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.
Aug 25, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	7	1	J ▲
2025	1	0	E
2026	6	0	F

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 $10,845.

Date	Type	Amount / length
Aug 8, 2024	Fine	$10,845

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)	3.88	3.66	3.95	top 38% in Missouri; top 44% in the U.S.
Registered Nurse hours	0.45	0.49	0.69	top 43% in Missouri; bottom 30% in the U.S.
Weekend total nurse staffing	3.23	3.22	3.50	top 46% in Missouri; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.33	0.48	top 15% in Missouri; top 41% in the U.S.
Total nursing staff turnover (%)	45.8	56.0	45.8	top 25% in Missouri; bottom 48% in the U.S.
RN turnover (%)	14.3	47.8	42.9	top 7% in Missouri; top 7% 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 3.30, RN 0.39, weekend 2.74. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	04/01/2002
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	04/02/2002
Crane, Gary	Individual	Corporate Director	NOT APPLICABLE	04/01/2002
Drake, Timothy	Individual	Corporate Officer	NOT APPLICABLE	04/01/2002
Stutts, Charlotte	Individual	Corporate Officer	NOT APPLICABLE	04/01/2002
Tindall, Cindy	Individual	W-2 Managing Employee	NOT APPLICABLE	11/01/2013

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can I see where garbage is stored and how often it's removed?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"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
Stonebridge Desoto	4.2 mi	De Soto, MO	★★★★☆	4/5
Baisch Nursing Center	6.5 mi	De Soto, MO	★★☆☆☆	3/5
Superior Manor of Festus, LLC	8.8 mi	Festus, MO	★☆☆☆☆	2/5
Crystal Oaks	9.6 mi	Festus, MO	★★★★☆	4/5
Fountainbleau Nursing Center	9.7 mi	Festus, MO	★★★★☆	4/5
Scenic Wellness and Rehabilitation Center	11.5 mi	Herculaneum, MO	★★★★☆	5/5
Arbor View Nursing and Rehabilitation	15.0 mi	Cedar Hill, MO	★☆☆☆☆	2/5
St Joe Manor	16.3 mi	Bonne Terre, MO	★☆☆☆☆	3/5
Gardens Health and Rehab, the	19.3 mi	Potosi, MO	★☆☆☆☆	3/5
Potosi Manor	19.9 mi	Potosi, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in De Soto →

Facility data as of CMS processing date 2026-08-01. CCN 265620.

The Care File

Visit checklist — Hillcrest Care Center INC

1108 Clarke Street, De Soto, MO 63020 · 6365863022

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $10,845

Most serious findings on record:

▲ Aug 8, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "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 265620 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)