Hillcrest Nursing Home
4280 Cypress Drive, San Bernardino, CA 92407 · San Bernardino County · 59 certified beds · avg 50 residents/day · certified since Dec 3, 2014
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (20)
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 |
|---|---|---|
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Nov 18, 2025 | 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. |
| Jul 26, 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. |
| Jul 26, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 26, 2024 | 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. |
| Jul 26, 2024 | 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. |
| Jul 26, 2024 | D · Potential for harm, one-off | 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. |
| Jul 26, 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. |
| Mar 3, 2022 | 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. |
| Mar 3, 2022 | E · Potential for harm, repeated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Mar 3, 2022 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Mar 3, 2022 | 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. |
| Mar 3, 2022 | 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. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Mar 3, 2022 | D · Potential for harm, one-off | 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. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
| Mar 3, 2022 | 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 decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 11 | 0 | F |
| 2024 | 6 | 0 | F |
| 2025 | 3 | 0 | D |
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) | 4.83 | 4.31 | 3.95 | top 19% in California; top 16% in the U.S. |
| Registered Nurse hours | 0.23 | 0.61 | 0.69 | bottom 3% in California; bottom 4% in the U.S. |
| Weekend total nurse staffing | 4.67 | 3.90 | 3.50 | top 11% in California; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.51 | 0.48 | bottom 5% in California; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 60.6 | 36.7 | 45.8 | bottom 3% in California; bottom 15% in the U.S. |
| 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 3.68, RN 0.17, weekend 3.56. 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: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barrios, Maria | Individual | 5% or Greater Direct Ownership Interest | 50% | 01/01/2014 |
| Garcia, Napoleon | Individual | 5% or Greater Direct Ownership Interest | 50% | 01/01/2014 |
| Andrade, Juan | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2017 |
| Andrade, Juan | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2017 |
| Barrios, Maria | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2014 |
| Barrios, Maria | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Barrios, Maria | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| Barrios, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Barrios, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
| Brantley, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/09/2006 |
| Brantley, David | Individual | ADP of the SNF | NOT APPLICABLE | 08/09/2006 |
| Marcial, Cesar | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/22/2021 |
| Marcial, Cesar | Individual | ADP of the SNF | NOT APPLICABLE | 06/22/2021 |
| Parida, Manoj | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2019 |
| Parida, Manoj | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Sanders, Leeann | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Sanders, Leeann | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Sanders, Leeann | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Sanders, Leeann | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Santos, Oscar | Individual | Corporate Director | NOT APPLICABLE | 04/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Can I see the actual room my family member would live in before we decide?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 | Flags |
|---|---|---|---|---|---|
| Shandin Hills Behavior Therapy Center | 0.2 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Arrowhead Healthcare Center, LLC | 1.2 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Waterman Canyon Post Acute | 3.4 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Community Convalescent Center of San Bernardino | 3.5 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Community Hospital of San Bernardino DP SNF | 3.5 mi | San Bernardino, CA | ★★☆☆☆ | 3/5 | |
| Valley Healthcare Center | 3.5 mi | San Bernardino, CA | ★★★★☆ | 3/5 | |
| Haven Post Acute | 3.7 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Medical Center Convalescent Hospital | 3.7 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Arrowhead Springs Healthcare | 3.9 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Del Rosa Villa | 4.4 mi | San Bernardino, CA | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 555890.