Operating under California license 090000077 and NPI 1558825067, Hillcrest Heights Healthcare Center is the 96-bed skilled nursing facility at 4033 Sixth Avenue, CMS-certified continuously since 1995 and licensed under the legal name Asd6, LLC. Long- and short-term residents receive nursing, physical and occupational therapy, podiatry, dental services, and on-site mental health support, a higher-acuity tier than what adult day programs such as George G. Glenner Alzheimer's Family Centers, Inc. can provide for daytime memory care. The facility participates in Medicare and Medicaid and accepts Medi-Cal Managed Care for long-term placement, running as a for-profit limited liability operation. Direct-care RN, LVN, and LPN coverage averages just over 1.49 licensed nursing hours per resident per day, supplemented by physical therapist availability that exceeds the national average and feeds discharged residents into outpatient PCP networks anchored by Perlman Clinic San Diego. Residents have access to therapeutic activities, social work, and a residents' council, with the building situated minutes from UC San Diego Health Hillcrest for any acute escalation requiring hospital transfer. The facility's most demanding placements are residents with advanced cognitive decline plus complex polypharmacy, where charge nurses coordinate behavioral interventions, fall-risk monitoring, and family meetings throughout multi-month stays that may extend into hospice transition.