Hill Crest Manor has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Hamilton facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Hill Crest Manor, with 3.08 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 49 deficiencies at Hill Crest Manor. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.08 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.29 | 2.4 | Average |
| Weekend Total Nursing | 2.73 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 26, 2025 · Quality of Life and Care Deficiencies
- Tag 0561 Severity EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Jan 28, 2025 · Resident Rights Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Jan 28, 2025 · Resident Rights Deficiencies
- Tag 0570 Severity EAssure the security of all personal funds of residents deposited with the facility.Jan 28, 2025 · Resident Rights Deficiencies
- Tag 0572 Severity EGive residents a notice of rights, rules, services and charges.Jan 28, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.0% | 4.5% | Better |
| Falls with major injury | 6.0% | 3.0% | Worse |
| On antipsychotic medication | 31.8% | 14.5% | Worse |
| Urinary tract infections | 4.1% | 2.5% | Worse |
| ADL decline (daily activities) | 14.3% | 14.0% | Average |
| Excessive weight loss | 5.9% | 7.5% | Better |
| New/worsened incontinence | 8.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,033
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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