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Nursing HomeMedicaid

Hillcrest Care Center INC

Strong Medicare quality ratings; families often praise compassionate hospice support. Still worth an in-person visit.

1108 Clarke Street, De Soto, MO 63020120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 33 Google reviews

5
4
3
2
1
Hillcrest Care Center INC Nursing Home in De Soto, MO — Street View
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What this means for your family

While some families report excellent, compassionate hospice care, there are serious, recurring reports of neglect, poor hygiene, and communication failures. When touring, we strongly recommend you visit unannounced, observe the cleanliness of the hallways, and ask management specifically how they address staffing shortages and resident fall prevention.

Google Reviews

Google Reviews

33 reviews on Google
Hillcrest Care Center Inc. presents a polarized experience for families, with some praising individual staff members for their compassion during hospice care, while others report severe concerns regarding neglect and hygiene. Multiple reviewers have cited issues with persistent odors and inadequate staffing levels, leading to significant distress for residents and their families. Prospective families should be aware of these inconsistencies in care quality and the reported difficulties in communication with nursing staff.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean2.0Activities8.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate hospice support
  • Modern, well-lit facility architecture
  • Some individual staff members provide legendary service

Concerns

  • Persistent odor of urine/waste throughout the facility (mentioned by 4 reviewers)
  • Understaffing leading to neglect and slow response times (mentioned by 3 reviewers)
  • Poor communication and unprofessional behavior from nursing staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'20(3)'22(2)'24(4)'26(5)

Distribution · 37 analyzed

5
19
4
3
3
4
2
1
1
10

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's size of 120 residents, what specific protocols are in place to ensure consistent hygiene and odor management throughout the common areas and hallways?
  • 2With the current staffing levels, how does the team prioritize and manage response times when a resident needs urgent assistance?
  • 3Could you walk me through the communication process for families, specifically how you ensure updates regarding medication changes or health status are shared promptly and clearly?
  • 4I noticed the facility has a modern, well-lit design; how do you utilize these spaces to keep residents engaged in daily activities and social interaction?
  • 5Regarding the nursing staff, what training or oversight programs are in place to ensure that all interactions with residents and family members remain professional and supportive?
  • 6How does the facility handle medical emergencies or sudden changes in health status after standard business hours to ensure immediate care is provided?

Personalized based on this facility's data


Key Review Excerpts

They have a special room and we were allowed to stay with her 24/7 until she passed. They have some wonderful, caring nurses and aids that really cared, they were so gentle with her & made sure she was comfortable!

Memory care family member · 2025★★★★★

I have personally been here and found my mother lying in a puddle of urine more than once, DO NOT PUT YOUR LOVED ONE HERE !!!

Long-term resident's family · 2023☆☆☆☆

The staff will allow fall risk residents fall and take no responsibility for the neglect. My mother died last October because of their neglect.

Long-term resident's family · 2025☆☆☆☆
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
46%
Registered nurses for medical care
Total Nursing
3.22hrs
78%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility73.8%
Worse than Avg
Here
73.8%
US
93.4%
MO
84.4%
Jefferson
84.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%
Jefferson
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
19.4%
MO
17.9%
Jefferson
16.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.9%
Mixed vs Avgs
Here
22.9%
US
15.5%
MO
23.6%
Jefferson
20.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
15.3%
MO
18.9%
Jefferson
13.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
14.4%
MO
19.1%
Jefferson
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility66.9%
Mixed vs Avgs
Here
66.9%
US
81.8%
MO
65.9%
Jefferson
73.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.3%
Mixed vs Avgs
Here
72.3%
US
79.8%
MO
63.5%
Jefferson
73.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
MO
2.2%
Jefferson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (12.0)
2 complaint-triggered
$10,845 in fines

Hillcrest Care Center shows a pattern of recurring administrative and safety issues across multiple surveys, with families filing complaint reports about accident hazards and financial protection concerns. The facility has persistent problems with fire safety systems, resident rights notifications, and medication management that appear repeatedly from 2021 through 2024, suggesting ongoing compliance challenges despite corrections being made after each inspection.

Jan 22, 2026Routine
10
0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0584Potential for harm · IsolatedCorrected

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Mar 28, 2025Complaint
1
0602Potential for harm · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Oct 24, 2024Routine
10
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0584Potential for harm · IsolatedCorrected

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.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0947Potential for harm · IsolatedCorrected

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.

Aug 8, 2024Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 25, 2023Routine
11
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0584Potential for harm · IsolatedCorrected

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.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Federal Penalties

Fine

Aug 8, 2024

$10,845

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hillcrest Care Center INC

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 · Rank 10 of 56

Ownership & Management

Owners

Lincoln, James

Owner

50%

Lincoln, Judy

Owner

50%

Key personnel

Tindall, CindyW-2 Managing EmployeeCrane, GaryOfficer / DirectorDrake, TimothyOfficer / DirectorStutts, CharlotteOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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