Hillcrest Manor Sanitarium, National City, CA: Nursing home

Overall4★★★★☆

Inspections4★★★★☆

Staffing3★★★☆☆

Quality4★★★★☆

Federal finesNoneon record

Inspection citations

14’23

6’24

1’25

12’26

Year

33 shown

Date	Severity	What inspectors found	Visit
Feb 12, 2026	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Routine
Feb 12, 2026	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Feb 12, 2026	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Feb 12, 2026	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Feb 12, 2026	D · potential	Provide enough food/fluids to maintain a resident's health.	Routine
Feb 12, 2026	D · potential	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	Routine
Feb 12, 2026	E · potential	Have 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.	Routine
Feb 12, 2026	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Feb 12, 2026	D · potential	Ensure 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.	Routine
Feb 12, 2026	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Feb 12, 2026	B · minimal	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.	Routine
Feb 12, 2026	B · minimal	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	Routine
Sep 15, 2025	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Nov 21, 2024	E · potential	Have 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.	Routine
Nov 21, 2024	E · potential	Ensure that residents are free from significant medication errors.	Routine
Nov 21, 2024	E · potential	Provide and implement an infection prevention and control program.	Routine
Nov 21, 2024	B · minimal	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.	Routine
Nov 21, 2024	B · minimal	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	Routine
Feb 15, 2024	F · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Complaint
Oct 12, 2023	D · potential	Honor 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.	Routine
Oct 12, 2023	D · potential	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	Routine
Oct 12, 2023	D · potential	Assess the resident when there is a significant change in condition	Routine
Oct 12, 2023	D · potential	Ensure each resident receives an accurate assessment.	Routine
Oct 12, 2023	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Oct 12, 2023	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Oct 12, 2023	E · potential	Have 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.	Routine
Oct 12, 2023	D · potential	Implement 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.	Routine
Oct 12, 2023	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Oct 12, 2023	D · potential	Ensure 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.	Routine
Oct 12, 2023	E · potential	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	Routine
Oct 12, 2023	D · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Oct 12, 2023	B · minimal	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.	Routine
Oct 12, 2023	B · minimal	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Hillcrest Manor Sanitarium
1889 National City Blvd., National City, CA 91950 · (619) 477-1176

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 055975
Certified beds: 98
Legal owner: Imaginative Horizons INC

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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