Hillcrest Heights Healthcare Center
A nursing home in San Diego, California 92103
4033 Sixth Avenue Ext, San Diego, California 92103. (619) 297-4086.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle California average: 15.7
- 4.09 nurse hours per resident per day California average: 4.54
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
8 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Jan 9, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
31 citations in 8 months of the last 36. Last cited Nov 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 32 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 13 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Nov 25, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 6, 2025: complaint inspection1 citation
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
May 21, 2025: complaint inspection3 citations
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 9, 2025: standard inspection7 citations
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Ensure each resident receives an accurate assessment.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 7, 2024: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Oct 17, 2024: complaint inspection1 citation
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Oct 4, 2024: complaint inspection1 citation
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Feb 12, 2024: complaint inspection1 citation
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Ensure that residents are fully informed and understand their health status, care and treatments.
Feb 1, 2024: standard inspection12 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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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.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide care or services that was trauma informed and/or culturally competent.
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Provide routine and 24-hour emergency dental care for each resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Feb 1, 2024: standard and complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Dec 21, 2023: complaint inspection1 citation
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nov 15, 2023: complaint inspection1 citation
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Prepare residents for a safe transfer or discharge from the nursing home.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 22, 1995.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 96 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 13 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.09 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 4.09 | 4.54 |
| Of which registered nurses | 0.73 | 0.68 |
| At weekends | 3.74 | 4.10 |
| Nursing staff turnover | 31% | 36.6% |
| Registered nurse turnover | 40% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Asd6, LLC owns 100% directly since Dec 18, 2019.
- Asd6, LLC runs it.
- 29 owners or officers are people: Vern J Brady (owns 5% or more through other companies, 31.95%); Ryan M Case (owns 5% or more through other companies, 31.77%); Jeffrey J Bradshaw (owns 5% or more through other companies, 22.25%); Eric Elsner (owns a share through other companies, 4.08%); Shruty Parti (owns a share through other companies, 4.08%); Rajesh Parti (owns a share through other companies, 4.08%); Craig Orgill (owns a share through other companies, 1.3%); Jared Kirkwood (owns a share through other companies, 0.3%); Peter Bradshaw (owns a share through other companies, 0.09%); Marcus J Paxman (owns a share through other companies, 0.01%); Jeffrey J Bradshaw (additional disclosable party (controls, leases property to, or provides services to the home)); Dina Mookini (runs it (operational or managerial control)); Dina Mookini (additional disclosable party (controls, leases property to, or provides services to the home)); Timothy Caslmon (runs it (operational or managerial control)); Timothy Caslmon (on the governing body (managing control)); Timothy Caslmon (additional disclosable party (controls, leases property to, or provides services to the home)); Ryan M Case (corporate officer); Ryan M Case (additional disclosable party (controls, leases property to, or provides services to the home)); Marcus J Paxman (additional disclosable party (controls, leases property to, or provides services to the home)); Farschad K Birdjandi (runs it (operational or managerial control)); Farschad K Birdjandi (additional disclosable party (controls, leases property to, or provides services to the home)); Johanna Lumawag (runs it (operational or managerial control)); Johanna Lumawag (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen Thompson (runs it (operational or managerial control)); Stephen Thompson (on the governing body (managing control)); Stephen Thompson (additional disclosable party (controls, leases property to, or provides services to the home)); Frank Jurado (additional disclosable party (controls, leases property to, or provides services to the home)); Vern J Brady (corporate officer); Vern J Brady (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Aspen Skilled Healthcare (35 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Aspen Skilled Healthcare Inc. | Owns 5% or more through other companies | 100% | Feb 16, 2019 |
| Jacaranda Healthcare Group LLC | Owns a share through other companies | 100% | Jan 1, 2023 |
| Asd6, LLC | Owns 5% or more directly | 100% | Dec 18, 2019 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2019 | |
| Aspen Healthcare Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2023 | |
| Jacaranda Healthcare Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2019 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2019 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 10, 2025 | |
| Asd6, LLC | Runs it (operational or managerial control) | Dec 18, 2019 | |
| Asd6, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2019 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.2 miles, this one had the 9th most health citations at the latest inspection cycle (8; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Hillcrest Heights Healthcare Center This nursing home | 8 | |
| Mission Hills Post Acute Care | 0.3 | 11 |
| Balboa Nursing & Rehabilitation Center | 0.8 | 12 |
| St. Pauls Health Care Center | 1.3 | 18 |
| The Pavilion at Ocean Point | 2.9 | 13 |
| The Shores Post-Acute | 3.3 | 22 |
| Kearny Mesa Convalescent and Nursing Home | 3.5 | 6 |
| Golden Hill Post Acute | 3.6 | 22 |
| Helen Bernardy Center D/P SNF | 3.7 | 4 |
| Villa Coronado D/P SNF | 3.8 | 12 |
| Arroyo Vista Nursing Center | 4.2 | 4 |
| Jacob Healthcare Center | 5.2 | 12 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.