Hillcrest Care Center

    1108 Clarke St, De Soto, MO 63020
    • Assisted Living
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.47·(47)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.4
    • Meals

      3.6
    • Amenities

      4.0
    • Value

      2.3

    Pros

    • Compassionate nursing staff
    • Supportive and effective therapy department
    • Helpful and welcoming administrative personnel
    • Engaging activities program
    • Accessible outdoor garden and therapy/exercise rooms
    • Spacious, well-lit modern rooms
    • Family-friendly visitation policies
    • Dedicated hospice support and private end-of-life room
    • Clean, well-maintained areas noted by families
    • Warm resident social environment and peer interaction
    • Faith-based programming availability
    • Convenient proximity to local communities

    Cons

    • Inconsistent staffing levels and coverage
    • Poor internal communication and care coordination
    • Slow response times to call alerts and resident needs
    • Inadequate supervision of nursing staff and aides
    • Inconsistent sanitation and odor control in some areas
    • Inconsistent dining quality and meal palatability
    • Medication-management practices
    • Limited follow-through on family concerns and care plans
    • Administrative and billing transparency issues
    • Staff burnout and uneven performance across shifts

    Summary of reviews

    Hillcrest Care Center elicits strongly mixed impressions. Positive accounts highlight compassionate direct-care staff, an accomplished therapy department, active social programming, and a facility that many families find bright and comfortable. Several families described strong relationships formed by residents, helpful social-services assistance (including transition support back to home care), and responsive hospice accommodations with a private room. The building features — including modern, spacious rooms, good natural lighting, an accessible garden, exercise and therapy spaces, and faith-based activities — are consistently cited as strengths.

    Care quality and staff behavior are the most polarized areas. Numerous accounts commend nurses and aides as caring and invested, with staff who learn residents’ names and go out of their way to assist. Conversely, multiple families reported operational patterns they found problematic: perceived understaffing, slow response to call alerts, unclear aide assignments, and what they described as inconsistent supervision of nursing staff. These issues manifested in accounts of delayed attention to residents, gaps in record keeping, and uneven caregiving across day and night shifts. The aggregated pattern suggests variable performance depending on staffing levels and specific shifts.

    Dining and clinical practices also show variability. Several families praised the food and family dining opportunities; others raised concerns about meal palatability or fit for residents with sensory changes after stroke or dementia. There are also explicit concerns about medication decisions and management, including at least one account alleging inappropriate psychotropic medication; this points to a need for families to review medication protocols and monitoring practices during intake and care-plan meetings.

    Activities and environment are frequently noted strengths. The activities program, garden access, therapy rooms, and opportunities for social engagement received positive remarks, contributing to reported improvements in mood and socialization for some residents. The facility’s newer construction, natural light, and roomy accommodations were also positively described. At the same time, there are repeated cleanliness and odor-control inconsistencies reported in some areas, which some families found concerning; these appear tied to both operational sanitation practices and staffing patterns.

    Management and communication show mixed feedback. Several reviewers praised administrative staff for being welcoming and helpful; others described difficulties with follow-through, billing clarity, and communication about clinical issues, particularly in sensitive situations such as end-of-life care or after a resident transfer to another facility. Allegations that staff sometimes prioritized breaks or left certain tasks inadequately supervised indicate cultural and scheduling issues that may underlie the inconsistent experiences.

    Overall, Hillcrest presents a combination of clear strengths (compassionate staff, strong therapy and activities, modern rooms and amenities, and hospice capability) alongside recurring operational weaknesses (staffing consistency, supervision, sanitation control, response times, medication oversight, and administrative transparency). Prospective residents and families should consider touring during different shift times, asking for current staffing ratios, reviewing medication-management and sanitation protocols, clarifying billing practices, and speaking with the therapy and activities teams to assess fit for the resident’s needs.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Hillcrest Care Center is located at 1108 Clarke St, De Soto, MO, 63020.

    About Hillcrest Care Center

    Hillcrest Care Center helps seniors who need daily care, so people get help with bathing, dressing, and other daily tasks if they need it, and the staff keep a close eye on everyone with on-site medical supervision. There's 24-hour skilled nursing services so someone's always around, and they try to match care to each person with personalized care plans that fit things as they change. They've got private rooms and semi-private rooms, giving some choice in living space, and seniors can get physical, occupational, and speech therapy right at the center which can be useful after surgery or even for long-term issues when things don't work like they used to. There's specialized care for seniors, and they also handle respite stays if someone needs help for just a short time. The staff use handicapped accessible vans to bring residents to medical appointments and make sure everyone's safe going to where they need to, so transportation's not a worry. The whole place runs under physician supervision, and they go for quality long-term care and try to help folks keep as much physical, mental, and social health as possible. There's a website where people can schedule a tour or take a virtual look around, and they like to keep families updated with a news bulletin. Hillcrest Care Center stays steady on skilled nursing and helping with recovery, so seniors are supported if they're there for short-term help or for a longer stay.

    People often ask...

    Hillcrest Care Center offers assisted living and skilled nursing.

    There are 5 photos of Hillcrest Care Center on Mirador.

    The full address for this community is 1108 Clarke St, De Soto, MO 63020.

    No, Hillcrest Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hillcrest Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hillcrest Care Center directly. There is no cost for this service. We are compensated by the community you select.

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