Pacifica Nursing & Rehab Center

    385 Esplanade Ave, Pacifica, CA 94044
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate, effective short-term rehab care

    I placed my dad here for short-term rehab and was very pleased. The nurses, CNAs and therapists were professional, kind and effective - he regained balance and mobility quickly - and the Rehab Director and social services were responsive. The facility is spotless, well-organized, has pleasant ocean views, good meals tailored by a dietitian, and engaging activities; I recommend it for quality, compassionate care.

    Loved one of resident
    Jul 2026

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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

    Reviews

    4.68·(291)

    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

    • Compassionate and respectful nursing and CNA staff
    • Strong, effective physical and occupational therapy
    • Engaging and inclusive activities program
    • Clean, well-maintained common areas and patient spaces
    • Oceanfront location with pleasant views
    • Responsive discharge planning and transportation coordination
    • Flexible, dietician-led meal accommodations
    • Friendly and helpful front-desk and reception staff
    • Pet-friendly visitation and therapy-animal visits
    • Accessible layout with wide corridors and good lighting
    • Timely admissions and efficient intake processes
    • Supportive social-work and case-management services

    Cons

    • Inconsistent staffing levels across shifts
    • Variable responsiveness to call lights and personal-care needs
    • Gaps in clinical documentation and medication-administration processes
    • Inconsistent meal quality and limited menu variety at times
    • Room crowding and limited private-room availability
    • Maintenance and repair delays affecting some rooms
    • Inconsistent cleanliness and odor concerns in specific areas
    • Variable staff communication tone and family updates
    • Parking shortages and visitor-access challenges
    • Inconsistent infection-control and hygiene process adherence
    • Limited evening/night supervision presence
    • Occasional mismatch between rehabilitation intensity and individual tolerance

    Summary of reviews

    Overall impression: Pacifica Nursing & Rehab Center elicits a broadly positive but mixed set of impressions. Many families highlight high-quality rehabilitation services, compassionate direct-care staff, and a clean, pleasant coastal environment. At the same time, reviewers describe operational inconsistencies that a prospective resident or family should clarify during a tour and intake discussion.

    Care quality and clinical practices: A recurring strength is the facility’s rehabilitation program — physical and occupational therapists are repeatedly described as skilled, effective, and engaging, and many residents show measurable functional improvement. Nursing and CNA staff are frequently characterized as caring, competent, and attentive during daytime hours. However, reviewers also raised consistent concerns about variability in staff responsiveness (especially evenings and nights), delays in attending to personal-care needs, and gaps in clinical documentation and medication-related processes. A small number of accounts raised serious clinical allegations related to wound care and infection outcomes; these appear to be isolated in the context of many positive reports but should prompt direct discussion with facility leadership and review of clinical oversight processes.

    Staff and communication: Staff demeanor is a strong positive overall — many comments praise respectful, friendly interactions from therapists, CNAs, and reception personnel. Administrative and case-management staff are often described as helpful with discharge planning, transportation, and insurance coordination. Nevertheless, communication quality is uneven: families report variation in how well shift-to-shift updates are conveyed, differences in staff tone, and occasional need for persistent family advocacy to resolve issues. Prospective families may want to ask about handoff protocols, primary point-of-contact, and escalation pathways.

    Dining and nutrition: Opinions about food are mixed. Multiple reviewers commend the kitchen’s willingness to accommodate dietician-directed modifications and describe meals as attractive and adaptable. Other accounts note repetitive menus, limited vegetable/fruit variety, temperature and seasoning inconsistencies, and occasional gastrointestinal reactions. Dietary accommodation capability appears present, but consistency and menu variety are areas for follow-up during admissions discussions.

    Activities and social programming: Activity programming is frequently cited as energetic, inclusive, and varied — examples include music, games, holidays, and social events that contribute positively to resident morale. Staff in these roles are described as enthusiastic and successful at engaging residents.

    Facilities and environment: Many reviewers praise the facility’s cleanliness, bright public spaces, accessible layout, and oceanfront location with good views. At the same time, there are recurring maintenance and space issues: dated rooms, crowding with medical equipment, occasional water-leak or repair concerns, and localized odor or sanitation concerns in specific units. Parking and visitor access are commonly noted as constrained; prospective visitors should plan accordingly.

    Management and notable patterns: Management strengths include prompt admissions, effective discharge coordination, and supportive social services. Areas needing improvement at the operational level are consistent staffing coverage (particularly at night), standardized documentation and medication safety practices, and more reliable housekeeping/maintenance follow-through. While the majority of reviews emphasize positive outcomes and caring staff, the pattern of operational variability suggests families should confirm specific policies (night staffing ratios, infection-control protocols, wound-care oversight, dietary menus, and privacy/rooming options) before admission.

    Bottom line: Pacifica demonstrates notable strengths in rehabilitation, therapy staff, and many aspects of resident experience, including activities and a generally pleasant environment. The principal risks are variability in staffing and clinical-process consistency, occasional maintenance and cleanliness issues in some areas, and parking/space constraints. An in-person visit, targeted questions about night staffing and documentation procedures, and review of recent inspection reports or clinical oversight practices are advisable steps for families considering this facility.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Pacifica Nursing & Rehab Center

    Pacifica Nursing & Rehab Center is located at 385 Esplanade Ave, Pacifica, CA, 94044.

    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.

    People often ask...

    Pacifica Nursing & Rehab Center offers assisted living, memory care, and skilled nursing.

    There are 7 photos of Pacifica Nursing & Rehab Center on Mirador.

    The full address for this community is 385 Esplanade Ave, Pacifica, CA 94044.

    No, Pacifica Nursing & Rehab Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Pacifica Nursing & Rehab Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pacifica Nursing & Rehab Center directly. There is no cost for this service. We are compensated by the community you select.

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