Hillcrest Manor Sanitarium

Name: Hillcrest Manor Sanitarium
Address: 1889 NATIONAL CITY BLVD., National City, CA, 91950, US
Telephone: 6194771176

1889 National City Blvd., National City, CA 91950 · San Diego County · 98 certified beds · avg 56 residents/day · certified since Sep 17, 1968

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.29

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 12, 2026	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 12, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 12, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 12, 2026	B · Minimal risk, repeated	The facility had resident rooms holding more people than allowed — no more than 4 residents per room, and no more than 2 per room in buildings constructed after November 28, 2016.
Feb 12, 2026	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Sep 15, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 21, 2024	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Nov 21, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 21, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 21, 2024	B · Minimal risk, repeated	The facility had resident rooms holding more people than allowed — no more than 4 residents per room, and no more than 2 per room in buildings constructed after November 28, 2016.
Nov 21, 2024	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Feb 15, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Oct 12, 2023	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 12, 2023	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 12, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 12, 2023	B · Minimal risk, repeated	The facility had resident rooms holding more people than allowed — no more than 4 residents per room, and no more than 2 per room in buildings constructed after November 28, 2016.
Oct 12, 2023	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 12).

Year	Citations	Worst severity that year
2023	14	E
2024	6	F
2025	1	D
2026	12	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.29	4.31	3.95	top 4% in California; top 3% in the U.S.
Registered Nurse hours	0.45	0.61	0.69	bottom 44% in California; bottom 30% in the U.S.
Weekend total nurse staffing	5.73	3.90	3.50	top 4% in California; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.51	0.48	bottom 14% in California; bottom 14% in the U.S.
Total nursing staff turnover (%)	0.0	36.7	45.8	—
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.23, RN 0.30, weekend 3.85. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Estacio, Maria Carmina	Individual	W-2 Managing Employee	NOT APPLICABLE	05/07/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many hours a day is a registered nurse physically in the building, including weekends?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How often does the attending doctor physically see each resident, and how is that documented?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
National City Post Acute	0.3 mi	National City, CA	★★★☆☆	2/5
Castle Manor Nursing & Rehabilitation Center	1.4 mi	National City, CA	★★★★☆	4/5
Friendship Manor Nursing & Rehab Center	1.6 mi	National City, CA	★★★★★	5/5
Paradise Valley Health Care	1.6 mi	National City, CA	★★★★★	4/5
South Bay Post Acute Care	2.0 mi	Chula Vista, CA	★★★★★	5/5
Reo Vista Healthcare Center	2.4 mi	San Diego, CA	★★★☆☆	2/5
Golden Hill Post Acute	3.8 mi	San Diego, CA	★★★☆☆	3/5
Brighton Place San Diego	3.8 mi	San Diego, CA	★☆☆☆☆	2/5
Villa Coronado D/P SNF	4.5 mi	Coronado, CA	★★★★★	5/5
Arroyo Vista Nursing Center	4.9 mi	San Diego, CA	★★★★★	4/5
Veterans Home of California - Chula Vista	5.1 mi	Chula Vista, CA	★★★★★	4/5
University Care Center	5.7 mi	San Diego, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in National City →

Facility data as of CMS processing date 2026-08-01. CCN 055975.

The Care File

Visit checklist — Hillcrest Manor Sanitarium

1889 National City Blvd., National City, CA 91950 · 6194771176

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How often does the attending doctor physically see each resident, and how is that documented?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055975 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)