Find a nursing home

Home / California / National City

Hillcrest Manor Sanitarium

1889 National City Blvd., National City, CA 91950 · San Diego County · (619) 477-1176

98 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1968

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 055975 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 12, 2026, inspectors cited 12 health deficiencies (the California average is 15.6, the national average 9.2).

None of its 33 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.23 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
7E
1F
Potential for minimal harm
0A
6B
0C
February 12, 2026Standard inspection · 12 citations
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to staff a Registered Nurse (RN) for at least eight hours a day for 19 days from July 1, 2025, through September 30, 2025. This failure may have prevented residents from receiving advanced care or having their complex medical needs managed effectively.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to (1) check the consistency of the pureed (blended to a smooth and creamy consistency) foods for a resident and (2) ensure the beef patties were cooked according to the manufacturer's guidelines for 48 of 48 residents who received the beef patties. These failures could lead to food that was not palatable and texture that was not safe for a resident to consume. In addition, residents who consume the beef patties could contract food-borne illness.
  3. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of five sampled residents(Resident 40) reviewed for psychotropic (a drug or substance that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behavior) medication had specific behavior monitoring in place for the use of antipsychotic (a class of drugs that treat symptoms of mental disorder by altering brain function). This failure had the potential to result in unnecessary use of psychotropic medication.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop a comprehensive resident-centered care plan were developed and interventions were implemented for three of 19 sampled residents (2, 1, 40) when:1. A care plan for an anticoagulant monitoring of side effect for Resident 2 was not developed.2. A care plan for dementia was not developed for Resident 1.3. A care plan for antipsychotic medications for Resident 40 was not developed. These failures had the potential for the residents not to receive care and services specific to the residents' needs.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess a resident's respiratory status for one of 19 sampled residents (Resident 40). These failures had the potential to delay care and cause Resident 40's condition to worsen.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure a smoking assessment was completed for one of nine residents (Resident 5). This failure had the potential for Resident 5 to be at risk for burns when smoking.
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and respond to unplanned significant (noticeable) weight loss for one of two sampled residents (Resident 33) who experienced unplanned weight loss. This failure could affect their health and well-being.
  8. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the physician completed the initial visit in a timely manner for one of 19 sampled residents (Resident 40). These failures had the potential to compromise the quality and safety of resident care.
  9. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure one out of one sampled resident (Residents 2) was free of unnecessary medications when Resident 2 received an anticoagulant (blood thinner) medication without staff monitoring for signs and symptoms of side effects. This deficiency had the potential to cause harm due to lack of monitoring for negative side effects of anticoagulant therapy, including excessive bleeding or bruising.
  10. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation and interview, the facility failed to ensure the medication storage room was free of expired Tuberculin PPD (purified protein derivative) testing solution (used in a skin test to help diagnose tuberculosis infection). This failure had the potential for testing solutions and/or medications to be ineffective and could have had inaccurate results.
  11. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure five of 25 resident rooms (Rooms SWD 1, SWD 2, SWD 3, SWD 4, and room [ROOM NUMBER]) accommodated no more than four residents. This failure had the potential to limit the freedom of movement for the residents that occupied those rooms, which may place them at risk for injury.
  12. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a minimum of 80 square feet (sq. ft.- unit of measurement) of livable space per resident for four of 25 resident rooms. This failure had the potential to affect the resident's health and safety and prevent the residents from maintaining their highest level of well-being by limiting the movements of those residents in their rooms.
September 15, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the building was secured to prevent the elopement (leaving the facility without permission) of one resident (Resident 1). As a result, Resident 1 eloped from the facility and was at risk for physical injury and psychosocial harm.
November 21, 2024Standard inspection · 5 citations
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to staff a Registered Nurse (RN) for at least 8 hours a day for twelve days from April 1 - June 30, 2024. This failure had the potential to prevent residents from receiving the care they needed.
  2. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the staff followed policy and procedure for one of 14 sampled residents (Resident 22) when: 1) the staff did not document the medication administration accurately and 2) the staff did not document the medication administration in a timely manner. As a result, there was a potential the residents did not receive the prescribed amount of medication.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on interview the facility failed to ensure that the facility's water system was tested for Legionella (an infectious bacteria that flourishes in air conditioning and water systems that causes a flu like symptoms). This failure had the potential for residents to become infected with Legionella via contaminated water sources.
  4. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure five of 25 resident rooms (Rooms SWD 1, SWD 2, SWD 3, SWD 4, and room [ROOM NUMBER]) accommodated no more than four residents. This failure had the potential to limit the freedom of movement for the residents that occupied those rooms, which may place them at risk for injury.
  5. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a minimum of 80 square feet (sq. ft.- unit of measurement) of livable space per resident for four of 25 resident rooms. This failure had the potential to affect the resident's health and safety, and prevent the residents from maintaining their highest level of well-being by limiting the movements of those residents in their rooms.
February 15, 2024Complaint inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement an emergency plan for food preparation when the kitchen ceiling had water damage. This failure had the potential for contamination of food for 57 residents.
October 12, 2023Standard inspection · 14 citations
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide a registered nurse (RN) on duty, 8 consecutive hours per day, seven days per week for 33 days out of 91 days from April 2023 thru June 2023. This failure had the potential for more advanced care activities provided by an RN to be unavailable to the residents.
  2. E
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the kitchen staff carried out the tasks of the food and nutrition services department in accordance with the standard of practice for the following kitchen competencies: 1. Kitchen staff did not know how to calibrate food thermometers. 2. Kitchen staff did not know the quaternary ammonium concentration of the kitchen sanitizer buckets. 3. A kitchen dishwasher did not know how to correctly test PPM (parts per million) concentration of the dishwashing solution with the chlorine test strip. These failures had the potential to expose 59 residents who consumed food from the kitchen, to acquire a foodborne illness.
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on interview and record review, the facility failed to clarify a POLST (Physicians Order for Life Sustaining Treatment), for one of three residents (Resident 5), reviewed for Resident Rights. As a result, in the event of a cardiac arrest, staff had the potential to be confused with the current documentation and might not honor the resident's wishes.
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain clean shower curtains for two of six resident bathrooms (Annex's male and female restrooms), reviewed for Resident Rights and Homelike Environment. As a result, there was the potential for residents to feel less valued and to have a low self-esteem.
  5. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on interview and record review, the facility failed to report an unplanned discharge to CMS (Centers for Medicare and Medicaid Services) for one of one resident (Resident 43), via the significant change of condition Minimum Data Set (MDS), reviewed for Resident Assessment. As a result, CMS was unaware Resident 43 had been admitted to the hospital on [DATE], and had not returned to the facility.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately assess and report a fall, with a 6-month look back period to CMS (Centers for Medicare and Medicaid Services) via a quarterly MDS (Minimum Data Set), for one of one resident (Resident 16), reviewed for Falls. As a result, CMS was not informed of Resident 16's current medical status.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a person-centered care plan related to the use of a shoe lift for one of three residents (Resident 19 ), reviewed for Limited Range of Motion (ROM). As a result, there was the potential for Resident 19 to be at risk for impaired mobility and for the staff to not consistently assess Resident 19 for risks associated with impaired mobility.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a residents' low air loss (LAL-a mattress that alternates pressure points) mattress was set appropriately, and resident repositioned and documented for 1 of 1 resident (Resident 26) reviewed for Services/Treatment to Prevent Pressure Ulcers. This failure had the potential for Resident 26 to develop pressure ulcers.
  9. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility did not ensure antipsychotic (major tranquilizer used when the resident may harm himself or others) PRN (as needed) medications were limited to the 14 day use, for one of five residents (54), reviewed for unnecessary use of a psychotropic medication. As a result, Resident 54 had the potential to be exposed to unnecessary side effects and harm of the medications.
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication error rate was less than five percent. The facility's medication error rate was 6.45%. Two medication errors were observed out of 31 opportunities, during the medication administration process for two of four randomly observed residents (Resident 19, 52). As a result, the facility could not ensure medications were correctly administered to all residents.
  11. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Secure one of two medications carts (North cart), reviewed for Medication Storage, and 2. To consistently monitor one of one medication room (north nurses station) for temperature control. As a result, there was the potential for residents and staff to have access to unauthorized medications, and there was a potential for medications were stored to ensure their integrity.
  12. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper food storage was met, when expired food was found in one of three refrigerators (Refrigerator 2), during initial Kitchen Tour. This failure has the potential to result in harmful bacteria growth and cross contamination, which could lead to foodborne illnesses to residents within the facility.
  13. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure five of 25 resident rooms (Rooms SWD 1, SWD 2, SWD 3, SWD 4, and room [ROOM NUMBER]) accommodated no more than four residents. This failure had the potential to limit the freedom of movement for the residents that occupied those rooms, which may place them at risk for injury.
  14. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a minimum of 80 square feet (sq. ft.- unit of measurement) of livable space per resident for four of 25 resident rooms. This failure had the potential to affect the resident's health and safety, and prevent the residents from maintaining their highest level of well-being by limiting the movements of those residents in their rooms.

Fire safety inspections

26 fire safety citations on file: 7 on February 12, 2026, 7 on November 21, 2024, 12 on October 12, 2023.

Every fire safety citation26 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · February 12, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 12, 2026 · Corrected (the home has a date of correction)
  3. D
    Provide properly protected cooking facilities.
    K 324 · February 12, 2026 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 12, 2026 · Corrected (the home has a date of correction)
  5. C
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · February 12, 2026 · Corrected (the home has a date of correction)
  6. C
    Meet fire sprinkler requirement for tall buildings.
    K 400 · February 12, 2026 · Not yet corrected
  7. B
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · February 12, 2026 · Not yet corrected
  8. F
    Implement emergency and standby power systems.
    E 41 · November 21, 2024 · Corrected (the home has a date of correction)
  9. F
    Have properly located and lighted "Exit" signs.
    K 293 · November 21, 2024 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 21, 2024 · Corrected (the home has a date of correction)
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 21, 2024 · Corrected (the home has a date of correction)
  12. C
    Address subsistence needs for staff and patients.
    E 15 · November 21, 2024 · Corrected (the home has a date of correction)
  13. C
    Provide emergency officials' contact information.
    E 31 · November 21, 2024 · Corrected (the home has a date of correction)
  14. C
    Conduct testing and exercise requirements.
    E 39 · November 21, 2024 · Corrected (the home has a date of correction)
  15. F
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · October 12, 2023 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 12, 2023 · Corrected (the home has a date of correction)
  17. D
    Provide properly protected cooking facilities.
    K 324 · October 12, 2023 · Corrected (the home has a date of correction)
  18. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · October 12, 2023 · Corrected (the home has a date of correction)
  19. D
    Install an approved automatic sprinkler system.
    K 351 · October 12, 2023 · Corrected (the home has a date of correction)
  20. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 12, 2023 · Corrected (the home has a date of correction)
  21. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 12, 2023 · Corrected (the home has a date of correction)
  22. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · October 12, 2023 · Corrected (the home has a date of correction)
  23. D
    Provide a written emergency evacuation plan.
    K 711 · October 12, 2023 · Corrected (the home has a date of correction)
  24. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 12, 2023 · Corrected (the home has a date of correction)
  25. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · October 12, 2023 · Corrected (the home has a date of correction)
  26. D
    Meet requirements for the use of electrical equipment.
    K 919 · October 12, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)4.234.523.86
Registered nurses0.300.670.69
All nursing staff on weekends3.854.093.42
Nurse aides2.98
Licensed practical nurses0.95
Nursing staff turnover (share who left in a year)not reported36.7%45.8%
Registered nurse turnovernot reported38.1%42.9%
Administrators who leftnot reported

CMS expects 2.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.38 on weekdays and 3.85 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 4.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.230.304.383.85 0.0%2 of 9056
Oct to Dec 20254.090.274.223.76 0.0%0 of 9258
Jul to Sep 20253.860.113.943.66 0.0%19 of 9260
Apr to Jun 20253.770.153.833.62 0.0%8 of 9161
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.810.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.81.63.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.09.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.04.34.6
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.61.8

Owners and operators

Legal business name: IMAGINATIVE HORIZONS INC.

NameRoleTypeShareSince
Estacio, Maria CarminaW-2 managing employeeIndividual05/07/2008

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on February 12, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  2. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 6 problems in this area, most recently on February 12, 2026: "Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on February 12, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 4 problems in this area, most recently on February 12, 2026: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.85 hours per resident per day, below the California average of 4.09.

Other nursing homes nearby

California contacts for a concern about a nursing home

These are the official offices in California. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hillcrest Manor Sanitarium's Medicare star rating?
CMS rates Hillcrest Manor Sanitarium 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hillcrest Manor Sanitarium get at its last inspection?
12 health deficiencies at the standard inspection on February 12, 2026. The California average is 15.6.
Has Hillcrest Manor Sanitarium been fined?
CMS lists no fines in the last three years.
Does Hillcrest Manor Sanitarium accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hillcrest Manor Sanitarium?
CMS lists 1 owner or manager. Legal business name: IMAGINATIVE HORIZONS INC.

Sources

Find a nursing home Read an inspection