Hillcrest Care Center

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

    Compassionate attentive home-like care experience

    I was very pleased with the compassionate, attentive staff - nurses and aides knew residents by name and often went out of their way to help. The clean, sunny building felt home-like with spacious rooms, excellent therapy and activities, a lovely garden, and 24/7 family access (including a hospice room). Administration and social services kept us informed and supportive; I'd gladly recommend this facility for quality, family-centered care.

    Loved one of resident
    Jul 2026

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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

    3.45·(44)

    Overall rating

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

      2.8
    • Staff

      3.4
    • Meals

      3.6
    • Amenities

      4.0
    • Value

      1.5

    Pros

    • Compassionate nursing and caregiving staff
    • Supportive and effective therapy department
    • Engaged activities program with an activities director
    • Accessible garden and outdoor spaces
    • Exercise and therapy rooms on site
    • Spacious, well-lit rooms with windows
    • Clean, well-maintained areas reported by families
    • Welcoming and helpful administrative staff
    • Social services support for discharge planning
    • 24/7 family access and a dedicated hospice room
    • Friendly resident community and social opportunities
    • Staff familiarity with residents’ names and preferences
    • Convenient local location
    • Religious/bible study and family-inclusive programming

    Cons

    • Inconsistent staffing levels and scheduling
    • Gaps in supervision of nurses and aides
    • Delays in responding to resident alerts and needs
    • Inconsistent communication with families and poor follow-through
    • Sanitation and odor concerns in some areas
    • Incontinence-care delays and cleanup gaps
    • Variable food quality and meal palatability
    • Weaknesses in medication-review and administration processes
    • Inconsistent hospice coordination and end-of-life communication
    • Inconsistent adherence to professional conduct policies
    • Billing and administrative transparency issues
    • Safety oversight gaps for higher-dependency residents

    Summary of reviews

    Review content describes a polarized experience at the facility: many families praise the caregiving teams, therapy services, activities, and physical environment, while others report operational weaknesses that affect day-to-day care. Positive themes include frequent comments about compassionate nurses and aides, an effective therapy department that supports rehabilitation and discharge planning, and an active activities program with access to exercise rooms and an outdoor garden. Several accounts highlight spacious, well-lit rooms and a generally welcoming administrative presence. End-of-life accommodations such as a dedicated hospice room and 24/7 family access were noted as strengths by some families.

    Care quality is presented as uneven. Where staff are available and responsive, families describe attentive, personalized care and strong social engagement for residents. However, understaffing and inconsistent assignments appear to reduce the reliability of that care in other instances. Reported operational patterns include delays in responding to resident alerts, limited supervision of nursing staff and aides, and gaps in handoffs and record keeping. These factors are associated with concerns about supervision, safety oversight for residents with higher dependency, and inconsistent follow-through on family-raised issues.

    Dining and activities produce mixed impressions. The facility’s activity offerings, therapy support, and communal life are frequently described as positive contributors to residents’ quality of life. Food quality received variable feedback—some families and residents enjoyed meals, while others found palatability and consistency to be problematic (noting that changes in taste can be influenced by individual health conditions). Social services support and successful coordination of home-discharge planning were singled out as helpful in several cases.

    Facilities and cleanliness were also described unevenly. Some reviewers characterized the environment as very clean, modern, and well-maintained, citing good lighting, new construction elements, and pleasant common areas. At the same time, others raised sanitation and odor concerns in particular areas and noted occasional maintenance or housekeeping lapses. These mixed observations suggest variability across units or shifts.

    Management and administrative patterns merit attention. There are contrasting accounts of administrative responsiveness: some families found administration welcoming and solutions-oriented, while others described poor communication, unclear billing practices, and what they perceived as failures in follow-through and coordination. Concerns about medication management and inconsistent hospice coordination were also mentioned and may warrant specific inquiry during a tour or intake.

    Notable patterns for prospective families: the facility can provide strong, compassionate care and robust therapy and activities when staffing and supervision are functioning well. Conversely, recurring operational issues—particularly around staffing consistency, supervisory oversight, responsiveness to alerts, sanitation practices, medication review, and administrative transparency—appear to be the principal drivers of negative experiences. Prospective residents and families should consider in-person visits at different times of day, ask about current staffing ratios and staff assignment practices, review medication and hospice coordination protocols, sample the dining program, and inquire about housekeeping and incontinence-care procedures to assess fit and consistency before deciding.

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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

    Map showing location of Hillcrest Care Center

    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 4 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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