Federal inspection record · CMS data as of October 1, 2026
Hillcrest Heights Healthcare Center
4033 Sixth Avenue Ext, San Diego, CA · (619) 297-4086
- Certified beds
- 96
- Residents per day
- 92
- Ownership
- For-Profit
- Chain
- Aspen Skilled Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 22, 1995
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Hillcrest Heights Healthcare Center carries 64 inspection points. That is fewer than 68% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care11D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights9E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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
Prepare residents for a safe transfer or discharge from the nursing home.
- E
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
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning9E
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary6F
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2025-01-09
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-02-01
21 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-05-19
13 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 5 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
4 h 5 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.4 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 0.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 4.2% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 1.6% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts better | 11.4% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5 pts better | 7.3% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.4 pts better | 4.5% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts better | 5.2% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.4% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts better | 5.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts better | 0.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 99.5% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts worse | 18.4% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 97.4% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts better | 21.7% | 22.6% | 23.4% |
·
Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Asd6, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Asd6, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Asd6, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Aspen Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Birdjandi, Farschad | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Birdjandi, Farschad | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bradshaw, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Jeffrey | Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Peter | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Brady, Vern | Corporate Officer · Individual | 0% | 32 facilities |
| Brady, Vern | Adp Of The SNF · Individual | 0% | 32 facilities |
| Case, Ryan | Corporate Officer · Individual | 0% | 31 facilities |
| Case, Ryan | Adp Of The SNF · Individual | 0% | 31 facilities |
| Caslmon, Timothy | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Caslmon, Timothy | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Caslmon, Timothy | Adp Of The SNF · Individual | 0% | 14 facilities |
| Elsner, Eric | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Jacaranda Healthcare Group LLC | Indirect Ownership Interest · Organization | 0% | 14 facilities |
| Jacaranda Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Jurado, Frank | Adp Of The SNF · Individual | 0% | 31 facilities |
| Kirkwood, Jared | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Lumawag, Johanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lumawag, Johanna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mookini, Dina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mookini, Dina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Orgill, Craig | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Parti, Rajesh | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Parti, Shruty | Indirect Ownership Interest · Individual | 0% | 29 facilities |
| Paxman, Marcus | Indirect Ownership Interest · Individual | 0% | 32 facilities |
| Paxman, Marcus | Adp Of The SNF · Individual | 0% | 32 facilities |
| Thompson, Stephen | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Thompson, Stephen | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thompson, Stephen | Adp Of The SNF · Individual | 0% | 18 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6E
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have power receptacles that are properly grounded.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous2E
- D
Provide a written emergency evacuation plan.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress1E
- E
Install emergency lighting that can last at least 1 1/2 hours.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Mission Hills Post Acute Care
San Diego, CA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Balboa Nursing & Rehabilitation Center
San Diego, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
St. Pauls Health Care Center
San Diego, CA · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 10 min
- Fines
- $29,179