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Establishment profile

HILLCREST CARE CENTER, LLC

1108 CLARKE STREET, DE SOTO, MO, 63020
Operated by JAMES & JUDY LINCOLN · 1 of 54 establishments
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
3
over 13 years
Violations
6
$10,747 in penalties
Penalties
$10,747
$1,791 avg
Violations across 2 federal agencies
Enforcement actions from multiple agencies may indicate systemic compliance issues across functions.
Accident investigations on record
2 National Emphasis Program inspections · 1 OSHA follow-up

Summary

HILLCREST CARE CENTER, LLC has accumulated 6 OSHA violations across 3 inspections over 13 years of recorded history, with $10,747 in total assessed penalties.

The establishment sits in the 81st percentile for violations within its industry-state peer group of 244 employers. Inspection frequency runs at the 89th percentile. The most recent enforcement activity was recorded 4 years ago.

Federal records were found in 2 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

HILLCREST CARE CENTER, LLC appears in OSHA workplace safety, WHD wage enforcement, and CMS nursing home enforcement records only. No matching records were found in MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
3
0.2 / yr · last 13 yrs
Violations
6
0.5 / yr
Penalties
$10,747
$1,791 avg / violation
100% serious0% other
Inspection trigger · referral
1 of 3
Inspection trigger · planned
1 of 3

67% of inspections at this establishment produced violations, with 2 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 6 distinct standards shown · 6 citations in this view · $10,747 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.0134 E0111$6,827Apr 2021Apr 2021
29 CFR 1910.0133 A0111$1,960Nov 2014Nov 2014
29 CFR 1910.1030 F01 II D11$1,960Nov 2014Nov 2014
29 CFR 1910.0134 F0211Apr 2021Apr 2021
29 CFR 1910.0151 C11Nov 2014Nov 2014
29 CFR 1910.1030 G02 VII J11Nov 2014Nov 2014

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

81st

Worse on violations than most other employers in NAICS 6231 within MO. Peer group: 244 employers. This establishment has 6 OSHA violations; peer median is 2.

Fewer violationsMore violations
Penalty percentile
95th
peer median: $563
Inspection frequency
89th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
2.4
vs industry
−2.1
TRIR
2.4
vs industry
−3.9

Reported for 102 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
2.4
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
1
Referral
1
Follow-up
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for HILLCREST CARE CENTER, LLC. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
4 years ago

No federal enforcement activity has been recorded against this establishment in 4+ years. Most recent activity: 4 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

Cases
1
Back wages owed
$0
Employees affected
1

Department of Labor Wage & Hour Division — minimum-wage, overtime, child-labor, FMLA, and prevailing-wage enforcement.

Wage and hour cases

Closed DOL Wage & Hour Division cases (FLSA, FMLA, H-2B, MSPA, and related statutes). Backwages reflect amounts the agency assessed; civil penalty (CMP) is a separate fine levied on top, where the statute provides for one (FLSA / H-1B / H-2A / MSPA / FMLA / EPPA / FLSA Child Labor; other acts have no CMP column in DOL’s data). The Statutes column lists which laws each case cited. 1 case · $0 in backwages · 1 worker affected

Case periodIndustryStatutesViolationsWorkersBackwagesCivil penalty
Aug 2012 – Aug 2013Nursing Care Facilities1

Source: DOL WHD enforcement database. Cases shown reflect those the agency has closed and made public. A violation count is the agency’s tally of cited violations (one violation can affect many workers); the workers column counts distinct employees the agency found to be affected.

Mine safety (MSHA)

No MSHA mine safety violations on file for HILLCREST CARE CENTER, LLC. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for HILLCREST CARE CENTER, LLC. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for HILLCREST CARE CENTER, LLC. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for HILLCREST CARE CENTER, LLC. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 265620 · Chain: JAMES & JUDY LINCOLN

Overall rating
4 of 5 stars
Certified beds
120
Deficiencies (3y)
14
CMS fines
$10,845

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 22 citations across 5 surveys · 1 immediate jeopardy · 2 complaint-triggered · 22 marked corrected.

Survey dateF-TagSeverityDescriptionTypeCorrected
Jan 20260814F
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
StandardMar 2026
Jan 20260550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
StandardMar 2026
Jan 20260582D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
StandardMar 2026
Jan 20260584D
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.
Resident Rights Deficiencies
StandardMar 2026
Jan 20260628D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
StandardMar 2026
Jan 20260880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardMar 2026
Mar 20250602E
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintFeb 2025
Oct 20240584D
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.
Resident Rights Deficiencies
StandardDec 2024
Oct 20240623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
StandardDec 2024
Oct 20240625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
StandardDec 2024
Oct 20240686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
StandardDec 2024
Oct 20240698D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
StandardDec 2024
Oct 20240947D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies
StandardDec 2024
Aug 20240689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
ComplaintAug 2024
Aug 20230677E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
StandardSep 2023
Aug 20230925E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
StandardSep 2023
Aug 20230584D
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.
Resident Rights Deficiencies
StandardSep 2023
Aug 20230623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
StandardSep 2023
Aug 20230625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
StandardSep 2023
Aug 20230656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
StandardSep 2023
Aug 20230761D
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.
Pharmacy Service Deficiencies
StandardSep 2023
Aug 20230883D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
StandardSep 2023

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Inspection history

DateTriggerViolationsSeriousPenalty
2022-01-14Follow-up0$0
2020-10-27Referral22$6,827
2014-11-18Planned44$3,920

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

HILLCREST CARE CENTER, LLC is one of 54 establishments rolled up under the parent organization JAMES & JUDY LINCOLN.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of JAMES & JUDY LINCOLN across all 54 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within MO, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by JAMES & JUDY LINCOLN, ordered by federal enforcement volume:

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About this data

This profile aggregates federal enforcement records on HILLCREST CARE CENTER, LLC from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup JAMES & JUDY LINCOLN, which operates 54 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is HILLCREST CARE CENTER, LLC's OSHA violation history?
HILLCREST CARE CENTER, LLC has 3 OSHA inspections on record with 6 violations and $10,746.5 in total penalties.
How does HILLCREST CARE CENTER, LLC's safety record compare to its industry?
HILLCREST CARE CENTER, LLC operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3. HILLCREST CARE CENTER, LLC's self-reported DART rate is 2.43 compared to an industry average of 4.5.