Home›Missouri›Caldwell County›HILL CREST MANOR
D
Poor

HILL CREST MANOR

801 SOUTH COLBY · HAMILTON, MO 64644

8165832119 · For profit - Individual

90 beds53.6 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HILL CREST MANOR receives an overall staffing grade of D (Poor). With 3.088 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3143 HPRD, below the recommended 0.75. It is 0.81 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.18% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.088 HPRD — needs 0.39 more hours per resident per day.
⚠️RN staffing (0.3143 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.088hrs/resident/day▼ 0.81
CMS benchmark: 3.48
RN HPRD
0.3143hrs/resident/day▼ 0.37
Recommended: 0.75
Weekend Drop-off
15.18%
3.2264 weekday → 2.7367 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1026hrs/resident/day
Direct care aides
LPN HPRD
0.4731hrs/resident/day
Licensed practical nurses
Consistency
0.4819std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Caldwell County Average-0.15 HPRD
3.24
03.09 HPRD
vs. Missouri State Average-0.39 HPRD
3.48
03.09 HPRD
vs. National Average-0.81 HPRD
3.90
03.09 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HILL CREST MANOR ★
HAMILTON · This facility
—
D
3.0880.3143★☆☆☆☆
QUAIL RUN HEALTH CARE CENTER
CAMERON
13.8 mi
D
3.35290.3527★☆☆☆☆
GRAND RIVER HEALTH CARE
CHILLICOTHE
24.7 mi
D
2.96730.7764★★☆☆☆
VALLEY MANOR AND REHABILITATION CENTER
EXCELSIOR SPRINGS
28.7 mi
D
3.16270.295★★☆☆☆
LIFE CARE CENTER OF CARROLLTON
CARROLLTON
36.6 mi
F
3.54130.2433★★★★☆
RIVERBEND HEIGHTS HEALTH & REHABILITATION
LEXINGTON
40.3 mi
B
3.7740.5936★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
49
Total Deficiencies
$13,033
Fines Assessed
Jun 27, 2025Health
1 deficiency cited
▼
Jan 29, 2025Health
18 deficiencies cited
▼
Oct 29, 2024Health
1 deficiency cited
▼
May 23, 2024Health
1 deficiency cited
▼
Apr 12, 2024Health
1 deficiency cited
▼
Sep 13, 2023Health
18 deficiencies cited
▼
Mar 28, 2023Health
4 deficiencies cited· Includes actual harm
▼
Sep 2, 2021Health
5 deficiencies cited
▼

Penalty History

Sep 13, 2023Fine
$13,033
Sep 13, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.