Nursing HomeInspections

Hillcrest Post Acute

Nursing home in Petaluma, CA

Medicare & Medicaid certified4★ overall (CMS)

Call (707) 778-8686Send a messageMap ↗

Public-record details

Address
450 Hayes Lane, Petaluma, CA 94952
Phone
(707) 778-8686
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
555127
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
59
Average residents per day
54
Ownership
For-profit, limited Liability company
Legal business name
Trestles Holdings LLC
Chain
West Harbor Healthcare (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 27, 1980
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 555127. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 4, 2022 to Sep 11, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 11, 2025Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 11, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure 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
Sep 11, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Sep 11, 2025Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Mar 17, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 22, 2024Develop 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
Apr 22, 2024Ensure 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

Showing the 12 most recent of 30. 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 Aug 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 Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.38 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
4.02 hours
Nursing staff turnover (yearly)
26%
Administrators who left in the past year
0

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.

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