Pacifica Nursing & Rehab Center

    385 Esplanade Ave, Pacifica, CA, 94044
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    5.0

    Excellent care, friendly staff, views

    I had an excellent experience: staff were overwhelmingly kind, friendly and professional, the facility was very clean with lovely ocean views, and therapy/nursing care was outstanding - meals felt home-like and activities were plentiful. Admissions and administration were responsive and welcoming, though parking, occasional understaffing/communication hiccups and some crowded rooms can be frustrating. Overall I highly recommend this facility.

    Pricing

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    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

    4.68 · 260 reviews

    Overall rating

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

      4.4
    • Staff

      4.6
    • Meals

      3.8
    • Amenities

      3.5
    • Value

      1.5

    Pros

    • Strong physical and occupational therapy programs
    • Compassionate, skilled CNAs and nurses (day shift)
    • Attentive, organized, and proactive rehab coordination
    • Energetic and inclusive activities program
    • Clean, well-maintained common areas reported by many
    • Oceanfront location and rooms with views
    • Flexible kitchen/dietary accommodations in many cases
    • Responsive social work/case management and discharge planning
    • Helpful transportation and admission logistics
    • Pet-friendly environment with visiting dogs allowed
    • Welcoming reception and friendly front-desk staff
    • Infection-prevention protocols observed by some reviewers
    • Pleasant communal spaces (parlor, gazebo, social hall)
    • Many reviewers report quick bedside care and CNA responsiveness
    • Varied activities (bingo, karaoke, arts/crafts, movies)
    • DME liaison and paperwork support prior to discharge
    • Personalized care and shared decision-making in some cases
    • Many specific staff members and therapists praised by name
    • Perceived home-like, community feel by numerous families
    • Successful short-term/acute rehab outcomes for many patients

    Cons

    • Inconsistent staffing levels—notably short staffing at night
    • Variable quality of individual staff; some nurses rude or inattentive
    • Delayed responses to call lights and requests reported
    • Falls and safety incidents with delayed assistance in some cases
    • Crowded/small double rooms and frequent roommate changes
    • Mixed cleanliness reports—some describe strong odors, leaks, grime
    • Food quality highly inconsistent; complaints of poor meals and GI issues
    • Parking shortages and staff using visitor parking spaces
    • Communication gaps or lack of explanations in some interactions
    • Allegations of neglect, poor wound care, and potential malpractice
    • Reported discriminatory behavior or bias by some staff
    • Night staffing visibility low; long waits for meds or hygiene checks
    • Facility maintenance issues (roof/bathroom leaks reported)
    • Bell or call systems not always functional according to reviews
    • Visitor seating and drop-off coordination can be inadequate

    Summary review

    Overall impression: Reviews for Pacifica Nursing & Rehab Center are strongly mixed but tilt toward a positive view of rehabilitation quality and many frontline staff. A large portion of reviewers highlight exceptional outcomes from physical and occupational therapy, praising therapists as knowledgeable, effective, and central to patients' recovery. Numerous families report measurable improvements in balance, mobility and independence after stays here, and many say the facility compares favorably to other CMS facilities for short-term rehab. At the same time, there is a persistent theme of variability: while many encounters are described as compassionate and highly competent, other accounts describe substandard care and serious safety or hygiene problems.

    Care quality and staff: The most frequent praise centers on therapists (PT/OT) and a subset of CNAs and nurses who provide quick, compassionate bedside care, respectful interactions, and effective rehabilitation support. Multiple reviews name individual staff and therapy personnel as standout contributors to recovery. Families frequently note proactive case management, assistance with discharge logistics, DME coordination, and transportation. However, staffing inconsistency is a major pattern: day shifts and therapy teams are often lauded, while night shifts and some individual nurses/CNAs are reported as slow to respond or brusque. Several reviewers describe long waits for nurse assistance, delayed medication administration, inconsistent hygiene checks, and instances where family advocacy was required to secure basic care.

    Safety, clinical incidents, and communication: A concerning minority of reviews document serious safety incidents — falls in hallways, delayed help after falls, instances of blood on clothing, and a couple of reports alleging substandard wound care leading to severe infection and additional surgery. These rare but serious accounts contrast sharply with many other testimonials of safe, attentive clinical care. Communication is another mixed area: many families praise clear explanations, collaborative decision-making, and responsive administrators; others cite poor explanations, lack of follow-up, and difficulties reaching staff by phone. A handful of reviews allege discrimination or uncaring behavior toward non-White residents; while not widespread, such allegations are important and contribute to the overall sense of unevenness in the patient experience.

    Facilities and environment: The facility's oceanfront location, bright common areas, gazebo, and rooms with views are repeatedly praised and considered a significant positive for resident well-being and family visits. Many reviewers describe the building as clean, well-maintained, and pleasantly furnished with wide corridors suitable for wheelchairs. Conversely, a notable subset of reviewers report severe maintenance and cleanliness problems — strong odors, grimy floors, water leaks from bathroom fans/roofs, and rooms described as filthy. These directly contradictory accounts suggest variability across wings or time periods and that cleanliness may depend on staffing or management attention. Overcrowding is a recurrent theme: small double rooms, equipment clutter, and frequent roommate changes make privacy and restful space a concern for some families.

    Dining and activities: Activity programming is commonly cited as energetic, inclusive, and beneficial — arts and crafts, games, bingo, karaoke, and social events are mentioned frequently and contribute to positive day-to-day life. Dining experiences are polarized: many families report adaptable, attractive meals and dietician-driven customizations, while others complain of poor food quality, repetitive offerings (eggs often), lack of vegetables/fresh fruit, spicy food causing stomach upset, and at least one report of food-related diarrhea. The kitchen staff are often described as hardworking and accommodating, but budget constraints and inconsistent meal execution appear to drive the disparate experiences.

    Management, logistics, and ancillary issues: Administrative staff and certain coordinators receive commendations for efficient admissions, helpful tours, discharge facilitation, and transportation arrangements. Yet parking is a persistent, practical pain point: insufficient visitor spots, staff parking in visitor spaces, and awkward drop-off logistics are repeatedly noted. Visitors also request more seating and better offloading coordination. Infection-prevention measures were observed and appreciated by many reviewers, though some raised concerns about understaffing increasing infection risk. Several accounts emphasize the need for active family advocacy to maintain desired standards of care, implying variable reliability in routine follow-through.

    Patterns and overall recommendation guidance: The dominant pattern is that Pacifica can offer excellent rehabilitation outcomes with compassionate and skilled therapy and many caring frontline staff; for families prioritizing aggressive, therapy-focused short-term recovery in an attractive oceanfront setting, it is often recommended. However, the variability in night staffing, cleanliness, food consistency, and occasional serious adverse incidents means potential residents and families should be vigilant: ask about staffing ratios across shifts, room assignments (avoid overcrowded doubles if possible), maintenance records, fall and infection rates, and the specific therapists who will be assigned. Visiting in person, speaking to case managers about individualized dietary needs and safety protocols, and ensuring clear lines of communication with administrators can help mitigate some of the risks noted in the reviews. Families who reported the best experiences often stressed consistent communication with staff, active involvement, and prompt escalation when issues arose; those who had poor experiences noted that such advocacy was necessary to obtain acceptable levels of care.

    Location

    Map showing location of Pacifica Nursing & Rehab Center

    About Pacifica Nursing & Rehab Center

    Pacifica Nursing & Rehab Center sits on 385 Esplanade Ave, right by the ocean, with Daly City and South San Francisco just minutes away, and it's a Skilled Nursing Facility with 68 beds offering both private and semi-private rooms that plenty of folks have called spacious and beautiful, surrounded by landscaped grounds, so it has a nice view and a calm setting, but even with all that, they're not currently accepting new patients, though they're always answering questions about the next openings. The clinic staff speaks English, and the care here puts comfort and quality at the center, since skilled nursing care and specialized therapy services are available around the clock with staff that people say are professional, friendly, and helpful. Their services help folks recover after injuries like hip fractures or surgery and the in-house therapy team uses both state-of-the-art and hands-on approaches for physical, occupational, and speech therapy. There's wound care, pain management, restorative care, and a menu that aims to be nutritious and satisfying, with laundry and housekeeping included. Residents receive individualized treatment plans, and the center tries to work closely with families and healthcare providers, wanting every plan to fit each person's needs. The place is known for its 5-star Medicare.gov rating and strong reputation for above-and-beyond service, with emergency services, round-the-clock care from skilled nurses, and a program to help with assistive devices too. The activity room sees many events, from regular schedules full of activities from morning to night, to monthly celebrations like the Valentine's Day party, and there's a focus on social services, resources about opioid use, suicide prevention, elder abuse, disaster mental health, and fall prevention. The facility runs a health care home program, provides access to federal and state funded programs, and has partnerships with legislative processes on local, state, and federal levels, with interactive tools like symptom checkers and learning centers for behavioral health. Residents and visitors can manage profiles, messages, and emergency or care cards through an online dashboard, and there's a health library on-site to help search for medication, medical tests, and common health topics. The environment is known for being friendly and welcoming, making people feel at home so everyone gets a chance to regain strength and mobility, whether on a short-term rehab plan or staying longer. Many have recognized Pacifica Nursing & Rehab Center as a leader in rehabilitation and skilled nursing in the Bay Area, though right now, they aren't open to new admissions, but they're still focused on keeping their standard of care high for everyone who's already there.

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