facebook tracking Hillcrest Post Acute, Petaluma CA: CMS Ratings & Inspections
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Hillcrest Post Acute

All states › California › Petaluma › Hillcrest Post Acute

450 Hayes Lane Petaluma, CA 94952 · Sonoma County

(707) 778-8686

All 5 nursing homes in Petaluma, CA (5 take Medicaid)

Accepts Medicare Accepts Medicaid 59 certified beds For profit

CMS certification number 555127 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Hillcrest Post Acute a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hillcrest Post Acute as of October 2026.

CMS rates it 5 out of 5 stars overall, above the California average of 3.2. Inspectors issued 30 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.47 hours per resident per day at Hillcrest Post Acute, above the California median of 4.27 (US median: 3.72). About 0.59 of those hours are from registered nurses. On weekends it falls to 4.10 hours, 8% below its all-week average. 23.3% of nursing staff left within a year (California median 36%). That is lower than most homes in California, a sign of a steadier team.

Nursing care per resident per day 4.47 hours
Above the California median of 4.27 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.59 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.10 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 23.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds59
Residents per day 54 About 91% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 1980
Part of a chainWest Harbor Healthcare
Legal business nameTRESTLES HOLDINGS LLC

Paying for care at Hillcrest Post Acute: Medicare and Medicaid

Hillcrest Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 11, 2025 and found 9 deficiencies. In total, inspectors issued 30 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 30 citations at Hillcrest Post Acute across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 30 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were pharmacy service (7) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level F, September 11, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

September 11, 2025 · 9 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 1, 2025)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Oct 1, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 1, 2025)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Oct 1, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Oct 1, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Oct 1, 2025)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Oct 1, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Oct 1, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 1, 2025)

March 17, 2025 · 1 citation · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Apr 4, 2025)

April 22, 2024 · 7 citations · includes complaint inspection

FPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (May 20, 2024)

FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (May 20, 2024)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (May 20, 2024)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 20, 2024)

EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Complaint inspection · Deficient, Provider has date of correction (May 20, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 20, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 20, 2024)

March 4, 2022 · 13 citations

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Apr 19, 2022)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 19, 2022)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 19, 2022)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 19, 2022)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 19, 2022)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Apr 19, 2022)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Apr 19, 2022)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 19, 2022)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 19, 2022)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 19, 2022)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Apr 19, 2022)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 19, 2022)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 19, 2022)

Questions to ask on a tour of Hillcrest Post Acute

  1. CMS cited the home under its abuse and neglect rules on September 11, 2025. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 4/5 5/5
August 2026 4/5 4/5 4/5 4/5
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Location

Hospitals near Hillcrest Post Acute

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.4 mi
    Petaluma Valley Hospital Petaluma
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 50m for patients treated and sent home
  • 9.9 mi
    Novato Community Hospital Novato
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 2h 36m for patients treated and sent home
  • 11.0 mi
    Sonoma Valley Hospital Sonoma
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 1h 59m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Petaluma Post-Acute Rehabilitation Petaluma · 0.0 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 90 beds · Medicaid
Ridgeway Post Acute Petaluma · 0.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 79 beds · Medicaid
North Bay Post Acute Petaluma · 0.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 98 beds · Medicaid
Vineyard Post Acute Petaluma · 2.5 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 99 beds · Medicaid
Novato Healthcare Center Novato · 9.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 181 beds · Medicaid

More nursing homes near Hillcrest Post Acute ›   All nursing homes in Petaluma ›

Compare Hillcrest Post Acute with the 3 closest homes side by side ›

Other West Harbor Healthcare nursing homes in California

Affiliation comes from CMS's affiliated-entity data, October 2026. All 9 West Harbor Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/california/petaluma/hillcrest-post-acute/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.