Nursing home

Hillcrest Manor Sanitarium

1889 National City Blvd., National City, CA 91950

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle12
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds98

Inspection findings

Inspectors recorded 33 findings in the last three inspection cycles.

27 No harm, but a risk of harm6 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Feb 12, 2026Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
past non-compliance, corrected before the inspection
Feb 12, 2026Building and environmentEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911)No harm, minimal risk
pattern
past non-compliance, corrected before the inspection
Feb 12, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Mar 9, 2026
Feb 12, 2026Pharmacy and medicationsEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (F0761)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Feb 12, 2026Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated
Corrected: Apr 9, 2026
Feb 12, 2026Nursing and physician servicesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727)No harm, but a risk of harm
pattern
Corrected: Mar 9, 2026
Feb 12, 2026Nursing and physician servicesEnsure that the resident and his/her doctor meet face-to-face at all required visits. (F0712)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Feb 12, 2026Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Feb 12, 2026Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Feb 12, 2026Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Feb 12, 2026Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Feb 12, 2026Abuse, neglect and exploitationPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605)No harm, but a risk of harm
isolated
Corrected: Mar 9, 2026
Sep 15, 2025Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 11, 2025
Nov 21, 2024Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Dec 19, 2024
Nov 21, 2024Building and environmentEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911)No harm, minimal risk
pattern
Corrected: Dec 19, 2024
Nov 21, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Dec 19, 2024
Nov 21, 2024Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
pattern
Corrected: Dec 19, 2024
Nov 21, 2024Nursing and physician servicesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727)No harm, but a risk of harm
pattern
Corrected: Dec 19, 2024
Earlier inspections (15)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Feb 15, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread · from a complaint
Corrected: Mar 4, 2024
Oct 12, 2023Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Nov 30, 2023
Oct 12, 2023Building and environmentEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911)No harm, minimal risk
pattern
Corrected: Nov 30, 2023
Oct 12, 2023Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Food and nutritionProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802)No harm, but a risk of harm
pattern
Corrected: Nov 30, 2023
Oct 12, 2023Pharmacy and medicationsEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (F0761)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Pharmacy and medicationsImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (F0758)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Nursing and physician servicesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727)No harm, but a risk of harm
pattern
Corrected: Nov 30, 2023
Oct 12, 2023Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Resident assessment and care planningAssess the resident when there is a significant change in condition (F0637)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Resident rightsHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023
Oct 12, 2023Resident rightsHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578)No harm, but a risk of harm
isolated
Corrected: Nov 30, 2023

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.26California median: 4.27
Registered nurse hours per resident per day0.36California median: 0.52
Nurse staff hours on weekends3.80California median: 3.85
Nursing staff who left within a yearno dataCalifornia median: 36.0%

About this home

Beds98
Residents per day, average57.9
OwnershipFor-profit, corporation
Legal business nameImaginative Horizons Inc.
In Medicare/Medicaid sinceSep 17, 1968

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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