Hillcrest Heights Healthcare Center

4033 Sixth Avenue Ext · San Diego, CA · 92103 · 6192974086

96 certified beds For profit - Limited Liability company Chain: Aspen Skilled Healthcare

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 81
Federal penalties 15% 100
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.093.48 min · 4.1 strong
RN hours / resident-day0.650.55–0.75
Weekend hours / resident-day3.78≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)none

Inspection citations (43 in the current record)

  • Potential for harm · D November 25, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 8, 2026 · Quality of Life and Care

  • Potential for harm · D June 6, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected July 6, 2025 · Resident Rights

  • Potential for harm · D May 21, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected June 21, 2025 · Resident Rights

  • Potential for harm · D May 21, 2025 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 21, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 21, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · E January 9, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 28, 2025 · Pharmacy Service

  • Potential for harm · E January 9, 2025

    Ensure that residents are free from significant medication errors.

    Corrected February 28, 2025 · Pharmacy Service

  • Potential for harm · D January 9, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · E January 9, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · E January 9, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 17, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected December 3, 2024 · Resident Rights

  • Potential for harm · D October 4, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E February 12, 2024 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 29, 2024 · Resident Rights

  • Potential for harm · D February 1, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 14, 2024 · Resident Rights

  • Potential for harm · D February 1, 2024

    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.

    Corrected March 14, 2024 · Resident Rights

  • Potential for harm · D February 1, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 1, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 1, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected March 14, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 14, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 14, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected March 14, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected March 14, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555630 · certified since March 22, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.