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Hillcrest Heights Healthcare Center
4033 Sixth Avenue Ext, San Diego, CA 92103
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Hillcrest Heights Healthcare Center, in San Diego, California, is certified for 96 beds under for-profit, limited liability company ownership and belongs to the Aspen Skilled Healthcare chain.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (8, 21, 14 by cycle, most recent first), none at the actual-harm level. That is 44.8 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.1 hours per resident per day (0.7 RN), close to the California median of 4.2; nursing staff turnover is 30.3%.
Compared with county, state and nation
| Measure | This facility | San Diego Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 43 | 35 | 44 | 28.7 |
| Citations per 100 beds | 44.8 | 34.2 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 30.3% | 37.5% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (83 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Jan 2025, 1 Feb 2024.
Severity mix: D ×33 E ×9 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jan 2026 |
| 6 Jun 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 6 Jul 2025 |
| 21 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 21 Jun 2025 |
| 21 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 21 Jun 2025 |
| 21 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Jun 2025 |
| 9 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 28 Feb 2025 |
| 9 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 28 Feb 2025 |
| 9 Jan 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 28 Feb 2025 |
| 9 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 28 Feb 2025 |
| 9 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Feb 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Feb 2025 |
| 9 Jan 2025 | F0803 | 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. | D | Standard survey | 28 Feb 2025 |
| 7 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Dec 2024 |
| 17 Oct 2024 | F0585 | 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. | D | Complaint investigation | 3 Dec 2024 |
| 4 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 4 Nov 2024 |
| 12 Feb 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 29 Feb 2024 |
| 1 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0584 | 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. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 14 Mar 2024 |
| 1 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Mar 2024 |
| 1 Feb 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Mar 2024 |
| 1 Feb 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 14 Mar 2024 |
| 21 Dec 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 9 Jan 2024 |
| 15 Nov 2023 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 15 Dec 2023 |
| 26 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 25 Oct 2023 |
| 19 May 2022 | F0584 | 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. | E | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0803 | 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. | E | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0688 | 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. | D | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 18 Jun 2022 |
| 19 May 2022 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 18 Jun 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 30.3%, RNs 35.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.7% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Asd6, Llc. Chain: Aspen Skilled Healthcare (35 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Asd6, LLC | 5% or greater direct ownership interest | 100% | 12/18/2019 |
| Jacaranda Healthcare Group LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| Asd6, LLC | Operational/managerial control | NOT APPLICABLE | 12/18/2019 |
| Asd6, LLC | Adp of the snf | NOT APPLICABLE | 12/18/2019 |
| Aspen Healthcare Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
| Jacaranda Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Diego County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Arbor Hills Nursing Center | La Mesa | 100 | 5 | 4 | 3 | 37 | 37.0 | $13K | 12 Feb 2026 |
| Arroyo Vista Nursing Center | San Diego | 53 | 5 | 4 | 3 | 26 | 49.1 | — | 29 Jan 2026 |
| Bayshire Torrey Pines Post-Acute | San Diego | 45 | 5 | 4 | 3 | 50 | 111.1 | $87K | 25 Mar 2026 |
| Bradley Court | El Cajon | 56 | 5 | 5 | 5 | 19 | 33.9 | — | 13 Mar 2025 |
| Carlsbad By the Sea | Carlsbad | 33 | 5 | 5 | 5 | 8 | 24.2 | — | 25 Mar 2026 |
| Escondido Post Acute | Escondido | 180 | 5 | 4 | 3 | 42 | 23.3 | — | 1 Apr 2026 |
| Friendship Manor Nursing & Rehab Center | National City | 104 | 5 | 5 | 4 | 29 | 27.9 | $297K | 24 Jul 2025 |
| Glenbrook | Carlsbad | 94 | 5 | 4 | 5 | 24 | 25.5 | $9K | 19 Sep 2025 |
All 83 facilities in San Diego County
Questions and answers
How many deficiencies has Hillcrest Heights Healthcare Center been cited for?
43 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Hillcrest Heights Healthcare Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hillcrest Heights Healthcare Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Hillcrest Heights Healthcare Center?
It is part of the Aspen Skilled Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Asd6, LLC, Jacaranda Healthcare Group LLC and Asd6, LLC. Individual owners and managers are not listed on this site.
When was Hillcrest Heights Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 25 Nov 2025; the most recent standard health survey was 9 Jan 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.