Assisted Living, Nursing Homes · Medicare certified
Hill Crest Manor
801 South Colby · Hamilton, MO 64644 · Lic. #052313 (MO) · 24 certified beds
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About Hill Crest Manor
Hill Crest Manor is an assisted living community in Hamilton, Missouri. Its capacity is 24 beds, below the Missouri median of 40 for assisted living communities. The MO licensing record lists its status as "LICENSED". It is run by a for-profit operator and is part of Circle B Enterprises. It is Medicare certified. Its public inspection record shows 45 citations, the most recent on June 27, 2025. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.11 hours per resident per day. Complaints about assisted living communities in Missouri go to the Missouri Department of Health and Senior Services at 1-800-392-0210. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
1.0Quality measures
2.0CMS Care Compare (nursing home rating), October 2026.
Inspection history (45)
Records from September 2021 to June 2025.
May 23, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
April 12, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 26, 2024.
September 13, 2023
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0924Put firmly secured handrails on each side of hallways.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0679Provide activities to meet all resident's needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0728Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0881Implement a program that monitors antibiotic use.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
September 13, 2023
Tag F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 28, 2023.
Penalties (2)
Total fines: $13,033
September 13, 2023 · Fine
CMS recorded a civil money penalty of $13,033 against this nursing home on September 13, 2023.
September 13, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 18, 2023, lasting 10 days (triggered by inspection on September 13, 2023).
Staffing
3.11 nurse hours per resident per day in Q2 2026, down from 3.30 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Circle B Enterprises, a chain of 36 nursing homes.
Average CMS star ratings across the chain: 2.6 overall, 3.1 for health inspections, 1.9 for staffing, 1.9 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Deciding between options? Complete Guide to Assisted Living (2026)
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