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.
302
259 employees · 43 contractors · 78 on an average day Hillcrest Convalescent Center
Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Durham, NC
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.
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 Convalescent Center
Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Durham, NC
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.
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 Convalescent Center accepts Medicare and private pay.
Hillcrest Convalescent Center provides nursing home, assisted living, respite care, and skilled nursing in Durham, NC. Skilled nursing and nursing home care include licensed nursing support around the clock. Assisted living helps with daily tasks, while respite care offers short stays.
The combination may suit a resident who needs a short rehabilitation stay or a family caregiver who needs temporary coverage. Hillcrest opened in 1951 and has 86 beds. Its inpatient short term rehabilitation program supports a temporary rehabilitation stay, while outpatient physical therapy provides therapy sessions without an inpatient stay.
A Walk Score of 81 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 6 hours 21 minutes per resident per day, representing the daily nursing time allocated to each resident.
Quality ratings
The 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.
Based 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.
Measures 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.
Based 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
Data 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 11th out of 81 nursing homes we track in North Carolina 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.
6h 21m
This nursing home is ranked 11th out of 81 nursing homes we track in North Carolina 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.
6h 21mStandout metric: Physical therapist is +366% above North Carolina average
0 of 6 metrics below North Carolina average
Daily care time per resident, by role
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. 26 total: 20 of the facility's own employees and 6 agency contractors.
26 staff · 9-hour shifts
1h 18m
↑ 102% · NC 38mThis facility: 1h 18m per resident per day, 102% above the North Carolina average of 38m (among North Carolina facilities reporting a recent figure).
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. 26 total: 20 of the facility's own employees and 6 agency contractors.
26 staff · 9-hour shiftsUS 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. 33 total: 19 of the facility's own employees and 14 agency contractors.
33 staff · 9.6-hour shifts
1h 7m
↑ 24% · NC 54mThis facility: 1h 7m per resident per day, 24% above the North Carolina average of 54m (among North Carolina facilities reporting a recent figure).
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. 33 total: 19 of the facility's own employees and 14 agency contractors.
33 staff · 9.6-hour shiftsUS 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. 158 total: 138 of the facility's own employees and 20 agency contractors.
158 staff · 6.9-hour shifts
3h 57m
↑ 61% · NC 2h 27mThis facility: 3h 57m per resident per day, 61% above the North Carolina average of 2h 27m (among North Carolina facilities reporting a recent figure).
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. 158 total: 138 of the facility's own employees and 20 agency contractors.
158 staff · 6.9-hour shiftsUS 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.
25m
↑ 366% · NC 5mThis facility: 25m per resident per day, 366% above the North Carolina average of 5m (among North Carolina facilities reporting a recent figure).
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.
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
5h 55m
↑ 68% · NC 3h 31mThis facility: 5h 55m per resident per day, 68% above the North Carolina average of 3h 31m (among North Carolina facilities reporting a recent figure).
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–SunUS 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
1h 1m
↑ 149% · NC 24mThis facility: 1h 1m per resident per day, 149% above the North Carolina average of 24m (among North Carolina facilities reporting a recent figure).
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–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
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.
302
259 employees · 43 contractors · 78 on an average day
302 total staff / 71 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.
4.25 : 1
↑ 142% · NC 1.76This facility: 4.25 staff per resident, 142% above the North Carolina average of 1.76 (among North Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
302 staff ÷ 71 residents
See full North Carolina ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 6% · NC 8 hThis facility: 7.5 h, 6% below the North Carolina average of 8 h (among North Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
54,050 staff hours this quarter
See full North Carolina ranking →98.2% of staff hours were worked by the facility's own employees
North Carolina average: 86.6% · Contractors this quarter: Certified Nursing Assistant (20), Licensed Practical Nurse (14), Registered Nurse (6), Occupational Therapy Assistant (2), Occupational Therapy Aide (1)
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.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
86
Rank #44 / 78Bed count — State benchmarked This nursing home is ranked 44th out of 78 nursing homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
86
Rank #44 / 78Bed count — State benchmarked This nursing home is ranked 44th out of 78 nursing homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina 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 North Carolina 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.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #3 / 111Walk Score — State benchmarked This nursing home is ranked 3rd out of 111 nursing homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #3 / 111Walk Score — State benchmarked This nursing home is ranked 3rd out of 111 nursing homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
81
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #34 / 68Occupancy rate — State benchmarked This nursing home is ranked 34th out of 68 nursing homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 68. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #34 / 68Occupancy rate — State benchmarked This nursing home is ranked 34th out of 68 nursing homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 68. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
86.6%
This home usually has limited availability
Based on residents per day and 86 beds.
Higher than the North Carolina average: 82.5%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
75
Source: CMS Provider Information, average daily residents
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.
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.
66
days
About This Community
Resident Council
Short-Term Rehab
Outpatient Physical Therapy
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.
ALM Inspection Grade Unavailable
Not publishedWe don't have enough verified data to publish an inspection grade for this facility — a missing grade reflects what we've been able to verify, not the facility's quality.
Enforcement
Penalties and fines
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.
Total fines
$0
NC avg $65KNorth Carolina average: $64,632. Average among the 235 North Carolina 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
0
NC avg 2.09North Carolina average: 2.09. Average among the 235 North Carolina 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.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
NC avg 0.32North Carolina average: 0.32. Average among the 235 North Carolina facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the North Carolina average.
CMS 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
Average
CMS 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.
4
/ 5
Above average
Average 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.
16.3
Score · lower is better
↑ 65% · NC 9.9This facility: 16.3, 65% above the NC average of 9.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average 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.
30.2
Score · lower is better
↑ 66% · NC 18.2This facility: 30.2, 66% above the NC average of 18.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.10 long-stay measures: 4 better, 5 worse, 1 without a benchmark
3 short-stay measures: 2 better, 1 worse
Long-stay residents
People who live at the home · 10 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
25.6%
↑ 64% · NC 15.6This facility: 25.6, 64% above the NC average of 15.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
25.6%
↑ 64% · NC 15.6This facility: 25.6, 64% above the NC average of 15.6 (among NC 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 bladder
34.9%
↑ 68% · NC 20.7This facility: 34.9, 68% above the NC average of 20.7 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.9%
↑ 68% · NC 20.7This facility: 34.9, 68% above the NC average of 20.7 (among NC 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 infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · NC 2.3This facility: 0.0, 100% below the NC average of 2.3 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · NC 2.3This facility: 0.0, 100% below the NC average of 2.3 (among NC 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 injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
↓ 58% · NC 3.5This facility: 1.5, 58% below the NC average of 3.5 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
↓ 58% · NC 3.5This facility: 1.5, 58% below the NC average of 3.5 (among NC 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 ulcers
28.0%
Percent of long-stay high risk residents with pressure ulcers
28.0%
Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
10.0%
↑ 40% · NC 7.2This facility: 10.0, 40% above the NC average of 7.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
10.0%
↑ 40% · NC 7.2This facility: 10.0, 40% above the NC average of 7.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · NC 5.9This facility: 0.0, 100% below the NC average of 5.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · NC 5.9This facility: 0.0, 100% below the NC average of 5.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
29.4%
↑ 110% · NC 14.0This facility: 29.4, 110% above the NC average of 14.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
29.4%
↑ 110% · NC 14.0This facility: 29.4, 110% above the NC average of 14.0 (among NC 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 vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
↑ 5% · NC 92.0This facility: 97.1, 5% above the NC average of 92.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
↑ 5% · NC 92.0This facility: 97.1, 5% above the NC average of 92.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
↓ 9% · NC 94.1This facility: 85.7, 9% below the NC average of 94.1 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
↓ 9% · NC 94.1This facility: 85.7, 9% below the NC average of 94.1 (among NC 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 · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
↑ 45% · NC 1.4This facility: 2.1, 45% above the NC average of 1.4 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
↑ 45% · NC 1.4This facility: 2.1, 45% above the NC average of 1.4 (among NC 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 vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
↑ 23% · NC 80.6This facility: 99.3, 23% above the NC average of 80.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
↑ 23% · NC 80.6This facility: 99.3, 23% above the NC average of 80.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
↑ 17% · NC 78.1This facility: 91.4, 17% above the NC average of 78.1 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
↑ 17% · NC 78.1This facility: 91.4, 17% above the NC average of 78.1 (among NC 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.
Money and staffing.
Hillcrest Convalescent Center’s finances from its CMS cost report for the fiscal year ending September 2024, compared with 79 North Carolina nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Sep 2024
Is it financially stable?
Profitable on care
7.1% operating margin
+0.4 pts vs prior year
Positive margin in 8 of the last 8 reported years. Net income $2.8M after other income.
Does it invest in staff?
Payroll in line with North Carolina homes
60.8% payroll share of revenue
NC average 61.1%Rank #15 / 79Payroll % of net patient revenue — State benchmarked This nursing home is ranked 15th out of 79 nursing homes we track in North Carolina for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $2.5M while revenue rose $3.0M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with North Carolina homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NC median | Compared with NC homesRank in NC | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $28.2M | +$3.0M | Trend 20172024 | NC median $13.4M | Rank in NC Rank #12 / 79Net patient revenue — State benchmarked This nursing home is ranked 12th out of 79 nursing homes we track in North Carolina for net patient revenue. Shows this facility's net patient revenue compared to the North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Above NC median Higher net patient revenue than 86% of NC homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $26.2M | +$2.7M | Trend 20172024 | NC median — | Rank in NC Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $2.0M | +$0.3M | Trend 20172024 | NC median — | Rank in NC Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 7.1% | +0.4 pts | Trend 20172024 | NC median — | Rank in NC Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $2.0M | — | Trend — | NC median — | Rank in NC Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $2.8M | +$0.8M | Trend — | NC median — | Rank in NC Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with North Carolina homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NC median | Compared with NC homesRank in NC | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $17.1M | +$2.5M | Trend 20172024 | NC median $7.0M | Rank in NC Rank #8 / 79Payroll costs — State benchmarked This nursing home is ranked 8th out of 79 nursing homes we track in North Carolina for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Top 9% in NC by size Higher payroll than 91% of NC homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 60.8% | +2.8 pts | Trend 20172024 | NC median 49.1% | Rank in NC Rank #15 / 79Payroll % of net patient revenue — State benchmarked This nursing home is ranked 15th out of 79 nursing homes we track in North Carolina for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the North Carolina 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 North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 82% of homes | Near NC average The NC average is 61.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · NC benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the North Carolina payroll average.
% of net patient revenue
Payroll share Operating margin NC payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $22.0M | $22.6M | $24.0M | $23.8M | $23.1M | $24.3M | $25.2M | $28.2M |
| Operating expenses | $19.4M | $20.8M | $21.8M | $22.4M | $22.1M | $22.9M | $23.5M | $26.2M |
| Net patient income | $2.6M | $1.9M | $2.2M | $1.4M | $1.0M | $1.4M | $1.7M | $2.0M |
| Operating margin | 11.6% | 8.2% | 9.3% | 5.9% | 4.2% | 5.9% | 6.7% | 7.1% |
| Net income | $3.2M | $2.6M | $2.5M | $2.9M | $4.8M | $1.6M | $2.0M | $2.8M |
| Payroll costs | $13.1M | $13.9M | $14.3M | $15.2M | $15.0M | $13.7M | $14.6M | $17.1M |
| Payroll share of revenue | 59.7% | 61.3% | 59.7% | 64.0% | 65.0% | 56.4% | 58.0% | 60.8% |
| Beds | 154 | 154 | 154 | 154 | 154 | 154 | 154 | 154 |
| Gross revenue | $31.0M | $33.1M | $35.1M | $32.7M | $31.8M | $33.6M | $34.0M | $37.7M |
| Salaries | $11.7M | $12.3M | $12.9M | $12.9M | $12.9M | $11.7M | $12.9M | $14.6M |
| Wage-related costs | $1.5M | $1.5M | $1.4M | $2.4M | $2.1M | $2.0M | $1.7M | $2.5M |
| Contract labor | — | $0.1M | $0.2M | $0.6M | $0.4M | $2.0M | $0.9M | $0.4M |
| Other operating costs | $6.3M | $6.9M | $7.5M | $7.2M | $7.1M | $9.2M | $8.9M | $9.1M |
| Net patient revenue per day | $413 | $428 | $448 | $475 | $496 | $518 | $540 | $556 |
| Cost per day | $365 | $393 | $406 | $447 | $475 | $487 | $504 | $516 |
| Average length of stay | 35.8 days | 35.5 days | 40.1 days | 45.5 days | 46.7 days | 51.0 days | 52.5 days | 66.2 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
572 admissions · FY2024
Residents admitted during the year.
Medicare
543 · 95%
Medicaid
1 · <1%
Private pay & other
28 · 5%
Resident snapshot
71 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
49 · 69%
Medicaid
11 · 15%
Private pay & other
11 · 15%
Leaving
596 discharges · FY2024
Residents discharged during the year.
Medicare
542 · 91%
Medicaid
1 · <1%
Private pay & other
53 · 9%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Hillcrest Convalescent Center
1.2 miles from city center
Estimated distance in miles from Durham's city center to Hillcrest Convalescent Center's address, calculated via Google Maps.
Calculate Travel Distance to Hillcrest Convalescent Center
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Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), 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.
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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.
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Care Types in This Table
AL (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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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 North Carolina 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hillcrest Convalescent Center | NH AL RC SNF | Durham | 86
Facility
86
NC AVG
93
Rank
#44 / 78 |
86.6%
Facility
86.6%
NC AVG
82.5%
Rank
#34 / 68 | +5% | 6.36
Facility
6.36
NC AVG
4.01
Rank
#11 / 81 | -6% | +58% | $0
Facility
$0
NC AVG
$66.6k
Rank
#1 / 86 | - | - | - | 75 | - |
81
Facility
81
NC AVG
33
Rank
#3 / 111 | William Hoover | $28.2MFiscal year ending 09/2024
Facility
$28.2MFiscal year ending 09/2024
NC AVG
$17.2M
Rank
#12 / 79 | $17.1MFiscal year ending 09/2024
Facility
$17.1MFiscal year ending 09/2024
NC AVG
$9.2M
Rank
#8 / 79 | 60.8%Fiscal year ending 09/2024
Facility
60.8%Fiscal year ending 09/2024
NC AVG
61.1%
Rank
#15 / 79 | 345001 | ||||
| Treyburn Rehabilitation Center | NH RC SNF | Durham | 132
Facility
132
NC AVG
93
Rank
#14 / 78 |
76.5%
Facility
76.5%
NC AVG
82.5%
Rank
#57 / 68 | -7% | 3.85
Facility
3.85
NC AVG
4.01
Rank
#49 / 81 | +34% | -4% | $124.5k
Facility
$124.5k
NC AVG
$66.6k
Rank
#82 / 86 | 16
Facility
16
NC AVG
19.0
Rank
#50 / 82 | 3.2
Facility
3.2
NC AVG
4.6
Rank
#37 / 82 | 3 | 101 | - |
3
Facility
3
NC AVG
33
Rank
#108 / 111 | Steven Kerley | $13.2MFiscal year ending 12/2024
Facility
$13.2MFiscal year ending 12/2024
NC AVG
$17.2M
Rank
#43 / 79 | $6.2MFiscal year ending 12/2024
Facility
$6.2MFiscal year ending 12/2024
NC AVG
$9.2M
Rank
#51 / 79 | 46.9%Fiscal year ending 12/2024
Facility
46.9%Fiscal year ending 12/2024
NC AVG
61.1%
Rank
#49 / 79 | 345458 | ||||
| PruittHealth – Carolina Point | NH HOS RC SNF | Durham | 138
Facility
138
NC AVG
93
Rank
#12 / 78 |
81.0%
Facility
81.0%
NC AVG
82.5%
Rank
#40 / 68 | -2% | 3.42
Facility
3.42
NC AVG
4.01
Rank
#70 / 81 | -5% | -15% | $52.9k
Facility
$52.9k
NC AVG
$66.6k
Rank
#71 / 86 | 18
Facility
18
NC AVG
19.0
Rank
#53 / 82 | 3.0
Facility
3.0
NC AVG
4.6
Rank
#32 / 82 | 2 | 112 | - |
9
Facility
9
NC AVG
33
Rank
#95 / 111 | Laticia Beatty | $11.6MFiscal year ending 06/2025
Facility
$11.6MFiscal year ending 06/2025
NC AVG
$17.2M
Rank
#58 / 79 | $5.9MFiscal year ending 06/2025
Facility
$5.9MFiscal year ending 06/2025
NC AVG
$9.2M
Rank
#57 / 79 | 51%Fiscal year ending 06/2025
Facility
51%Fiscal year ending 06/2025
NC AVG
61.1%
Rank
#28 / 79 | 345551 | ||||
| Southpoint Rehabilitation and Healthcare Center | NH HOS PC RC SNF | Durham | 140 | 89.4% | +8% | 3.22
Facility
3.22
NC AVG
4.01
Rank
#70 / 81 | -14% | -20% | $48.5k
Facility
$48.5k
NC AVG
$66.6k
Rank
#67 / 86 | 38
Facility
38
NC AVG
19.0
Rank
#76 / 82 | 5.4
Facility
5.4
NC AVG
4.6
Rank
#62 / 82 | 5 | 125 | - |
64
Facility
64
NC AVG
33
Rank
#11 / 111 | Donald Joseph | $20.7MFiscal year ending 09/2024
Facility
$20.7MFiscal year ending 09/2024
NC AVG
$17.2M
Rank
#18 / 79 | $7.7MFiscal year ending 09/2024
Facility
$7.7MFiscal year ending 09/2024
NC AVG
$9.2M
Rank
#35 / 79 | 37.3%Fiscal year ending 09/2024
Facility
37.3%Fiscal year ending 09/2024
NC AVG
61.1%
Rank
#70 / 79 | 345408 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NC nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in North Carolina
Hillcrest Convalescent Center is located in Durham, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Frequently Asked Questions about Hillcrest Convalescent Center
Is Hillcrest Convalescent Center in a walkable area?
Hillcrest Convalescent Center has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the occupancy rate at Hillcrest Convalescent Center?
Hillcrest Convalescent Center's occupancy is 86.6%.
Are pets allowed at Hillcrest Convalescent Center?
No, Hillcrest Convalescent Center has a no-pet policy.
What is the best email address for Hillcrest Convalescent Center?
The team at Hillcrest Convalescent Center can be reached at info@hillcrestnc.com.
Does Hillcrest Convalescent Center operate as a for-profit or non-profit?
Hillcrest Convalescent Center is registered as a for-profit.
What is the overall rating for Hillcrest Convalescent Center?
Hillcrest Convalescent Center received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Hillcrest Convalescent Center have?
Hillcrest Convalescent Center has 86 beds.
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