Nursing HomeInspections

Hillcrest Manor Sanitarium

Nursing home in National City, CA

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
1889 National City Blvd., National City, CA 91950
Phone
(619) 477-1176
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
055975
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
98
Average residents per day
58
Ownership
For-profit, corporation
Legal business name
Imaginative Horizons INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 17, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055975. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 12, 2023 to Feb 12, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 12, 2026Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental		B
Potential for minimal harm, pattern
Feb 12, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Feb 12, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Feb 12, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 12, 2026Have 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.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Feb 12, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 33. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.26 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.92 hours
Total nurse staffing on weekends
3.80 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in National City

Friendship Manor Nursing & Rehab Center902 South Euclid Avenue · National City, CA 91950 · (619) 791-7700 · For-profit30 health citations in 3 inspection cycles · last standard inspection Jul 24, 2025 · $291,074 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)
Paradise Valley Health Care2575 E. Eighth St. · National City, CA 91950 · (619) 470-6700 · For-profit21 health citations in 3 inspection cycles · last standard inspection Nov 21, 2024 · $10,036 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)
Castle Manor Nursing & Rehabilitation Center541 V Avenue · National City, CA 91950 · (619) 791-7900 · For-profit25 health citations in 3 inspection cycles · last standard inspection Mar 27, 2025 · $10,188 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
National City Post Acute220 East 24th Street · National City, CA 91950 · (619) 474-6741 · For-profit47 health citations in 3 inspection cycles · last standard inspection Dec 19, 2025 · $15,652 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 5 in National City →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error