Hillcrest Post Acute
450 Hayes Lane · Petaluma, CA · 94952 · 7077788686
59 certified beds For profit - Limited Liability company Chain: West Harbor Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
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: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.85 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
-
Potential for harm · D September 11, 2025
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 October 1, 2025 · Resident Rights
-
Potential for harm · D September 11, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 11, 2025
Ensure each resident receives an accurate assessment.
Corrected October 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D September 11, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D September 11, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 1, 2025 · Pharmacy Service
-
Potential for harm · D September 11, 2025
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 October 1, 2025 · Pharmacy Service
-
Potential for harm · E September 11, 2025
Dispose of garbage and refuse properly.
Corrected October 1, 2025 · Nutrition and Dietary
-
Potential for harm · F September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 1, 2025 · Infection Control
-
Potential for harm · D March 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E April 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2024 · Quality of Life and Care
-
Potential for harm · F April 22, 2024
Post nurse staffing information every day.
Corrected May 20, 2024 · Nursing and Physician Services
-
Potential for harm · E April 22, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2024 · Pharmacy Service
-
Potential for harm · D April 22, 2024
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 May 20, 2024 · Pharmacy Service
-
Potential for harm · F April 22, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 20, 2024 · Infection Control
-
Potential for harm · E April 22, 2024 · found via complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 20, 2024 · Administration
-
Potential for harm · D June 14, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 15, 2023 · Infection Control
-
Potential for harm · E March 4, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 19, 2022 · Resident Rights
-
Potential for harm · D March 4, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 19, 2022 · Resident Rights
-
Potential for harm · E March 4, 2022
Ensure each resident receives an accurate assessment.
Corrected April 19, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D March 4, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 19, 2022 · Resident Assessment and Care Planning
-
Potential for harm · E March 4, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 19, 2022 · Resident Assessment and Care Planning
-
Potential for harm · E March 4, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 19, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D March 4, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 19, 2022 · 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 555127 · certified since June 27, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.