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A

92/100

Excellent

Pacifica Nursing And Rehabilitation Center

385 Esplanade Avenue, Pacifica, CA 94044

CMS 5/5 stars #1 of 14 in San Mateo County (650) 993-5576
Certified beds
68
Occupancy
92%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Pacifica Nursing And Rehabilitation Center

Pacifica Nursing and Rehabilitation Center runs 68 certified beds under for-profit LLC ownership, and the numbers that stand out most are its staffing and its inspection record. Nurse staffing sits at 5.25 hours per resident day, roughly a third more than the national average, and annual turnover of 28.7% is well below the 45.8% typical elsewhere, both signs of a stable, well-manned floor. Weekend coverage does dip about 11% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. On inspections, six deficiencies sit on the current record, none rising to harm or jeopardy, and none abuse-related. The last survey was recent, in May 2026. Five stars across health inspections, quality measures, and staffing round out a record with no obvious soft spot.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing22/30Stability15/15Outcomes15/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →4.14 total nurse hours per resident per day (national median 3.77)
  • →1.1 RN hours per resident per day
  • →Weekend staffing drops 11% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →29% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day5.25 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours1.10 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.67 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover28.70%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 22, 2026 (5 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 344 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Pacifica Nursing And Rehabilitation Center

What is the ElderGrade for Pacifica Nursing And Rehabilitation Center? +

Pacifica Nursing And Rehabilitation Center holds an ElderGrade of A (92 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Pacifica Nursing And Rehabilitation Center? +

Residents receive an average of 5.25 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pacifica Nursing And Rehabilitation Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Pacifica Nursing And Rehabilitation Center accept Medicaid? +

Yes, Pacifica Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.