Where They Care · plain answers about nursing homes

Hillside Health Care Center

1265 Mclaran Avenue, Saint Louis, MO 63147 · 208 beds · For profit - Corporation

The records flag: On Medicare's Special Focus list; Medicare's abuse flag is set; 6 citations at the most serious level.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
not rated
All nursing staff, hours / resident
2.40
RNs, LPNs and aides · state average 3.67
Weekend RN coverage
−16%
vs weekdays
Staff turnover
60%
state average 56%
On Medicare's Special Focus list
Medicare places facilities here when it finds a persistent pattern of problems. They get inspected twice as often.
Medicare's abuse flag is set
Medicare marks facilities cited for abuse on its own comparison site. This one is currently marked.
6 citations at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.
$106,588 in fines over three years
Medicare fines facilities when inspection findings are severe or go uncorrected.
1 finding not yet confirmed as corrected
A correction plan is on file for these, but Medicare has not yet recorded a completed correction date.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.08 hrs
Weekends
0.07 hrs
MO average
0.49 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage is about 16% lower at weekends.

Staff turnover: 60%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 122 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
6
Actual harm
A resident was harmed, without immediate danger to life
11
Potential for harm
No one harmed yet, but conditions could allow it
103
No harm
Rule and paperwork findings
2

57 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. 1 citations are not yet recorded as corrected.

Medicare has issued $106,588 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Destefane, Richard Indirect owner, Operational or managerial control 09/15/2025
Rcg INC Indirect owner 09/15/2025
Reliant Care Group LLC Direct owner 09/15/2025
Richard J. Destefane Revocable Living Trust Indirect owner 09/15/2025
Arshad, Abdullah Operational or managerial control, Additional disclosable party 09/15/2025
Martin, Odette Operational or managerial control, Additional disclosable party 09/15/2025
Reliant Care Management Company LLC Operational or managerial control, Additional disclosable party 09/15/2025
Mclaran Property, LLC Additional disclosable party 09/15/2025

Of the 8 parties disclosed here, 4 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Estates of St Louis, LLC, The
Saint Louis
2.4 1 0.13 −97%
Amberwood Estates Nursing and Rehabilitation
Saint Louis
3.1 1 0.14 −24%
Arbor Hills Care & Rehab Center
Ferguson
3.9 1 0.26 −11%
Christian Extended Care & Rehabilitation
Saint Louis
4.3 5 0.46 −32%
Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson
4.3 2 0.36 −33%
Normandy Nursing Center
Saint Louis
4.3 1 0.20 +36%
Heritage Care Center
Saint Louis
4.3 1 0.08 +16%
Atrium Place Health and Rehabilitation
Saint Louis
4.5 1 0.15 −18%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Turnover here is about 60%. How long has the director of nursing been in post?
  2. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  3. 1 finding is not confirmed as corrected yet. Where do those stand?
  4. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.