Hillcrest Heights Healthcare Center

    4033 Sixth Ave, San Diego, CA 92103
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate care and excellent rehab

    I'm very pleased with the care my mom received - compassionate, attentive nurses and CNAs, a hands-on administrator, and excellent rehab and wound care that got her ready for home. The facility is clean, welcoming, and feels like family, with delicious on-site meals and staff who communicate and respond promptly. I would recommend this place for quality post-hospital recovery.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.73·(59)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      4.2
    • Meals

      3.6
    • Amenities

      3.4
    • Value

      1.0

    Pros

    • Compassionate, attentive nursing and CNA staff
    • Skilled wound care and rehabilitation services
    • Robust physical and occupational therapy program
    • Engaging, thoughtfully planned activities program
    • On-site meal preparation with opportunities for individualized preferences
    • Administrator and leadership who regularly round and engage with residents
    • Bilingual staff and proactive family communication in many cases
    • Clean, well-maintained areas and renovated rehab spaces
    • 24/7 clinical phone availability for family contact
    • Coordination for dialysis and other complex medical needs
    • Proximity to major hospitals and specialty care

    Cons

    • Inconsistent responsiveness to call lights and urgent requests
    • Communication gaps with families and primary physicians
    • Medication-administration inconsistencies and delays
    • Variable sanitation and incontinence-care practices
    • Inconsistent meal quality and dietary management
    • Staffing variability and rotating CNAs that reduce continuity
    • Limited or unreliable in-room telephone and family-contact systems
    • Discharge and placement practices tied to payer status with unclear explanation
    • Allegations of theft and mishandling of personal belongings
    • Facility access and room-capacity challenges (crowding, entrance/parking limitations)

    Summary of reviews

    Reviews for Hillcrest Heights Healthcare Center present a notably mixed picture: many families and patients describe high-quality clinical services and a caring culture, while others document operational lapses that materially affected care. Positive commentary centers on nursing assistants, nurses, wound-care nurses, and a strong rehabilitation team that deliver effective, personalized therapy and measurable recovery outcomes. Several accounts highlight successful wound healing, aggressive and well-resourced therapy programming, and coordinated support for complex needs such as dialysis. The facility’s administration and some leaders receive frequent praise for being visible, accessible, and hands-on.

    Staff behavior and clinical care are a clear strength in many experiences: compassionate bedside care, attentive CNAs, and skilled physical and occupational therapists who create tailored plans and help patients return home. The activities program is regularly described as thoughtful and engaging, contributing to a vibrant atmosphere for residents. Food service is often noted positively — with on-site preparation, opportunities for individualized preferences, and staff who solicit input — though opinions on meal quality are mixed across reports.

    Contrasting with these strengths, reviews raise recurring operational concerns. The most common themes are inconsistent responsiveness to call lights and urgent requests, delays or inconsistencies in medication administration, and gaps in communication between staff, attending physicians, and families. These communication breakdowns extend to difficulty contacting residents (absence of reliable in-room phones), inconsistent follow-up from office staff, and confusion about discharge timing and payer-related procedures. Several accounts describe sanitation- and incontinence-care challenges and intermittent odor concerns in parts of the building, indicating variability in environmental and personal-care processes.

    Management and administrative practices appear bifurcated: some families praise an engaged administrator and staff who resolve issues, while others report poor front-office follow-up and placement/consent concerns. There are also serious individual allegations regarding missing personal items; these fall into a different category than routine operational complaints and were raised strongly enough to warrant attention. Physical plant comments are similarly mixed — renovated and spacious rehab areas, proximity to nearby hospitals, and generally tidy rooms are balanced against reports of crowded rooms, occasional HVAC/odor problems, spotty Wi‑Fi, and confusing entrance/parking routes.

    Taken together, the pattern is one of a facility capable of strong clinical and rehabilitative outcomes when staffing, communication, and operational controls are functioning well, but also susceptible to intermittent failures in responsiveness, continuity, and administrative follow-through. Prospective residents and families should weigh the facility’s demonstrable clinical strengths against documented operational variability, and consider asking targeted questions about staffing ratios, call-light response times, medication-administration checks, in-room communication options, policies for safeguarding personal belongings, and how discharge decisions will be communicated and managed.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hillcrest Heights Healthcare Center

    Hillcrest Heights Healthcare Center is located at 4033 Sixth Ave, San Diego, CA, 92103.

    About Hillcrest Heights Healthcare Center

    Hillcrest Heights Healthcare Center is a skilled nursing facility in San Diego that has 96 licensed beds and takes care of about 92 residents each day, so folks needing a lot of help can get round-the-clock care. People come here for short-term rehabilitation right after a hospital stay when they're not quite ready to go home, and some stay longer who are very frail and need skilled nursing or intermediate care. The building itself is modern and clean with a peaceful feeling, and it's just a few minutes from Scripps Mercy Hospital San Diego and close to the highway, which is handy. The staff keeps the place running 24 hours a day, and they try to focus on safety and comfort for everyone, using a therapy team known for doing a good job, helping people heal, and making sure everyone gets their own kind of care from professionally trained workers. The place has about 4 nurse hours per resident per day and a friendly staff, but nurse turnover runs at about 40%, roughly the same as the nurse staffing percentage, which says something about how hard the job is sometimes. The center has won awards for its rehabilitation services and has a five-star rating for quality measures, and does its best to create a home-like setting, but inspection reports have found 45 deficiencies since October 2018, including concerns with nutrition, like not always handling allergies and preferences as they should, and pharmacy services, including some medication errors and issues making sure pharmacists handle enough of the pharmaceutical services. Over the past years, inspectors found three infection-related issues too, so there's always areas that could be improved. Aspen Skilled Healthcare backs this place, with owners including Aspen Skilled Healthcare Inc, Jeffrey Bradshaw, Vern Brady, and Ryan Case, and Jeffrey Bradshaw has been running the day-to-day operations since 2018 through Asd6, LLC. Besides the healthcare center in San Diego, Hillcrest Heights is also known as Hillcrest Residential Care I & II in Anaheim Hills, which offers smaller board and care settings for up to 6 seniors per home, making things feel cozy and homey, with personalized services, three meals a day, and care that pays attention to special dietary needs. The facility allows tours, so you can see the rooms, meet the staff and residents, and get a real sense of how things feel before making a decision. Although Hillcrest Heights has amenities and healthcare services to try making everyone comfortable and safe, there have been some problems and reports show that while much is done right, families will want to ask questions and look around when figuring out if it's the right fit for their loved one.

    People often ask...

    Hillcrest Heights Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 8 photos of Hillcrest Heights Healthcare Center on Mirador.

    The full address for this community is 4033 Sixth Ave, San Diego, CA 92103.

    No, Hillcrest Heights Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hillcrest Heights Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hillcrest Heights Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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