Hillcrest Manor Sanitarium — nursing home in National City, CA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 98 CMS-certified beds (not state-licensed beds)
Licensed beds: 60 state-licensed beds · California Department of Public Health
State license: 090000056 active · licensee IMAGINATIVE HORIZONS, INC.
Average residents per day: 57.9 CMS, MDS-derived
CMS Certification Number: 055975
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 17, 1968
Ownership type: For profit - Corporation
Operator (legal business name): Imaginative Horizons Inc
CMS chain: Not part of a CMS-reported chain
Phone: (619) 477-1176
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2

2009–2021

Class AA / A

0

no class AA

Since 2019

1

$1,000 final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

8

latest Feb 12, 2026

Citations

59

33 health · 26 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D31	E8	F8
Minimal	A·	B7	C5

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 055975
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 98
First approved: Sep 17, 1968
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 16, 2026
Evidence: Verified

State license

Authority: California Department of Public Health (CDPH), Licensing & Certification
License number: 090000056
State facility ID: 090000064
License type: Skilled Nursing Facility
License status: active
Licensed beds: 60
Licensee: IMAGINATIVE HORIZONS, INC. · Profit Corp
Initially licensed: Jul 1, 1957
Current license: Dec 1, 2025 → Nov 30, 2026
Certification (per state): Licensed and Certified
Federal programs (per state): Medicare (and possibly Medicaid)
As of: Oct 16, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 12, 2026	Fire safety	Fire Safety Standard	7	Potential harm	2	Open →
Feb 12, 2026	Health	Health Standard	12	Potential harm	—	Open →
Sep 15, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 21, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Nov 21, 2024	Health	Health Standard	5	Potential harm	—	Open →
Feb 15, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 12, 2023	Fire safety	Fire Safety Standard	12	Potential harm	—	Open →
Oct 12, 2023	Health	Health Standard	14	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Aug 10, 2021 violation Oct 1, 2019	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	$0	Closed	810016936
May 12, 2009 violation Mar 12, 2009	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,000	Closed	090006174

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D31	E8	F8
Minimal	A·	B7	C5

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 12, 2026	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Mar 6, 2026
Feb 12, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 24, 2026
Feb 12, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 6, 2026
Feb 12, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 5, 2026
Feb 12, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0656	Develop 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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0712	Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0727	Have 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 Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Mar 9, 2026
Feb 12, 2026	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 9, 2026
Feb 12, 2026	F-0761	Ensure 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 9, 2026
Feb 12, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 9, 2026
Feb 12, 2026	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	B · Minimal Pattern	No plan of correction
Feb 12, 2026	K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 21, 2026
Feb 12, 2026	K-0400	Meet fire sprinkler requirement for tall buildings. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
Feb 12, 2026	F-0911	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Past non-compliance
Feb 12, 2026	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Past non-compliance
Sep 15, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 11, 2025	Complaint
Nov 21, 2024	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Dec 13, 2024
Nov 21, 2024	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 13, 2024
Nov 21, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 13, 2024
Nov 21, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 13, 2024
Nov 21, 2024	F-0727	Have 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 Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Dec 19, 2024
Nov 21, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 19, 2024
Nov 21, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 19, 2024
Nov 21, 2024	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Dec 13, 2024
Nov 21, 2024	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Dec 13, 2024
Nov 21, 2024	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Dec 13, 2024
Nov 21, 2024	F-0911	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Dec 19, 2024
Nov 21, 2024	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Dec 19, 2024
Feb 15, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 4, 2024	Complaint
Oct 12, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 6, 2023
Oct 12, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 6, 2023
Oct 12, 2023	K-0541	Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 6, 2023
Oct 12, 2023	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0584	Honor 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 Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0656	Develop 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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0727	Have 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 Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Nov 30, 2023
Oct 12, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0761	Ensure 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 30, 2023
Oct 12, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 30, 2023
Oct 12, 2023	F-0911	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Nov 30, 2023
Oct 12, 2023	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Nov 30, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 4.2

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.26

State avg 4.54US avg 3.90

Registered nurse (RN)0.36

State avg 0.68US avg 0.69

Licensed practical nurse0.98

State avg 1.20US avg 0.86

Nurse aide2.92

State avg 2.66US avg 2.35

Weekend total nurse3.80

State avg 4.10US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.29 (case-mix index 0.95).

Staff turnover

Total nursing staff turnoverNot reported

State avg 36.6%US avg 45.3%

Registered nurse turnoverNot reported

State avg 37.8%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 12, 2026
Cycle 1 health score: 48
Total weighted score: 47

Operating entity

Imaginative Horizons Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

1

Organizations

0

Individuals

1

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Maria Carmina Estacio	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	May 7, 2008

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1889 National City Blvd., National City, CA 91950
ZIP: 91950
County: San Diego County FIPS 06073
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954	0.4 km	98	Jun 22, 2026	602 harm2 open	$16k
Castle Manor Nursing & Rehabilitation Center 541 V Avenue, National City, CA 91950 CCN 5552631 state class AA/A	2.2 km	99	Mar 27, 2025	371 harm	$10k
Friendship Manor Nursing & Rehab Center 902 South Euclid Avenue, National City, CA 91950 CCN 055964	2.5 km	104	Jul 8, 2026	49	$291k
Paradise Valley Health Care 2575 E. Eighth St., National City, CA 91950 CCN 056388	2.7 km	86	Jan 8, 2026	411 IJ	$10k
South Bay Post Acute Care 553 F Street, Chula Vista, CA 91910 CCN 555873	3.3 km	99	Apr 13, 2026	43	—
Reo Vista Healthcare Center 6061 Banbury St., San Diego, CA 92139 CCN 056330	3.8 km	162	Apr 23, 2026	692 harm	$21k
Golden Hill Post Acute 1201 34th St., San Diego, CA 92102 CCN 056182	6 km	99	Aug 11, 2026	701 harm	—
Brighton Place San Diego 1350 N. Euclid Avenue, San Diego, CA 92105 CCN 055795	6.2 km	99	May 27, 2026	74	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055975	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055975	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	090000064	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055975

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction