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Hillcrest Care
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care, Residential Care & Skilled Nursing · Arrowhead Farms, CA
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care, Residential Care & Skilled Nursing · Arrowhead Farms, CA
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hillcrest Care accepts Medicare, Medicaid, and private pay.
Overview of Hillcrest Care
Maintain your independence while receiving compassionate care from Hillcrest Care, a warm and inviting community in Arrowhead Farms, CA, offering top-tier assisted living services. Residents here have access to 24/7 daily living assistance and skilled nursing care depending on their care needs. With medication management assistance, housekeeping, and laundry services, residents have fewer worries and can focus more of their time doing the things they enjoy.
Accommodations here are beautifully decorated to foster a cozy and residential-like environment with telephone service and satellite television for their comfort. Residents can also participate in an array of fun and engaging activities to keep them active, entertained, and stimulated. With fresh and nutritious meals served every day, residents can easily maintain their health and nutrition. At Hillcrest Care, residents can enjoy their peace of mind knowing that the conveniences they need are within easy reach.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health InspectionBased on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
StaffingMeasures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality MeasuresBased on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs California averages
Rank#55 / 289Nurse hours — State benchmarkedThis home is ranked 55th out of 289 homes we track in California for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 289 California facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This home is ranked 55th out of 289 homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 50m
14% above state avg
This facilityState avg 4h 13m
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN)RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
14m
−63% State avg: 37m per day · National avg: 42m per day
LPN / LVNLicensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 9m
Avg State avg: 1h 7m per day · National avg: 52m per day
Nurse AideCertified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 27m
+34% State avg: 2h 34m per day · National avg: 2h 24m per day
Weekend Total NursingCombined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 40m
+20% State avg: 3h 54m per day · National avg: 3h 31m per day
Physical TherapistHours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−88% State avg: 6m per day · National avg: 4m per day
Weekend RNRegistered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
10m
−67% State avg: 31m per day · National avg: 29m per day
3 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.6Rank#315 / 328Bed count — State benchmarkedThis home is ranked 315th out of 328 homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Smaller home
· May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.Rank#105 / 182Years in operation — State benchmarkedThis home is ranked 105th out of 182 homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
19years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.Rank#308 / 354Walk Score — State benchmarkedThis home is ranked 308th out of 354 homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
29/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.Rank#1 / 289Occupancy rate — State benchmarkedThis home is ranked 1st out of 289 homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 289. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100%This home is often near full
Higher than the California average: 82.5%
Occupied beds
6/ 6
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
136days
About this community
License Details
Facility TypeResidential Care Elderly
IssuanceOctober 23, 2006
CountyEl Dorado
Ownership & Operating Entity
Hillcrest Care is legally operated by Perez, Angelita, and administered by Angelita Perez.
Safety & Compliance
Wheelchair Accessible
Emergency SystemsYes
Safety Features24-hour security and monitored emergency response system.
Payment & Insurance
1 service
Accept Medicare
Therapy & Rehabilitation
2 services
Rehabilitation Services
Respite Care
Staffing & Medical
1 service
24-Hour Staffing
Additional Policies & Features
Minimum Age62
Amenities & Lifestyle
ActivitiesDiverse social, educational, and recreational programs including fitness classes, concerts, book clubs, and more
Religious Services
Volunteer Program
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. CA average
0 Worse
No metrics in this bucket.
1 Better
Metrics better than California average:
• Total citations (100% below)
Citations Citations are formal regulatory issues recorded during state inspections.
This Facility
CA Average
vs. CA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.
0
12
This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 12).↓ 100% better
Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.
This Facility
CA Average
vs. CA Avg
Total inspections Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes.
5
16
This facility has had 69% fewer total inspections than the California average (5 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 69% fewer
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.
0
13
This facility has had 100% fewer complaint visits than the California average (0 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewerRank#1 / 1387Complaint visits — State benchmarkedThis home is ranked 1st out of 1,387 homes we track in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1387 comparable communities in the ranking pool.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other visits Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
0
7
This facility has had 100% fewer other visits than the California average (0 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer
Official inspections Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
5
4
This facility has had 25% more official inspections than the California average (5 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2022 · 4 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections3
California average12.1
Last Health inspection on Nov 2025
Total health citations
20Rank#37 / 291Health citations — State benchmarkedThis home is ranked 37th out of 291 homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 291 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
California average49.8
Citations per inspection
6.67Rank#217 / 291Citations per inspection — State benchmarkedThis home is ranked 217th out of 291 homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 291 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
California average4.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than California average
California average: 0.3
Serious health citations
0
100% better than California average
California average: 0.9
0 critical citationsCalifornia average: 0.3
0 serious citationsCalifornia average: 0.9
17 moderate citationsCalifornia average: 47
3 minor citationsCalifornia average: 1.5
Citations history (last 4 years)
Environmental minor citationNov 18, 2025
Corrected
Infection Control moderate citationNov 18, 2025
Corrected
Resident Rights moderate citationNov 18, 2025
Corrected
Environmental minor citationJul 26, 2024
Corrected
Citations history (last 4 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff57
Employees57
Contractors0
Staff to resident ratio1.12 : 1
38% fewer staff per resident than California average
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines)
and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.7.9
19% worse than California average
California average: 6.6
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.12.6
11% worse than California average
California average: 11.3
Long-stay resident measures
AverageCMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased20.7%
87% worse than California average
California average: 11.1%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened8.6%
28% better than California average
California average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder8.4%
26% better than California average
California average: 11.3%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury3.7%
125% worse than California average
California average: 1.7%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers0.0%
100% better than California average
California average: 5.0%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection0.0%
100% better than California average
California average: 1.2%
Lost Too Much Weight Percent of long-stay residents who lose too much weight6.3%
50% worse than California average
California average: 4.2%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms0.0%
100% better than California average
California average: 6.7%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine100.0%
In line with California average
California average: 98.5%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%
In line with California average
California average: 98.2%
Short-stay resident measures
Significantly above averageCMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine98.8%
5% better than California average
California average: 94.0%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine95.0%
In line with California average
California average: 93.2%
Breakdown by payment type
Medicare
66% of new residents, usually for short-term rehab.
Typical stay3 - 4 months
Private pay
31% of new residents, often for short stays.
Typical stay3 - 4 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay8 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents51
Medicare
13
25.5% of residents
Medicaid
1
2% of residents
Private pay or other
37
72.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Hillcrest Care from 2016–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$608.6K↓ ~$1.8M vs 2022
Payroll Costs$4.7M↑ ~$456.7K vs 2022
Operating Margin-8.3%↓ 22.5pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Years with incomplete cost-report data are omitted from this chart.
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2016
2017
2018
2019
2020
2021
2022
2023
Occupancy %
99.1%
96.9%
100.5%
95.1%
98.2%
85.8%
88.3%
86.8%
Beds
59
59
59
59
59
59
59
59
Net Income
-$3,665,515
$140,160
$138,943
$460,924
$2,417,106
$381,236
$1,162,504
-$608,620
Gross Revenue
N/A
$4,128,969
$4,534,684
$5,180,507
$6,189,016
$7,385,449
$8,161,566
$7,502,988
Operating Expenses
$3,665,515
$3,988,809
$4,532,005
$5,307,468
$5,690,255
$8,003,208
$7,016,668
$7,944,112
Net Patient Income
-$3,665,515
$140,160
$158,943
$460,924
$2,489,862
$437,472
$1,162,504
-$608,620
Net Patient Revenue
N/A
$4,128,969
$4,690,948
$5,768,392
$8,180,117
$8,440,680
$8,179,172
$7,335,492
Payroll Costs
$1,760,909
$1,862,138
$2,497,750
$2,963,502
$3,275,999
$4,201,063
$4,288,079
$4,744,758
Operating Margin %
N/A
3.4%
3.4%
8.0%
30.4%
5.2%
14.2%
-8.3%
Medicare %
5.9%
14.8%
18.6%
22.2%
32.0%
40.2%
35.5%
39.5%
Medicaid %
37.5%
23.8%
79.2%
20.1%
13.0%
9.1%
63.1%
45.0%
Private %
56.6%
61.4%
2.1%
57.8%
55.1%
50.8%
1.5%
15.5%
Net Patient Revenue/Day
N/A
$198
$217
$282
$386
$457
$430
$392
Cost/Day
$171
$191
$209
$259
$268
$433
$369
$425
Avg Length of Stay
310.0 days
260.8 days
171.7 days
259.2 days
249.4 days
121.6 days
N/A
136.5 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a business corporation.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.3M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$608.6K
For-profit Operated by a business corporation.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.3M Rank#232 / 260Net patient revenue — State benchmarkedThis home is ranked 232nd out of 260 homes we track in California. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$608.6K
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#229 / 260Payroll costs — State benchmarkedThis home is ranked 229th out of 260 homes we track in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.7M
64.7% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#48 / 260Payroll % of net patient revenue — State benchmarkedThis home is ranked 48th out of 260 homes we track in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.2M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.9M
Certification details
License Number:555890
Rural vs. Urban:Urban
County:San Bernardino
Type of Control:For-profit — Operated by a business corporation.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
Pets Allowed
Building Type: Single-story
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
Who this home usually serves
TYPE OF STAY
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (66% of admissions), and a typical Medicare stay runs around 3 - 4 months.
Admissions
99 total
Coverage residents most often arrive under.
Medicare66%
Private pay31%
Medicaid3%
Discharges
137 total
Coverage residents most often leave under.
Medicare61%
Private pay36%
Medicaid2%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Living Spaces & Floor Plans for Hillcrest Care
Places of interest near Hillcrest Care
0.5 miles from city center Estimated distance in miles from Arrowhead Farms's city center to Hillcrest Care's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$10.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
42%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide: each nursing home is ranked against every CA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities