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Pacifica Nursing and Rehabilitation Center

All states › California › Pacifica › Pacifica Nursing and Rehabilitation Center

385 Esplanade Avenue Pacifica, CA 94044 · San Mateo County

(650) 993-5576

All 2 nursing homes in Pacifica, CA (2 take Medicaid)

Accepts Medicare Accepts Medicaid 68 certified beds For profit

CMS certification number 056205 · 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 Pacifica Nursing and Rehabilitation Center 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 Pacifica Nursing and Rehabilitation Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the California average of 3.2. Inspectors issued 6 citations in the last three years. CMS reports no fines or payment denials in that time.

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 5.48 hours per resident per day at Pacifica Nursing and Rehabilitation Center, above the California median of 4.27 (US median: 3.72). About 1.25 of those hours are from registered nurses. On weekends it falls to 4.76 hours, 13% below its all-week average. 29.4% of nursing staff left within a year (California median 36%).

Nursing care per resident per day 5.48 hours
Above the California median of 4.27 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.25 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.76 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 29.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 27.8% 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 beds68
Residents per day 58 About 85% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMay 1970
Part of a chainThe Ensign Group
Legal business nameMUSSEL ROCK HEALTHCARE INC

Paying for care at Pacifica Nursing and Rehabilitation Center: Medicare and Medicaid

Pacifica Nursing and Rehabilitation Center 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 May 22, 2026 and found 0 deficiencies. In total, inspectors issued 6 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 6 citations at Pacifica Nursing and Rehabilitation Center across 3 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 6 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (3) and infection control (1). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, November 22, 2024).

November 22, 2024 · 3 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 28, 2024)

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 (Nov 28, 2024)

DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Complaint inspection · Deficient, Provider has date of correction (Nov 28, 2024)

June 4, 2024 · 2 citations · includes complaint inspection

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jun 28, 2024)

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 · Complaint inspection · Deficient, Provider has date of correction (Jun 28, 2024)

August 24, 2023 · 1 citation

EProvide 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 (Sep 20, 2023)

Questions to ask on a tour of Pacifica Nursing and Rehabilitation Center

  1. What do families most often ask you about before moving in?
  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 5/5 5/5 5/5
August 2026 5/5 5/5 5/5 5/5
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Location

Hospitals near Pacifica Nursing and Rehabilitation Center

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

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

Nearby nursing homes

Golden Pavilion Healthcare Daly City · 1.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 239 beds · Medicaid
Golden Heights Healthcare Daly City · 1.7 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 102 beds · Medicaid
Ahmc Seton Medical Center Daly City · 2.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 186 beds · Medicaid
San Bruno Skilled Nursing San Bruno · 4.1 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 45 beds · Medicaid
Linda Mar Care Center Pacifica · 4.4 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 59 beds · Medicaid

More nursing homes near Pacifica Nursing and Rehabilitation Center ›   All nursing homes in Pacifica ›

Compare Pacifica Nursing and Rehabilitation Center with the 3 closest homes side by side ›

Other The Ensign Group nursing homes in California

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group 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/pacifica/pacifica-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.