Hill Crest Manor: Staffing, Turnover, and Inspection Record
Hill Crest Manor is a 90-bed for-profit nursing home in Hamilton, Missouri, part of Circle B Enterprises. In the CMS August 2026 release it reported 2.47 nurse aide hours per resident per day, 8% above the Missouri average of 2.29, and 54.2% nursing staff turnover (Missouri average 56.0%).
Hill Crest Manor
801 South ColbyHamilton, MO 64644
Caldwell County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Hill Crest Manor, nurse aides logged 2.47 hours per resident per day, 8% above the Missouri average. With about 58 residents a day, that works out to roughly 144 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.47 | 2.29 | 2.32 |
| Licensed practical nurses | 0.29 | 0.68 | 0.86 |
| Registered nurses | 0.25 | 0.46 | 0.69 |
| All nursing staff | 3.01 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.77 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.2% of nursing staff at Hill Crest Manor left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 60.0%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $13,033 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 13, 2023 | Fine | $13,033 |
| Sep 13, 2023 | Payment Denial | 10 days from Oct 18, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Hill Crest Manor holds 1 of 5 overall; the Missouri average is 2.5.
About Hill Crest Manor
- Ownership: For profit - Corporation
- Chain: Circle B Enterprises, 36 homes
- Legal name: Hamilton No 1 Inc
- Medicare and Medicaid certified since: Jan 1, 1997
- Councils: resident council
- Area: urban
Nursing homes near Hill Crest Manor
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Daviess County Nursing and Rehabilitation Gallatin | 12.3 | 97 | 2.29 | 3.11 | 52.1% | 3 | None |
| Cameron Nursing Center Cameron | 13.3 | 120 | 1.68 | 2.68 | 39.6% | 1 | None |
| Quail Run Health Care Center Cameron | 13.9 | 84 | 1.95 | 3.17 | 63.5% | 2 | None |
| Golden Age Nursing Home Braymer | 14.5 | 83 | 2.43 | 3.42 | 55.6% | 4 | None |
| Sunset Home Maysville · many days without an RN | 21.6 | 60 | 2.10 | 3.14 | 46.2% | 2 | None |
| Lawson Manor & Rehab Lawson · abuse citation | 23.3 | 60 | 1.87 | 3.02 | 73.6% | 1 | $51,882 |
| Stonebridge Chillicothe Chillicothe | 23.8 | 75 | 2.43 | 3.52 | 40.0% | 5 | None |
| Morningside Center Chillicothe · abuse citation | 24.4 | 60 | 2.57 | 3.71 | 50.7% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.