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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.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 60th out of 290 nursing 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.
This facility
CA avg 4h 20m
↑ 10% · CA 4h 20mThis facility: 4h 45m per resident per day, 10% above the California average of 4h 20m (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#60 / 290Nurse hours — State benchmarkedThis nursing home is ranked 60th out of 290 nursing 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 290 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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.Nurse hours — State benchmarkedThis nursing home is ranked 60th out of 290 nursing 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 290 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
4h 45m
Standout metric: Certified nursing assistant is +33% above California average
4 of 6 metrics below California average
Daily care time per resident, by role
CA average · US = national average
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. All 1 are the facility's own employees; no agency contractors work in this role.1 staff · 8.5-hour shifts
14m↓ 62% · CA 38mThis facility: 14m per resident per day, 62% below the California average of 38m (among California facilities reporting a recent figure).
US average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 43m
LPN / LVN Licensed 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. All 10 are the facility's own employees; no agency contractors work in this role.10 staff · 8.3-hour shifts
1h 4m↓ 5% · CA 1h 7mThis facility: 1h 4m per resident per day, 5% below the California average of 1h 7m (among California facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant Certified 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. All 39 are the facility's own employees; no agency contractors work in this role.39 staff · 7.3-hour shifts
3h 26m↑ 33% · CA 2h 35mThis facility: 3h 26m per resident per day, 33% above the California average of 2h 35m (among California facilities reporting a recent figure).
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 26m
Physical therapist Hours 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↓ 92% · CA 6mThis facility: 1m per resident per day, 92% below the California average of 6m (among California facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends Combined 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.RN + LPN + aide · Sat–Sun
4h 33m↑ 16% · CA 3h 54mThis facility: 4h 33m per resident per day, 16% above the California average of 3h 54m (among California facilities reporting a recent figure).
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 32m
RN, weekends Registered 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.Sat–Sun
10m↓ 67% · CA 31mThis facility: 10m per resident per day, 67% below the California average of 31m (among California facilities reporting a recent figure).
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 29m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.57
57 employees · 0 contractors · 24 on an average day Staff per resident57 total staff / 48 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.1.19 : 1↓ 33% · CA 1.79This facility: 1.19 staff per resident, 33% below the California average of 1.79 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
57 staff ÷ 48 residents See full California ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.7.6 h↓ 1% · CA 7.7 hThis facility: 7.6 h, 1% below the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
16,678 staff hours this quarter See full California ranking →
100%
of staff hours were worked by the facility's own employees
California average: 95.3% · No agency contractors this quarter
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.6Rank#328 / 341Bed count — State benchmarkedThis nursing home is ranked 328th out of 341 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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.Bed count — State benchmarkedThis nursing home is ranked 328th out of 341 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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#117 / 198Years in operation — State benchmarkedThis nursing home is ranked 117th out of 198 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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.Years in operation — State benchmarkedThis nursing home is ranked 117th out of 198 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
20years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.Rank#298 / 344Walk Score — State benchmarkedThis nursing home is ranked 298th out of 344 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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.Walk Score — State benchmarkedThis nursing home is ranked 298th out of 344 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
29/ 100
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.
679days
About This Community
License Details
Facility TypeResidential Care Elderly
IssuanceOctober 23, 2006
CountyEl Dorado
Certifications & Programs
Medi-Cal certified — Medi-CalA state license or designation held by the community.
Ownership & Operating Entity
Hillcrest Care is legally operated by Perez, Angelita, and administered by Angelita Perez.
Profit StatusNonprofit
Safety & Compliance
Wheelchair Accessible
Safety Features24-hour security and monitored emergency response system.
Payment & Insurance
1 service
Accept Medicare
Therapy & Rehabilitation
4 services
Short-Term Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
Additional Services
11 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Activities Director
Volunteer Program
Social Work Services
MaintenanceListed as: Interior and exterior maintenance
Utilities IncludedListed as: All utilities except phone
Emergency Call SystemListed as: 24-hour security and monitored emergency response
24-Hour Security
TransportationListed as: Campus shuttle
Housekeeping
Beauty Services
Additional Policies & Features
Pets Allowed
Minimum Age62
Amenities & Lifestyle
Walking Paths
AviaryAn enclosure where residents can watch birds.
Café
Piano
Fitness Center
Meditation Room
Workshop
Library
Game Room
Meeting Room
Gift Shop
Parking
Beauty Salon
Cable Tv
Personal Gardens
Dining Room with Mountain View
Common Lounge Area
Sewing Room
Keyboard Studio
Village Center Meeting House
Volunteer Program
Activities
Exercise Classes
Concerts
Book Clubs
Bingo
Bridge
Outings
Day Trips
Thespians
Evening Activities
Art Exhibitions
Gardening
Lunch Outings
Passport To Travel at Citrus College
Hillcrest SingersA resident singing group that rehearses and performs together, offering older adults creative expression, social connection, and opportunities to entertain the community.
Cottage / Villa Floor plans as listed by the community: Two-Bedroom & Two-Bath Cottage (1,270 sq ft) · Two-Bedroom & Two-Bath Cottage (1,217 sq ft) · Two-Bedroom & Two-Bath Cottage (1,177 sq ft) · Two-Bedroom & Two-Bath Cottage (909 sq ft) · One-Bedroom & Den Cottage (1,024 sq ft) · One-Bedroom Cottage (852 sq ft) · One-Bedroom & Den Cottage (774 sq ft)774–1,270 sq ft
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
9.0
This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 9).↓ 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
19.0
This facility has had 74% fewer total inspections than the California average (5 vs. CA avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 74% fewer
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.
0
6.0
This facility has had 100% fewer complaint visits than the California average (0 vs. CA avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer
Other visits Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
0
4.0
This facility has had 100% fewer other visits than the California average (0 vs. CA avg 4). 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
4.0
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
Since 2022 · 4 years of data · Last health inspection Nov 2025
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
3↓ 75% · CA 12.2This facility: 3, 75% below the California average of 12.2 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
20Rank#34 / 293Health citations — State benchmarkedThis nursing home is ranked 34th out of 293 nursing 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 293 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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.Health citations — State benchmarkedThis nursing home is ranked 34th out of 293 nursing 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 293 CA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 60% · CA 49.9This facility: 20, 60% below the California average of 49.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6.67Rank#256 / 293Citations per inspection — State benchmarkedThis nursing home is ranked 256th out of 293 nursing homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 293 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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.Citations per inspection — State benchmarkedThis nursing home is ranked 256th out of 293 nursing homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 293 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 40% · CA 4.75This facility: 6.67, 40% above the California average of 4.75 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
20 of 20 citations corrected
Bar = mix of this home's 20 citations, not a state comparison
Moderate (D–F, no harm, more than minimal risk): 17 citations, correctedMinor (A–C, no harm, minimal risk): 3 citations, corrected
Lighter shade = corrected
CriticalJ–L
0↓ 100% · CA 0.3This facility: 0, 100% below the California average of 0.3 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
SeriousG–I
0↓ 100% · CA 0.9This facility: 0, 100% below the California average of 0.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
ModerateD–F
17↓ 64% · CA 47.2This facility: 17, 64% below the California average of 47.2 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
MinorA–C
3↑ 100% · CA 1.5This facility: 3, 100% above the California average of 1.5 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk
Latest inspection: Nov 18, 2025 · 3 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 5 of 20 citations · 6 categories in total
Citations history
Most recent first
Nov 18, 20253 citations
Environmental minor citation
Corrected
Infection Control moderate citation
Corrected
Resident Rights moderate citation
Corrected
Jul 26, 20246 citations
Environmental minor citation
Corrected
Infection Control moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Mar 03, 202211 citations
Environmental minor citation
Corrected
Environmental moderate citation
Corrected
Infection Control moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Top deficiency categories
Share of 20 citations
Resident Assessment & Care Planning5 deficiencies (25%)
Nutrition & Dietary4 deficiencies (20%)
Environmental4 deficiencies (20%)
Infection Control3 deficiencies (15%)
Resident Rights3 deficiencies (15%)
Nursing & Physician Services1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious).
Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Penalties and fines
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Clean record
Aug 2023202420252026Aug 2026
Total fines
$0CA avg $58KCalifornia average: $57,703. Average among the 498 California facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0CA avg 2.06California average: 2.06. Average among the 498 California facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0CA avg 0.57California average: 0.57. Average among the 498 California facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the California average.
Data as of Aug 2026 · CMS Care Compare
Long-stay quality ratingCMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.3/ 5★★★★★AverageShort-stay quality ratingCMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.5/ 5★★★★★Significantly above averageHigh-risk clinical eventsAverage of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.7.6Score · lower is better↑ 28% · CA 5.9This facility: 7.6, 28% above the CA average of 5.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Functional declineAverage of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.10.9Score · lower is better↑ 9% · CA 10.0This facility: 10.9, 9% above the CA average of 10.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11 long-stay measures:5 better, 4 worse, 2 near CA average
2 short-stay measures: 2 near CA average
Long-stay residents
People who live at the home · 11 measures
CA average
Daily care & independence
Needed more help with daily activitiesPercent of long-stay residents whose need for help with daily activities has increased17.4%↑ 70% · CA 10.2This facility: 17.4, 70% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsenedPercent of long-stay residents whose ability to move independently worsened6.7%↓ 32% · CA 9.8This facility: 6.7, 32% below the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)Percent of low risk long-stay residents who lose control of their bowels or bladder8.5%↓ 17% · CA 10.2This facility: 8.5, 17% below the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Safety & clinical stability
Urinary tract infectionPercent of long-stay residents with a urinary tract infection0.0%↓ 100% · CA 1.2This facility: 0.0, 100% below the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injuryPercent of long-stay residents experiencing one or more falls with major injury5.6%↑ 246% · CA 1.6This facility: 5.6, 246% above the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)Percent of long-stay high risk residents with pressure ulcers4.8%↑ 13% · CA 4.3This facility: 4.8, 13% above the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Physical & mental health
Lost too much weightPercent of long-stay residents who lose too much weight3.3%↓ 20% · CA 4.0This facility: 3.3, 20% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptomsPercent of long-stay residents who have depressive symptoms0.0%↓ 100% · CA 7.3This facility: 0.0, 100% below the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic usePercent of long-stay residents who received an antipsychotic medication26.9%↑ 124% · CA 12.0This facility: 26.9, 124% above the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of long-stay residents assessed and appropriately given the pneumococcal vaccine100.0%↑ 1% · CA 98.6This facility: 100.0, 1% above the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%↑ 2% · CA 98.2This facility: 100.0, 2% above the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay residents
Rehab and recovery after a hospital stay · 2 measures
CA average
Preventive care
Pneumococcal vaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine94.0%≈ 0% · CA 94.4This facility: 94.0, level with the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine95.0%↑ 2% · CA 93.2This facility: 95.0, 2% above the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Breakdown by payment type
Medicare
56% of new residents, usually for short-term rehab.
Typical stay1 years
Private pay
37% of new residents, often for short stays.
Typical stay3 years
Medicaid
7% of new residents, often for long-term daily care.
Typical stay2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents48
Medicare
18
37.5% of residents
Medicaid
30
62.5% 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 2016–2024, 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 12/2024.
Net Patient Income$422.0K↑ ~$1.0M vs 2023
Payroll Costs$4.4M↓ ~$347.7K vs 2023
Operating Margin5.7%↑ 14.0pp vs 2023
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
2024
Occupancy %
99.1%
96.9%
N/A
95.1%
98.2%
85.8%
88.3%
86.8%
88.1%
Beds
59
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
$421,955
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
$7,657,030
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
$7,035,655
Net Patient Income
-$3,665,515
$140,160
$158,943
$460,924
$2,489,862
$437,472
$1,162,504
-$608,620
$421,955
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
$7,457,610
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
$4,397,013
Operating Margin %
N/A
3.4%
3.4%
8.0%
30.4%
5.2%
14.2%
-8.3%
5.7%
Medicare %
5.9%
14.8%
18.6%
22.2%
32.0%
40.2%
35.5%
39.5%
31.9%
Medicaid %
37.5%
23.8%
79.2%
20.1%
13.0%
9.1%
63.1%
45.0%
6.9%
Private %
56.6%
61.4%
2.1%
57.8%
55.1%
50.8%
1.5%
15.5%
61.2%
Net Patient Revenue/Day
N/A
$198
$217
$282
$386
$457
$430
$392
$392
Cost/Day
$171
$191
$209
$259
$268
$433
$369
$425
$370
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
679.5 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Nonprofit
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."
$7.5MFiscal year ending 12/2024
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."
$422.0KFiscal year ending 12/2024
Nonprofit
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."
$7.5MFiscal year ending 12/2024Rank#270 / 288Net patient revenue — State benchmarkedThis nursing home is ranked 270th out of 288 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 270th out of 288 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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."
$422.0KFiscal year ending 12/2024
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#268 / 288Payroll costs — State benchmarkedThis nursing home is ranked 268th out of 288 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 268th out of 288 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$4.4MFiscal year ending 12/2024
59% 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#84 / 288Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 84th out of 288 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 84th out of 288 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes 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).
$2.6MFiscal year ending 12/2024
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.0MFiscal year ending 12/2024
Certification details
CMS Certification Number:555890
Rural vs. Urban:Urban
County:San Bernardino
Type of Control:Nonprofit
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.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 years.
Admissions
27 total
Coverage residents most often arrive under.
Medicare56%
Private pay37%
Medicaid7%
Discharges
28 total
Coverage residents most often leave under.
Medicare86%
Medicaid14%
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 length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
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: 61.4% 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.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
57
57 employees · 0 contractors · 24 on an average day 
100% corrected 
