Hill Crest Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 16 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (19 vs median 10)
- High staff turnover (64%)
- High RN turnover (56%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in CIRCLE B ENTERPRISES chain · $13,033 in fines
What this means for your family
Given the multiple, severe reports of medical neglect and unsanitary conditions, we strongly advise families to exercise extreme caution and consider alternative facilities. If you are currently evaluating this location, perform unannounced visits at various times of the day to personally verify the quality of care and cleanliness.
Google Reviews
Google Reviews
16 reviews on Google“Hill Crest Manor faces severe and recurring allegations of neglect, including reports of residents being left in unsanitary conditions and failing to receive necessary medical attention. While a minority of visitors have noted a pleasant environment and kind staff, the overwhelming majority of detailed reviews describe a facility with dangerous lapses in care and unprofessional management.”
Quality Themes
Tap a score for detailsStrengths
- Cheerful, decorated environment
- Presence of live birds in dining area
- Occasional reports of kind staff interactions
Concerns
- Severe medical neglect and lack of hygiene (mentioned by 4 reviewers)
- Unprofessional staff behavior and poor communication (mentioned by 2 reviewers)
- Facility cleanliness and maintenance issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 17 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We noticed the dining area has such a lovely, decorated atmosphere with the birds; what kind of daily activities or social events are planned to keep residents engaged in that space?
- 2Could you walk us through your specific protocols for medication administration and how you ensure accuracy for every resident?
- 3How does the nursing team communicate important health updates or changes in condition to family members to ensure we are always in the loop?
- 4What are your current procedures for maintaining daily hygiene standards and ensuring the facility remains clean and well-maintained for the residents?
- 5In the event of a medical emergency during the night, what is the immediate process for notifying both the medical staff and the family?
- 6We've heard some wonderful things about the cheerful environment here; how do you support the staff in maintaining that positive and kind interaction with residents?
Personalized based on this facility's data
Key Review Excerpts
“a family member has to sit in her own piss and blood the blood from a surgery from a broken hip, for several hours.another family member had to go there and clean her up.”
“My great-grandma was in this facility and is was not taken care of at all. Her medicines were being taken by the workers.”
“Every time we visit the staff is so kind and accommodating. We notice they go out of their way to do kind little things for the people in their care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
9
measures
3
measures
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Hill Crest Manor shows concerning patterns with families filing complaints about resident safety hazards, medication errors, and abuse protection failures. The facility has persistent issues across fire safety systems, resident rights, and care quality that span multiple surveys from 2021-2025. While most deficiencies show correction dates, recurring problems with safety oversight, nursing staff adequacy, and building safety systems suggest ongoing operational challenges that warrant careful consideration before placement.
Jun 27, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 29, 2025Routine41
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Construction Deficiencies
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Conform to length requirements for dead end corridors.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Egress Deficiencies
Meet other general requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Jan 29, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Oct 29, 2024Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 23, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 12, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal Penalties
Fine
Sep 13, 2023
$13,033
Payment Denial
Sep 13, 2023
10-day denial
Ownership & Operations
Who Operates This Facility
Hill Crest Manor
for profit
Chain Affiliation
Circle B Enterprises
36 facilities nationwide
Chain avg rating: 2.3/5 · Rank 21 of 29 (Worst)
Ownership & Management
Owners
Circle B Enterprises Holding Company INC
Owner · Organization
Bedell, Bryan
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
16 reviews from families & visitors
Official Website
Visit hillcrestmo.com
Medicare data downloads
Original nursing home datasets
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