Hillcrest Manor Sanitarium

1889 National City Blvd. · National City, CA · 91950 · 6194771176

98 certified beds For profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 100
Staffing 20% 65
Federal penalties 15% 100
Trend 10% 82
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.093.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day3.76≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · D September 15, 2025 · found via complaint

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

    Corrected October 11, 2025 · Quality of Life and Care

  • Potential for harm · E November 21, 2024

    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.

    Corrected December 19, 2024 · Nursing and Physician Services

  • Potential for harm · E November 21, 2024

    Ensure that residents are free from significant medication errors.

    Corrected December 19, 2024 · Pharmacy Service

  • Potential for harm · E November 21, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 19, 2024 · Infection Control

  • No harm found · B November 21, 2024

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected December 19, 2024 · Environmental

  • No harm found · B November 21, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected December 19, 2024 · Environmental

  • Potential for harm · F February 15, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 4, 2024 · Nutrition and Dietary

  • Potential for harm · D October 12, 2023

    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.

    Corrected November 30, 2023 · Resident Rights

  • Potential for harm · D October 12, 2023

    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 November 30, 2023 · Resident Rights

  • Potential for harm · D October 12, 2023

    Assess the resident when there is a significant change in condition

    Corrected November 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Ensure each resident receives an accurate assessment.

    Corrected November 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

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

    Corrected November 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 30, 2023 · Quality of Life and Care

  • Potential for harm · E October 12, 2023

    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.

    Corrected November 30, 2023 · Nursing and Physician Services

  • Potential for harm · D October 12, 2023

    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.

    Corrected November 30, 2023 · Pharmacy Service

  • Potential for harm · D October 12, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 30, 2023 · Pharmacy Service

  • Potential for harm · D October 12, 2023

    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.

    Corrected November 30, 2023 · Pharmacy Service

  • Potential for harm · E October 12, 2023

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected November 30, 2023 · Nutrition and Dietary

  • Potential for harm · D October 12, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 30, 2023 · Nutrition and Dietary

  • No harm found · B October 12, 2023

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected November 30, 2023 · Environmental

  • No harm found · B October 12, 2023

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected November 30, 2023 · Environmental

  • Potential for harm · D September 23, 2022

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

    Corrected September 30, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 23, 2022

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

    Corrected September 30, 2022 · Quality of Life and Care

  • Potential for harm · D September 23, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 30, 2022 · Nutrition and Dietary

  • Potential for harm · D September 23, 2022

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

    Corrected September 30, 2022 · Resident Assessment and Care Planning

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055975 · certified since September 17, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.