Federal inspection record · CMS data as of October 1, 2026
Hillcrest Nursing Home
4280 Cypress Drive, San Bernardino, CA · (909) 882-2965
- CMS high-performer trophy
- Certified beds
- 59
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 3, 2014
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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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.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Hillcrest Nursing Home carries 15 inspection points. That is fewer than 98% 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
20 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
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- 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.
Environmental4D
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D
Have policies on smoking.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nutrition and Dietary4F
- 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.
- 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.
Resident Rights3E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- E
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Infection Control3D
- D
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2025-11-18
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2024-07-26
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-03-03
11 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 42 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 0% 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 days1.7 pts worse | 3.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.5 | 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 injury3.9 pts worse | 5.5% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 3.8% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.2 pts worse | 30.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.5 pts worse | 28.8% | 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 worsened1.5 pts better | 7.4% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts worse | 21.5% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse | 2.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.6% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 8.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts worse | 94.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better | 7.6% | 11.1% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.1 pts better | 11.5% | 22.6% | 23.4% |
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Who owns and runs it
30 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 |
|---|---|---|---|
| Barrios, Maria | 5% Or Greater Direct Ownership Interest · Individual | 50% | 1 facilities |
| Andrade, Juan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Andrade, Juan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Barrios, Maria | 5% Or Greater Mortgage Interest · Individual | 0% | 1 facilities |
| Barrios, Maria | Corporate Director · Individual | 0% | 1 facilities |
| Barrios, Maria | Corporate Officer · Individual | 0% | 1 facilities |
| Barrios, Maria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Barrios, Maria | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brantley, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brantley, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marcial, Cesar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Marcial, Cesar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Parida, Manoj | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Parida, Manoj | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sanders, Leeann | Corporate Director · Individual | 0% | 1 facilities |
| Sanders, Leeann | Corporate Officer · Individual | 0% | 1 facilities |
| Sanders, Leeann | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanders, Leeann | Adp Of The SNF · Individual | 0% | 1 facilities |
| Santos, Oscar | Corporate Director · Individual | 0% | 1 facilities |
| Santos, Oscar | Corporate Officer · Individual | 0% | 1 facilities |
| Santos, Oscar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Santos, Oscar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shamsid-Deen, Shafeeq | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shamsid-Deen, Shafeeq | Adp Of The SNF · Individual | 0% | 1 facilities |
| Weicks, Alexis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Weicks, Alexis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zimmerman, Rebecca | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zimmerman, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zoellner, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zoellner, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems3F
- D
Have proper medical gas storage and administration areas.
- F
Have proper medical gas storage and administration areas.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness1D
- D
Provide emergency officials' contact information.
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