Hillcrest Care Center Inc
1108 CLARKE STREET, De Soto, MO 63020
De Soto, Missouri · CMS verdict
CMS places Hillcrest Care Center Inc in the above-average range on the federal scale, and above the Missouri average of 2.5.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Hillcrest Care Center Inc in De Soto, Missouri holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 64 of 100 (grade D). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (mid-pack stars)
This facility's CMS overall rating is mid-pack among U.S. rated homes. A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 64 is built
Each segment is a dimension's weighted points toward the score, summing to 64.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Hillcrest Care Center Inc's mid-pack CMS stars
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Hillcrest Care Center Inc on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Missouri average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in De Soto, Missouri. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 75% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Missouri, Hillcrest Care Center Inc is one of 169 for profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the for profit - corporation-segment average of 2.5 stars, ahead of roughly 72% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Hillcrest Care Center Inc compares to Missouri
CMS five-star sub-ratings (0–5) for this facility against the Missouri facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Missouri state average. Higher is better on all four CMS measures.
Where Hillcrest Care Center Inc ranks in Missouri
Among the 479 CMS-rated nursing homes in Missouri, Hillcrest Care Center Inc’s 4-star overall rating is higher than 72% of them. The bars show how all Missouri homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
81 Missouri homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 90 |
| Ownership | For profit - Corporation |
| County | Jefferson |
| Penalties | 1 |
| Deficiencies | 23 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Hillcrest Care Center Inc? ▾
CMS rates Hillcrest Care Center Inc at 4 out of 5 stars overall. How its three sub-ratings compare with the Missouri average is charted above.
How much does a nursing home cost per month in Missouri? ▾
The median cost for a semi-private nursing home room in Missouri is $6,741 per month ($80,893 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Hillcrest Care Center Inc offer? ▾
CMS classifies Hillcrest Care Center Inc as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Hillcrest Care Center Inc have any deficiencies or penalties? ▾
Hillcrest Care Center Inc has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Missouri? ▾
In Missouri, alternatives include assisted living ($5,400/mo), home health aides ($6,292/mo), and adult day care ($2,058/mo).
Keep reading
Also see the Missouri elder-care overview and highest-rated states. Provider ID: 265620.
Read our methodology - how this data is sourced, computed, and verified.