Lilisity

Nursing home

Hillcrest Heights Healthcare Center

4033 Sixth Avenue Ext, San Diego, CA 92103 · Map
For profit - Limited Liability company · Part of Aspen Skilled Healthcare (34 facilities) · 96 certified beds

Medicare and Medicaid certified
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Hillcrest Heights Healthcare Center is a Medicare-certified nursing home in San Diego, California. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.09 hours per resident per day, below the California average of 4.51. Its most recent inspection on Jan 9, 2025 cited 12 deficiencies.

3 out of 5Overall CMS rating
3 out of 5Health inspections
4 out of 5Staffing
96 bedsCertified beds
  • 1 fine totaling $6,351In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating3/5
Health inspections3/5
Staffing4/5
Quality measures4/5
Long-stay quality5/5
Short-stay quality3/5

How Hillcrest Heights Healthcare Center compares

This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityCalifornia avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.094.513.89below avg
RN staffing (hrs/resident/day)0.610.650.68below avg
Aide staffing (hrs/resident/day)2.482.642.34below avg
Nursing staff turnover34.0%38.1%46.4%below avg
Deficiencies cited, last inspection12.015.49.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.09Total nurse hrs/resident/day
0.61RN hrs/resident/day
1.00LPN hrs/resident/day
2.48Aide hrs/resident/day
3.80Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff34.0%
Registered nurses41.7%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 9, 2025Most recent inspection
12Deficiencies found
64Health inspection score
1Fines
  • Every deficiency from the November 25, 2025 inspection was corrected by January 8, 2026

Penalties in CMS records: 1 fine totaling $6,351, 1 total penalty.

What inspectors found at Hillcrest Heights Healthcare Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Rights Deficiencies · Jun 6, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · May 21, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · May 21, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Rights Deficiencies · May 21, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Jan 9, 2025 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Jan 9, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies · Jan 9, 2025 · Full report (PDF)
  • Potential for harm

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

    Pharmacy Service Deficiencies · Jan 9, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Nutrition and Dietary Deficiencies · Jan 9, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Jan 9, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Jan 9, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
4033 Sixth Avenue Ext
San Diego, CA 92103
CMS certification #
555630
Ownership
For profit - Limited Liability company
Certified beds
96
Avg residents/day
89.2
Provider type
Medicare and Medicaid
First certified
1995-03-22
Chain
Aspen Skilled Healthcare (34 facilities)
Setting
Urban

Part of Aspen Skilled Healthcare

Aspen Skilled Healthcare operates 34 nursing facilities across the United States. View all Aspen Skilled Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Hillcrest Heights Healthcare Center using Google Maps.

Other public records

Full public records, with dates and sources

Care and services

From the community’s website

What Hillcrest Heights Healthcare Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Smoke-free. Smoking is not permitted in the facility. (page, checked Oct 12, 2026)

Location and nearby care

Nearest hospital with an emergency room
Uc San Diego Health Hillcrest - Hillcrest Med Ctr, San Diego. 0.4 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
Nearest Medicare nursing home
Mission Hills Post Acute Care, San Diego. 0.3 miles away, straight line.
Nearest home health agency office
Vital Care Health Systems, San Diego. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Hillcrest Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 92103 as metropolitan (metropolitan core).
Dialysis within 15 miles
Ucsd Dialysis Center, San Diego, 0.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Childrens Hospital Of San Diego, San Diego, 3.6 miles away, straight line
Fmc-Gateway Dialysis Center - East, San Diego, 4.1 miles away, straight line (CMS rating 4 of 5 stars)
Hospice
44 Medicare hospices tell CMS they serve ZIP code 92103.
Apreva Hospice, office in San Diego, 0.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Apa Hospice Care Inc, office in San Diego, 2.4 miles away, straight line
Kaiser Foundation Hospital San Diego Hospice, office in San Diego, 2.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Regents Of The University Of California, San Diego. 0.4 miles away, straight line. 3 geriatric medicine doctors listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: no FEMA wildfire rating of moderate or higher here
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Hillcrest Heights Healthcare Center a good nursing home?

CMS gives Hillcrest Heights Healthcare Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Hillcrest Heights Healthcare Center staffed?

Hillcrest Heights Healthcare Center reports 4.09 total nurse hours per resident per day, compared with the California average of 4.51.

Has Hillcrest Heights Healthcare Center had inspection problems?

Its most recent CMS inspection cited 12 deficiencies.

How many beds does Hillcrest Heights Healthcare Center have?

Hillcrest Heights Healthcare Center is certified for 96 beds.