Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Nursing home

Hillcrest Post Acute

Petaluma, California · Sonoma County

  • 450 Hayes Lane, Petaluma, CA 94952 · Directions
  • (707) 778‑8686
  • Medicare overall rating: 5 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 30 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Hillcrest Post Acute is a Medicare-certified nursing home in Petaluma, California, with 59 certified beds. Medicare overall rating: 5 of 5 stars. Most recent standard health inspection: 2025-09-11, with 9 health deficiencies. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 5 of 5 starsMedicare overall rating
59Certified beds
Health inspections: 4 of 5 starsHealth inspections

Quick answers

Where is Hillcrest Post Acute?
450 Hayes Lane, Petaluma, CA 94952, in Sonoma County, California.
What is the phone number of Hillcrest Post Acute?
(707) 778-8686, as listed by Medicare (CMS).
What is the Medicare star rating of Hillcrest Post Acute?
Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
Has Hillcrest Post Acute been fined?
Medicare lists no fines for Hillcrest Post Acute.
What did inspectors find at Hillcrest Post Acute?
In its last three inspection cycles (March 4, 2022 to September 11, 2025), Medicare lists 30 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 5 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 4 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (March 4, 2022 to September 11, 2025), Hillcrest Post Acute had 30 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.47 hours per resident per day; the California average is 4.54 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: September 11, 2025 — 9 health citations

Inspections in this cycle: September 11, 2025 (standard health inspection).

Show 9 citations (levels A to F, no actual harm)
  • F0880 Level F September 11, 2025 · corrected October 1, 2025

    “Provide and implement an infection prevention and control program.”

  • F0814 Level E September 11, 2025 · corrected October 1, 2025

    “Dispose of garbage and refuse properly.”

  • F0584 Level D September 11, 2025 · corrected October 1, 2025

    “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.”

  • F0607 Level D September 11, 2025 · corrected October 1, 2025

    “Develop and implement policies and procedures to prevent abuse, neglect, and theft.”

  • F0641 Level D September 11, 2025 · corrected October 1, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0677 Level D September 11, 2025 · corrected October 1, 2025

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

  • F0688 Level D September 11, 2025 · corrected October 1, 2025

    “Provide 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.”

  • F0759 Level D September 11, 2025 · corrected October 1, 2025

    “Ensure medication error rates are not 5 percent or greater.”

  • F0761 Level D September 11, 2025 · corrected October 1, 2025

    “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.”

Previous cycle: April 22, 2024 — 8 health citations

Inspections in this cycle: April 22, 2024 (standard health inspection); March 17, 2025 (complaint investigation).

Show 8 citations (levels A to F, no actual harm)
  • F0732 Level F April 22, 2024 · corrected May 20, 2024

    “Post nurse staffing information every day.”

  • F0882 Level F April 22, 2024 · corrected May 20, 2024

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

  • F0684 Level E April 22, 2024 · corrected May 20, 2024

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0755 Level E April 22, 2024 · corrected May 20, 2024

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

  • F0868 Level E April 22, 2024 · from a complaint · corrected May 20, 2024

    “Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”

  • F0610 Level D March 17, 2025 · from a complaint · corrected April 4, 2025

    “Respond appropriately to all alleged violations.”

  • F0656 Level D April 22, 2024 · corrected May 20, 2024

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

  • F0761 Level D April 22, 2024 · corrected May 20, 2024

    “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.”

Earlier cycle: March 4, 2022 — 13 health citations

Inspections in this cycle: March 4, 2022 (standard health inspection); April 22, 2024 (complaint investigation).

Show 13 citations (levels A to F, no actual harm)
  • F0550 Level E March 4, 2022 · corrected April 19, 2022

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

  • F0641 Level E March 4, 2022 · corrected April 19, 2022

    “Ensure each resident receives an accurate assessment.”

  • F0657 Level E March 4, 2022 · corrected April 19, 2022

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

  • F0658 Level E March 4, 2022 · corrected April 19, 2022

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0689 Level E March 4, 2022 · corrected April 19, 2022

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

  • F0804 Level E March 4, 2022 · corrected April 19, 2022

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0554 Level D March 4, 2022 · corrected April 19, 2022

    “Allow residents to self-administer drugs if determined clinically appropriate.”

  • F0656 Level D March 4, 2022 · corrected April 19, 2022

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

  • F0684 Level D March 4, 2022 · corrected April 19, 2022

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0755 Level D March 4, 2022 · corrected April 19, 2022

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

  • F0757 Level D March 4, 2022 · corrected April 19, 2022

    “Ensure each resident’s drug regimen must be free from unnecessary drugs.”

  • F0761 Level D March 4, 2022 · corrected April 19, 2022

    “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.”

  • F0880 Level D March 4, 2022 · corrected April 19, 2022

    “Provide and implement an infection prevention and control program.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (21)
  • K0345 Level F September 11, 2025 · corrected September 30, 2025

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0372 Level E September 11, 2025 · corrected September 30, 2025

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0500 Level E September 11, 2025 · corrected September 30, 2025

    “Meet other general requirements that are deficient.”

  • K0920 Level E September 11, 2025 · corrected September 30, 2025

    “Ensure proper usage of power strips and extension cords.”

  • K0926 Level E September 11, 2025 · corrected September 30, 2025

    “Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”

  • K0291 Level D September 11, 2025 · corrected September 30, 2025

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0363 Level D September 11, 2025 · corrected September 30, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0711 Level D September 11, 2025 · corrected September 30, 2025

    “Provide a written emergency evacuation plan.”

  • K0712 Level D September 11, 2025 · corrected September 30, 2025

    “Have simulated fire drills held at unexpected times.”

  • K0919 Level D September 11, 2025 · corrected September 30, 2025

    “Meet requirements for the use of electrical equipment.”

  • K0345 Level F April 22, 2024 · corrected May 20, 2024

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0500 Level E April 22, 2024 · corrected May 20, 2024

    “Meet other general requirements that are deficient.”

  • K0711 Level E April 22, 2024 · corrected May 20, 2024

    “Provide a written emergency evacuation plan.”

  • K0919 Level E April 22, 2024 · corrected May 20, 2024

    “Meet requirements for the use of electrical equipment.”

  • K0923 Level E April 22, 2024 · corrected May 20, 2024

    “Have proper medical gas storage and administration areas.”

  • K0374 Level D April 22, 2024 · corrected May 20, 2024

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0741 Level D April 22, 2024 · corrected May 20, 2024

    “Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”

  • E0006 Level D March 4, 2022 · corrected April 5, 2022

    “Conduct risk assessment and an All-Hazards approach.”

  • K0211 Level D March 4, 2022 · corrected April 5, 2022

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0363 Level D March 4, 2022 · corrected April 5, 2022

    “Install corridor and hallway doors that block smoke.”

  • K0919 Level D March 4, 2022 · corrected April 5, 2022

    “Meet requirements for the use of electrical equipment.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeCaliforniaNational
Registered nurse (RN) hours per resident per day0.590.680.69
Licensed practical nurse (LPN) hours per resident per day1.271.200.86
Nurse aide hours per resident per day2.612.662.35
Total nurse staff hours per resident per day4.474.543.90
Total nurse staff hours per resident per day on the weekend4.104.103.43
RN hours per resident per day on the weekend0.490.520.48
Nursing staff turnover (per year)23.3%36.6%45.3%
RN turnover (per year)20.0%37.8%42.5%
Administrators who left in the last year0.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 9 nursing homes: West Harbor Healthcare.

Legal business name: Trestles Holdings LLC.

Owners and managers Medicare lists (4)
NameRoleShareSince
Valley Capital Investments LLCDirect owner5%June 30, 2016
West Harbor Healthcare LLCDirect owner90%June 30, 2016
Galbasini, KevinIndirect owner45%June 30, 2016
Gill, DanielIndirect owner45%June 30, 2016

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds59
Average residents per day53.6
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Group or chain (affiliated entity)West Harbor Healthcare
Legal business nameTrestles Holdings LLC
First approved by Medicare/Medicaid1980-06-27
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address450 Hayes Lane, Petaluma, CA 94952
CountySonoma County
StateCalifornia
Phone(707) 778‑8686
CMS Certification Number555127
Name in Medicare recordsHILLCREST POST ACUTE
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13