Hillcrest Post Acute Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Hillcrest Post Acute in Petaluma, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. Federal and state inspectors publish what they find.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 4 of 5 stars. The health inspection rating, the most independent of the three categories, is 4 of 5.
- California state citations: 1 on record, including 1 class B, with $2,000 in assessed penalties.
- Staffing: 4.38 nursing hours per resident per day. Registered nurse turnover not reported.
- Most recent standard inspection: 9 deficiencies cited on September 11, 2025.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: Trestles Holdings LLC, for-profit, part of West Harbor Healthcare (8 facilities nationally).
Hillcrest Post Acute ratings and staffing
Hillcrest Post Acute is located at 450 Hayes Lane in Petaluma, Sonoma County. It is a for-profit facility operated by Trestles Holdings LLC, part of West Harbor Healthcare, with 59 certified beds and an average of 54.1 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Hillcrest Post Acute, those scores are: health inspections 4 of 5, staffing 4 of 5, quality measures 4 of 5.
Staffing. Hillcrest Post Acute reports 4.38 total nursing hours per resident per day, of which 0.51 are registered nurse hours. Over the reporting year, 25.9% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Homes in Sonoma County with a higher CMS overall rating
CMS rates each of these homes above Hillcrest Post Acute on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.
- Petaluma Post-Acute Rehabilitation, Petaluma: CMS overall rating 5 of 5
- Arbol Healthcare Center of Santa Rosa, Santa Rosa: CMS overall rating 5 of 5
- Summerfield Health Care Center, Santa Rosa: CMS overall rating 5 of 5
- Spring Lake Village, Santa Rosa: CMS overall rating 5 of 5
- Cloverdale Healthcare Center, Cloverdale: CMS overall rating 5 of 5
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
September 11, 2025, standard inspection
9 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program, dispose of garbage and refuse properly, and 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.
- F0880Provide and implement an infection prevention and control program. (scope and severity F)
- F0814Dispose of garbage and refuse properly. (scope and severity E)
- F0584Honor 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. (scope and severity D)
- F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)
- F0641Ensure each resident receives an accurate assessment. (scope and severity D)
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
- F0688Provide 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. (scope and severity D)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
March 17, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for respond appropriately to all alleged violations.
- F0610Respond appropriately to all alleged violations. (scope and severity D)
April 22, 2024, standard and complaint inspections
7 deficiencies cited. Surveyors cited the facility for post nurse staffing information every day, designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home, and provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0732Post nurse staffing information every day. (scope and severity F)
- F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (scope and severity F)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
- F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (scope and severity E)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
March 4, 2022, standard inspection
13 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, ensure each resident receives an accurate assessment, and develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
- F0641Ensure each resident receives an accurate assessment. (scope and severity E)
- F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity E)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
- F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
Penalties. CMS records show no federal fines for Hillcrest Post Acute in the reported period.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 1 citation against Hillcrest Post Acute between November 20, 2018 and November 20, 2018: 1 class B, with $2,000 in assessed penalties.
- November 20, 2018, class B, Patient Care. $2,000 penalty.
Across Sonoma County's 18 certified facilities, the average is about 16.8 state citations per facility. Hillcrest Post Acute's 1 is below that average.
A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Petaluma
Families comparing options in Petaluma often look at these facilities as well. Each link opens that facility's full public record:
- Vineyard Post Acute, 3 stars, 24 state citations
- North Bay Post Acute, 1 star, 25 state citations
- Petaluma Post-Acute Rehabilitation, 5 stars, 5 state citations
- Ridgeway Post Acute, 1 star, 42 state citations
See every facility in the Sonoma County nursing home directory.
Other nursing homes in Sonoma County
These are other nursing homes in Sonoma County, listed by how close each home's ZIP code is to the ZIP code for Hillcrest Post Acute. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- North Bay Post Acute, Petaluma
- Petaluma Post-Acute Rehabilitation, Petaluma
- Ridgeway Post Acute, Petaluma
- Vineyard Post Acute, Petaluma
- Arbol Healthcare Center of Santa Rosa, Santa Rosa
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Hillcrest Post Acute, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Sonoma County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Sonoma County's ombudsman program can be reached at (707) 526-4108. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Hillcrest Post Acute is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Sonoma County
If a loved one was harmed at Hillcrest Post Acute, these pages explain how Sonoma County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Sonoma County bedsore lawyer
- Sonoma County nursing home neglect lawyer
- Sonoma County nursing home fall lawyer
- Sonoma County nursing home wrongful death lawyer
You can also compare every home in the Sonoma County nursing home directory.
Are There Lawsuits Against Hillcrest Post Acute?
This page reports federal and state inspection, complaint and enforcement records for Hillcrest Post Acute. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Sonoma County are searchable through the Sonoma County Superior Court's online case records. If your family member was injured at Hillcrest Post Acute, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Hillcrest Post Acute a good nursing home?
- CMS gives Hillcrest Post Acute an overall rating of 4 of 5 stars, with a health inspection rating of 4 of 5 based on in-person state surveys. California has issued 1 state citation against the facility. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Hillcrest Post Acute?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Sonoma County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Hillcrest Post Acute been fined or cited for serious violations?
- Public records show 1 California state citation with $2,000 in state penalties.
- How many state citations does Hillcrest Post Acute have?
- The California Department of Public Health has issued 1 citation against Hillcrest Post Acute in Petaluma between November 20, 2018 and November 20, 2018: 1 class B, with $2,000 in assessed penalties.
- How do I report a problem at Hillcrest Post Acute?
- File a complaint with CDPH through its Cal Health Find system, or contact the Sonoma County Long-Term Care Ombudsman at (707) 526-4108. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Hillcrest Post Acute, talk to our Sonoma County nursing home abuse lawyers. We handle cases in Petaluma and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Hillcrest Post Acute provider record, CCN 555127. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Hillcrest Post Acute state license record, FACID 010000079, license 10000053.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Hillcrest Post Acute in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Hillcrest Post Acute, and neither the facility nor any government agency endorses this page.