3686 4TH AVE, San Diego, CA 92103
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Hillcrest Heights Healthcare Center brings skilled nursing and rehabilitation services to San Diego families who need compassionate medical care during recovery. Our California team combines clinical expertise with personalized attention, supporting patients through healing with dignity and professional oversight.
Capacity
96 residents
Location
San Diego, CA
Status
Listed in a public registry
4033 SIXTH AVENUE EXT, San Diego, California 92103
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 9, 2025, state inspectors cited 8 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 6 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined Hillcrest Heights Healthcare Center in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 6 minutesBelow the California average |
| Registered nurse time per resident, per day | 43 minutesAbove the California average |
| Nursing staff who left in the past year | 30%Below the California average |
32 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
November 25, 2025 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 6, 2025 · Complaint investigation · 1 citation
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are free from significant medication errors.
Ensure each resident receives an accurate assessment.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that residents are fully informed and understand their health status, care and treatments.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide routine and 24-hour emergency dental care for each resident.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide safe and appropriate respiratory care for a resident when needed.
Provide care or services that was trauma informed and/or culturally competent.
Implement a program that monitors antibiotic use.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Prepare residents for a safe transfer or discharge from the nursing home.
4033 SIXTH AVENUE EXTSan Diego, CA 92103
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State inspectors visited on January 9, 2025 and cited 8 health deficiencies, 1 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 4 hours 6 minutes with each resident per day, including 43 minutes from registered nurses. 30% of nursing staff left over the past year.
Medicare's records show no fines against Hillcrest Heights Healthcare Center in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.