See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid

Hillcrest Heights Healthcare Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4033 Sixth Avenue Ext, Middletown · San Diego, CA 9210396 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 148 Google reviews

5
4
3
2
1
Hillcrest Heights Healthcare Center Nursing Home in San Diego, CA — Street View
Street View

Watch Hillcrest Heights Healthcare Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as the rehab team is frequently cited as world-class. However, if your loved one has dementia or requires strict medication adherence, you should specifically ask about noise control measures and their protocols for medication delivery and pharmacy communication.

Google Reviews

Google Reviews

148 reviews on Google
Families considering Hillcrest Heights Healthcare Center (also referred to as Mission Hills Post Acute Care) will find a highly praised rehabilitation and nursing team, particularly in physical and occupational therapy. While many reviewers celebrate the warm, family-like atmosphere and cleanliness, some families have raised serious concerns regarding medication management errors, loud environments in memory care, and inconsistent communication from administration.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean9.0Activities5.0Meds2.0Memory3.0Comms6.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Warm, compassionate, and professional nursing staff
  • Clean and well-maintained facility
  • Strong sense of community and family-like atmosphere

Concerns

  • Medication management errors and delays (mentioned by 3 reviewers)
  • Loud environment/noise levels in memory care (mentioned by 2 reviewers)
  • Inconsistent administrative communication (mentioned by 2 reviewers)
  • Food quality and variety (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(1)'19(7)'21(29)'23(15)'25(41)'26(26)

Distribution · 155 analyzed

5
119
4
13
3
4
2
3
1
16
18 reviews posted between Feb 17, 2021Feb 18, 2021 · 18 were 5-star
10 reviews posted between Sep 29, 2020Oct 1, 2020 · 10 were 5-star

How They Respond to Reviews

63%response rate
Good

The owner provides highly personalized responses that frequently address specific staff members, departments, or patient milestones mentioned in the reviews. They demonstrate empathy in sensitive situations, such as condolences or recovery milestones, and acknowledge constructive criticism regarding food and facilities.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents to maintain their mobility?
  • 2How does the nursing team ensure that medication is administered accurately and on a consistent schedule every day?
  • 3What steps are taken to manage noise levels and create a calm, soothing environment for residents in the memory care unit?
  • 4Could you describe the daily meal schedule and how you work to provide a variety of nutritious food options for the residents?
  • 5In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing care?
  • 6What kind of social activities or community events are organized to help foster that family-like atmosphere mentioned by so many families?

Personalized based on this facility's data


Key Review Excerpts

Due to the amazing therapy staff, Sonya, Katie, Karen, Keenan and Emily, her quality of life is returning. Wow, these people have such dedication, education, experience and training.

Long-term resident's family · 2025★★★★★

The hallways are very loud, even in the evenings despite there being "quiet zone" signs everywhere. TVs are blarring and employees often shout to each other across the hall instead of talking quietly.

Memory care family member · 2026★★★☆☆

I watched it go from the old owners to the new owners and each time it's better and better

Long-term resident's family · 2025★★★★★
Source: 148 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
86%
Registered nurses for medical care
Total Nursing
4.09hrs
100%
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
15.4%
CA
11.6%
San diego
11.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
12.1%
CA
7.0%
San diego
9.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.5%
CA
13.7%
San diego
15.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San diego
98.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.9%
Mixed vs Avgs
Here
9.9%
US
15.3%
CA
10.5%
San diego
9.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.7%
Mixed vs Avgs
Here
14.7%
US
19.4%
CA
10.7%
San diego
11.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
79.7%
CA
93.2%
San diego
95.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
CA
94.2%
San diego
97.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Near state avg (15.4)
14 complaint-triggered
$6,351 in fines

This facility has ongoing problems with families filing complaints (14 complaint-triggered deficiencies), particularly around resident rights and care planning issues that persist across multiple recent surveys. The most recurring problems involve care planning and assessment, nutrition and dietary services, and fire safety systems. While all deficiencies show correction dates, the pattern of repeated issues in core care areas like medication management and accident prevention, combined with frequent family complaints about resident treatment and discharge processes, suggests systemic care quality concerns that warrant careful investigation before placement.

Nov 25, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 6, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

May 21, 2025Complaint
3
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 9, 2025Routine
9
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Nov 7, 2024Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Oct 17, 2024Complaint
1
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

May 30, 2023

$6,351

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hillcrest Heights Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Aspen Skilled Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 3.5/5 · Rank 24 of 34

Ownership & Management

Owners

Asd6, LLC

Owner · Organization

100%

Jacaranda Healthcare Group LLC

Owner (parent company) · Organization

Bradshaw, Peter

Owner (parent company)

Elsner, Eric

Owner (parent company)

Kirkwood, Jared

Owner (parent company)

Orgill, Craig

Owner (parent company)

Parti, Rajesh

Owner (parent company)

Parti, Shruty

Owner (parent company)

Paxman, Marcus

Owner (parent company)

Bradshaw, Jeffrey

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Caslmon, TimothyManaging Control - Governing BodyThompson, StephenManaging Control - Governing BodyBrady, VernOfficer / DirectorCase, RyanOfficer / DirectorAsd6, LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call