Pacific Villa

    3501 Cedar Ave, Long Beach, CA, 90807
    3.4 · 16 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful care, theft, pests, errors

    I was denied visitation to see my mom Debbie right before Christmas over a COVID test and was heartbroken. The building is clean, the food and daily games/chair exercises are decent, and a few staff (the DON, JoAnn, Mia, Erica) were terrific-but overall care is unacceptable: rude, neglectful employees, frequent missing money/personal items with police involvement, a medication error that nearly caused death, roaches/mice, no Wi-Fi or working phones, and management that ignores problems. I cannot recommend this place.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.38 · 16 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.6
    • Meals

      3.0
    • Amenities

      3.4
    • Value

      1.0

    Pros

    • Generally good food (several reviewers said food is good or not bad)
    • Daily activities such as games and chair exercises nearly every day
    • Vending machines with soda and snacks available 24/7
    • Designated smoking area (patio) for smokers
    • Several staff members called friendly and caring
    • Specific nurses praised by name: JoAnn, Mia, and Erica
    • Nurses in some reports take good care
    • Clean facility reported by some reviewers
    • Excellent Director of Nursing reported by at least one reviewer
    • Holiday/community events (e.g., Christmas party with gifts)

    Cons

    • No Wi‑Fi available for guests
    • Data usage limits / need to manage data
    • Guests required to bring their own salt and toiletries
    • Breakfast eggs served unsalted
    • Noisy residents requiring earplugs
    • Nurses reported to remain at nurses' station and be inactive
    • Allegations of extremely poor care quality and neglect
    • Medication error (compatibility) nearly caused a death
    • Money and personal belongings reported missing frequently
    • Staff dishonesty and false chart entries
    • Unprofessional, rude, or neglectful staff behavior
    • Discrimination by CNAs and discriminatory treatment of patients
    • Lack of management intervention and rare responses from DON
    • Claims staff allowed to 'run' the facility (management abdication)
    • Interrupted reviewers and staff intimidation
    • Disconnected phone lines / poor phone communication
    • Police involvement reported in at least one incident
    • Infestation reported (roaches and mice)
    • Visitation denial tied to COVID‑19 testing requirements
    • Facility described as disgusting or a 'nightmare' by reviewers
    • Ignored clinical concerns (medication/weight gain) by staff
    • Warnings about staff behavior to registries
    • Theft or missing items alleged in multiple reviews
    • Inconsistent care and polarized experiences across reviewers

    Summary review

    Overall impression: The review summaries present a strongly mixed and polarized picture of Pacific Villa. Several reviewers report positive experiences with food, daily activities, and specific caring staff members; however a substantial number of reviews describe serious problems with care quality, staff behavior, safety, and facility management. The overall sentiment trends toward caution: while some residents and families are satisfied, others report severe clinical and operational failures that would be cause for concern for prospective residents and their families.

    Care quality and clinical concerns: Care quality is the single most conflicted theme. Positive comments indicate nurses who take good care of residents and specific nurses (JoAnn, Mia, Erica) receiving high praise. Contrasting sharply with that, multiple reviews allege neglectful care, unprofessional or rude behavior, discrimination by CNAs, and clinical issues being ignored (for example concerns about medication or weight gain). One report describes a medication compatibility error that nearly caused a death — this is an extremely serious allegation. Other clinical-safety concerns include frequent reports of missing money/personal belongings and at least one report of police involvement. These severe negative accounts are repeated enough to form a clear pattern of inconsistent or unsafe clinical oversight for some residents.

    Staff, professionalism, and management: Staff-related reports are highly mixed. Some reviewers call staff friendly and the Director of Nursing excellent; others accuse staff of dishonesty, false chart entries, interruptions, and unprofessional conduct. Several reviews say management does not intervene or responds only rarely, and one theme explicitly states that staff are effectively allowed to run the facility. There are also mentions of warnings issued to registries about staff behavior. Taken together, these indicate inconsistent personnel performance and concerns about supervision, documentation integrity, and grievance responsiveness.

    Facilities, cleanliness, and safety: Facility-related feedback is contradictory. A few reviewers describe the facility as clean, while others call it disgusting and report pest problems (roaches and mice). Noise from other residents is noted (earplugs recommended), and smoking is permitted but restricted to a patio area. Missing personal belongings and alleged theft contribute to safety and security worries. Disconnected phone lines and the absence of guest Wi‑Fi (plus data‑usage limitations) reduce accessibility and communication for residents and families.

    Dining, activities, and daily life: Leisure and dining receive mostly positive notes: reviewers mention regular games and chair exercises nearly every day, vending machines with soda and snacks available around the clock, and generally acceptable food (one comment specifically: "food not bad"). There are small but tangible service complaints in dining — eggs served without salt and an expectation that guests bring their own salt and toiletries — that reflect either cost-cutting, oversight, or inconsistent hospitality standards. Community events (for example a Christmas party with gifts) were appreciated by some families.

    Communication and visitation: Communication problems appear in multiple summaries: rare responses from the Director of Nursing, disconnected phone lines, interrupted conversations with staff, and an overall sense of management unresponsiveness. Visitation was denied in at least one case due to COVID‑19 testing requirements, causing emotional distress (especially around holidays). The combination of poor communication channels and visitation barriers is a recurring concern.

    Patterns and overall takeaway: The reviews do not present a uniform picture; instead they show a facility with both commendable pockets of care and serious problem areas. Positive pockets include attentive named nurses, useful activities, and acceptable food, while negative pockets include allegations of clinical errors, theft, discrimination, infestations, and managerial neglect. The frequency and severity of the negative reports (medication error nearly fatal, repeated theft allegations, pest infestation, police involvement) make them notable and warrant careful inquiry by prospective residents or families.

    Recommendations for prospective residents/families (based strictly on review themes): Ask for specifics about staffing levels and turnover, how medication errors are prevented and documented, theft prevention and property policies, pest control records, infection-control/visitation policies, and the facility's guest internet availability. Request to meet or speak with the Director of Nursing and observe day‑to‑day interactions between staff and residents. Verify references or speak to current families to gauge whether their experience aligns more with the positive or negative patterns described above.

    In sum, Pacific Villa appears to deliver good elements of social programming and has several praised staff members, but multiple serious allegations around clinical safety, staff professionalism, theft, pest problems, and management responsiveness produce a mixed overall reputation. These mixed reports emphasize the importance of in‑person tours, direct questions about the specific concerns raised here, and careful monitoring if choosing this facility.

    Location

    Map showing location of Pacific Villa

    About Pacific Villa

    Pacific Villa is a medium-sized senior living and nursing care community with a capacity for 88 residents. Operated as a for-profit facility under individual ownership, Pacific Villa participates in both Medicare and Medicaid, serving a range of care needs from short-term rehabilitation to long-term residential care. The facility stands as a distinct option in its area, not part of a larger continuing care retirement community, while offering a central location among several similar care centers.

    Residents at Pacific Villa benefit from access to focused medical and daily living support. The facility provides approximately 3 hours and 55 minutes of nurse staffing per resident each day, with a reputation for maintaining consistent nurse coverage on both weekends and weekdays—a notable aspect of its care delivery. Routine services are structured to assist with residents’ ability to move, eat, dress, and handle other personal activities without outside help, and the vast majority maintain these functions independently for much of their stay. Immunization against influenza is a point of emphasis, with all residents receiving annual vaccinations as part of routine care.

    Care teams at Pacific Villa are attentive to both medical and non-medical needs. Short-term residents, typically those recuperating after a hospital stay from incidents such as stroke, heart attack, or injury, receive rehabilitation services designed to maximize their return to independence. The facility tracks and monitors outcomes such as emergency room visits, falls resulting in major injury, and incidences of serious infection during short-term stays. Long-term care emphasizes stability, personal autonomy, and the maintenance of physical and cognitive abilities.

    Pacific Villa is subject to ongoing health and safety reviews, with quality and procedural standards evaluated regularly. While some areas for improvement are outlined in recent reports, resident safety and support for daily life, including mobility, eating, self-care, and respiratory or dental care, remain ongoing priorities. The facility also manages services like medication administration, pharmaceutical provisions, and nutritional support, ensuring meals meet professional standards for preparation and distribution.

    As a nursing home, Pacific Villa provides specialized attention for residents with a range of health statuses, including those requiring feeding tubes, respiratory care, and assistance with gradual dose adjustments for psychotropic medications. There are protocols in place for addressing incident notification, emergency response, and access to vision and hearing resources. Attention is paid to residents’ rights to information about their health and care, the choice of attending physician, and comprehensive care planning. Communication with residents and their family members, particularly during injury or changes in condition, is an area that the care team monitors closely for continuous improvement.

    Medical and non-medical staff at Pacific Villa work to ensure residents’ environments are safe and free from hazards, including maintaining accessible call systems in resident bathrooms and bathing areas. The facility also addresses the holistic needs of residents, incorporating trauma-informed and culturally competent approaches into daily care when appropriate. In addition, Pacific Villa attends to the dental and pharmaceutical needs of its community, providing access to both routine and emergency services, as well as working to minimize medication errors and ensure secure medication storage.

    Pacific Villa’s overall rating reflects a focus on steady long-term care and an active approach to ongoing health management for both rehabilitative and permanent residents, while continually striving to enhance quality and services offered to those who call the facility home.

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