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Nursing home

Hill Crest Manor

Hamilton, Missouri · Caldwell County

  • 801 South Colby, Hamilton, MO 64644 · Directions
  • (816) 583‑2119
  • Medicare overall rating: 2 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 47 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Hill Crest Manor is a Medicare-certified nursing home in Hamilton, Missouri, with 90 certified beds. Medicare overall rating: 2 of 5 stars. Most recent standard health inspection: 2026-05-07, with 7 health deficiencies. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 2 of 5 starsMedicare overall rating
90Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Hill Crest Manor?
801 South Colby, Hamilton, MO 64644, in Caldwell County, Missouri.
What is the phone number of Hill Crest Manor?
(816) 583-2119, as listed by Medicare (CMS).
What is the Medicare star rating of Hill Crest Manor?
Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
Has Hill Crest Manor been fined?
Medicare lists no fines for Hill Crest Manor.
What did inspectors find at Hill Crest Manor?
In its last three inspection cycles (September 13, 2023 to May 7, 2026), Medicare lists 47 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 2 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 1 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 2 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 2 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (September 13, 2023 to May 7, 2026), Hill Crest Manor had 47 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.11 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: May 7, 2026 — 7 health citations

Inspections in this cycle: May 7, 2026 (standard health inspection).

Show 7 citations (levels A to F, no actual harm)
  • F0607 Level E May 7, 2026 · corrected July 8, 2026

    “Develop and implement policies and procedures to prevent abuse, neglect, and theft.”

  • F0656 Level E May 7, 2026 · corrected July 8, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0658 Level E May 7, 2026 · corrected July 8, 2026

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0695 Level E May 7, 2026 · corrected July 8, 2026

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0732 Level E May 7, 2026 · corrected July 8, 2026

    “Post nurse staffing information every day.”

  • F0812 Level E May 7, 2026 · corrected July 8, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0801 Level D May 7, 2026 · corrected July 8, 2026

    “Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”

Previous cycle: January 29, 2025 — 20 health citations

Inspections in this cycle: October 29, 2024 (complaint investigation); January 29, 2025 (complaint investigation); January 29, 2025 (standard health inspection); June 27, 2025 (complaint investigation).

Show 20 citations (levels A to F, no actual harm)
  • F0550 Level E January 29, 2025 · from a complaint · corrected March 12, 2025

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

  • F0561 Level E January 29, 2025 · corrected March 12, 2025

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0565 Level E January 29, 2025 · corrected March 12, 2025

    “Honor the resident's right to organize and participate in resident/family groups in the facility.”

  • F0570 Level E January 29, 2025 · corrected March 12, 2025

    “Assure the security of all personal funds of residents deposited with the facility.”

  • F0572 Level E January 29, 2025 · corrected March 12, 2025

    “Give residents a notice of rights, rules, services and charges.”

  • F0574 Level E January 29, 2025 · corrected March 12, 2025

    “The resident has the right to receive notices in a format and a language he or she understands.”

  • F0576 Level E January 29, 2025 · corrected March 12, 2025

    “Ensure residents have reasonable access to and privacy in their use of communication methods.”

  • F0585 Level E January 29, 2025 · corrected March 12, 2025

    “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.”

  • F0607 Level E January 29, 2025 · corrected March 12, 2025

    “Develop and implement policies and procedures to prevent abuse, neglect, and theft.”

  • F0657 Level E January 29, 2025 · corrected March 12, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0689 Level E January 29, 2025 · corrected March 12, 2025

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

  • F0728 Level E January 29, 2025 · corrected March 12, 2025

    “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.”

  • F0761 Level E January 29, 2025 · corrected March 12, 2025

    “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.”

  • F0812 Level E January 29, 2025 · corrected March 12, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0908 Level E January 29, 2025 · corrected March 12, 2025

    “Keep all essential equipment working safely.”

  • F0677 Level E October 29, 2024 · from a complaint · corrected November 21, 2024

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

  • F0689 Level D June 27, 2025 · from a complaint · past non-compliance (already fixed before the inspection) (June 10, 2025)

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

  • F0640 Level D January 29, 2025 · corrected March 12, 2025

    “Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”

  • F0684 Level D January 29, 2025 · corrected March 12, 2025

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0685 Level D January 29, 2025 · corrected March 12, 2025

    “Assist a resident in gaining access to vision and hearing services.”

Earlier cycle: September 13, 2023 — 20 health citations

Inspections in this cycle: September 13, 2023 (standard health inspection); April 12, 2024 (complaint investigation); May 23, 2024 (complaint investigation).

Show 20 citations (levels A to F, no actual harm)
  • F0725 Level F September 13, 2023 · corrected October 28, 2023

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0727 Level F September 13, 2023 · corrected October 28, 2023

    “Have 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.”

  • F0812 Level F September 13, 2023 · corrected October 28, 2023

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0842 Level F September 13, 2023 · corrected October 28, 2023

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

  • F0881 Level F September 13, 2023 · corrected October 28, 2023

    “Implement a program that monitors antibiotic use.”

  • F0584 Level E September 13, 2023 · corrected October 28, 2023

    “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.”

  • F0656 Level E September 13, 2023 · corrected October 28, 2023

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0677 Level E September 13, 2023 · corrected October 28, 2023

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

  • F0688 Level E September 13, 2023 · corrected October 28, 2023

    “Provide 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.”

  • F0689 Level E September 13, 2023 · corrected October 28, 2023

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

  • F0801 Level E September 13, 2023 · corrected October 28, 2023

    “Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”

  • F0805 Level E September 13, 2023 · corrected October 28, 2023

    “Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”

  • F0868 Level E September 13, 2023 · corrected October 28, 2023

    “Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”

  • F0924 Level E September 13, 2023 · corrected October 28, 2023

    “Put firmly secured handrails on each side of hallways.”

  • F0689 Level D May 23, 2024 · from a complaint · corrected June 14, 2024

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

  • F0679 Level D September 13, 2023 · corrected October 28, 2023

    “Provide activities to meet all resident's needs.”

  • F0728 Level D September 13, 2023 · corrected October 28, 2023

    “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.”

  • F0740 Level D September 13, 2023 · corrected October 28, 2023

    “Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”

  • F0947 Level D September 13, 2023 · corrected October 28, 2023

    “Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”

  • F0550 Level B April 12, 2024 · from a complaint · corrected April 26, 2024

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

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (47)
  • E0039 Level F May 7, 2026 · corrected July 8, 2026

    “Conduct testing and exercise requirements.”

  • K0222 Level F May 7, 2026 · corrected July 8, 2026

    “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.”

  • K0374 Level E May 7, 2026 · corrected July 8, 2026

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0161 Level D May 7, 2026 · corrected July 8, 2026

    “Use approved construction type or materials.”

  • K0211 Level D May 7, 2026 · no revisit needed (November 7, 2026)

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0223 Level D May 7, 2026 · corrected July 8, 2026

    “Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”

  • K0293 Level D May 7, 2026 · corrected July 8, 2026

    “Have properly located and lighted "Exit" signs.”

  • K0311 Level D May 7, 2026 · corrected July 8, 2026

    “Have an enclosure around a vertical opening shaft.”

  • K0353 Level D May 7, 2026 · corrected July 8, 2026

    “Inspect, test, and maintain automatic sprinkler systems.”

  • E0036 Level F January 29, 2025 · corrected March 12, 2025

    “Establish emergency prep training and testing.”

  • K0131 Level F January 29, 2025 · no plan of correction on file

    “Meet requirements for sections of health care facilities separated by fire resistive construction.”

  • K0222 Level F January 29, 2025 · no plan of correction on file

    “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.”

  • K0345 Level F January 29, 2025 · corrected March 12, 2025

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0353 Level F January 29, 2025 · corrected March 12, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0355 Level F January 29, 2025 · corrected March 12, 2025

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0111 Level E January 29, 2025 · no plan of correction on file

    “Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.”

  • K0161 Level E January 29, 2025 · corrected March 12, 2025

    “Use approved construction type or materials.”

  • K0211 Level E January 29, 2025 · corrected March 12, 2025

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0251 Level E January 29, 2025 · corrected March 12, 2025

    “Conform to length requirements for dead end corridors.”

  • K0271 Level E January 29, 2025 · no plan of correction on file

    “Have exits that are accessible at all times.”

  • K0293 Level E January 29, 2025 · corrected March 12, 2025

    “Have properly located and lighted "Exit" signs.”

  • K0311 Level E January 29, 2025 · corrected March 12, 2025

    “Have an enclosure around a vertical opening shaft.”

  • K0321 Level E January 29, 2025 · no plan of correction on file

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

  • K0351 Level E January 29, 2025 · corrected March 12, 2025

    “Install an approved automatic sprinkler system.”

  • K0362 Level E January 29, 2025 · corrected March 12, 2025

    “Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”

  • K0363 Level E January 29, 2025 · corrected March 12, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0374 Level E January 29, 2025 · no plan of correction on file

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0741 Level E January 29, 2025 · corrected March 12, 2025

    “Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”

  • K0912 Level E January 29, 2025 · corrected March 12, 2025

    “Have power receptacles that are properly grounded.”

  • K0920 Level E January 29, 2025 · corrected March 12, 2025

    “Ensure proper usage of power strips and extension cords.”

  • K0200 Level D January 29, 2025 · corrected March 12, 2025

    “Meet other general requirements.”

  • K0291 Level D January 29, 2025 · corrected March 12, 2025

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0923 Level D January 29, 2025 · corrected March 12, 2025

    “Have proper medical gas storage and administration areas.”

  • K0353 Level L September 13, 2023 · waiver granted (October 18, 2023)

    “Inspect, test, and maintain automatic sprinkler systems.”

  • E0015 Level F September 13, 2023 · corrected October 28, 2023

    “Address subsistence needs for staff and patients.”

  • K0161 Level F September 13, 2023 · corrected October 28, 2023

    “Use approved construction type or materials.”

  • K0211 Level F September 13, 2023 · corrected October 28, 2023

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0281 Level F September 13, 2023 · corrected October 28, 2023

    “Install proper backup exit lighting.”

  • K0324 Level F September 13, 2023 · corrected October 28, 2023

    “Provide properly protected cooking facilities.”

  • K0345 Level F September 13, 2023 · corrected October 28, 2023

    “Have approved installation, maintenance and testing program for fire alarm systems.”

7 more fire safety citations are not listed here.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeMissouriNational
Registered nurse (RN) hours per resident per day0.310.460.69
Licensed practical nurse (LPN) hours per resident per day0.200.680.86
Nurse aide hours per resident per day2.602.262.35
Total nurse staff hours per resident per day3.113.403.90
Total nurse staff hours per resident per day on the weekend2.752.963.43
RN hours per resident per day on the weekend0.220.320.48
Nursing staff turnover (per year)57.4%56.9%45.3%
RN turnover (per year)66.7%50.0%42.5%
Administrators who left in the last year2.00.70.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 36 nursing homes: Circle B Enterprises.

Legal business name: Hamilton No 1 Inc.

Owners and managers Medicare lists (3)
NameRoleShareSince
Circle B Enterprises Holding Company IncDirect owner100%May 18, 2001
AGH1 LLCManagement company (operational or managerial control)NOT APPLICABLEDecember 2, 2016
Sovereign Healthcare Group LLCManagement company (operational or managerial control)NOT APPLICABLEApril 23, 2021

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds90
Average residents per day56.1
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Group or chain (affiliated entity)Circle B Enterprises
Legal business nameHamilton No 1 Inc
First approved by Medicare/Medicaid1997-01-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address801 South Colby, Hamilton, MO 64644
CountyCaldwell County
StateMissouri
Phone(816) 583‑2119
CMS Certification Number265665
Name in Medicare recordsHILL CREST MANOR
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13