Pacifica Nursing & Rehab Center

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

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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·(296)

    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 program
    • compassionate and skilled CNAs and nursing staff
    • organized admissions and discharge coordination
    • engaging, varied activities program
    • clean, well-maintained common areas
    • oceanfront location and pleasant views
    • responsive administration and case management
    • flexible dietary accommodations and meal customization
    • helpful transportation and outpatient arrangements
    • welcoming reception and front-desk staff
    • positive social atmosphere and family communication
    • well-equipped therapy resources and busy rehab schedule
    • regular infection-prevention measures observed
    • helpful support staff (social work/DME liaison)
    • private-room availability for some patients

    Cons

    • variable staff responsiveness during evenings and nights
    • inconsistent staff conduct and communication tone
    • inconsistent clinical documentation and medication-management practices
    • gaps in wound-care and complex-clinical protocols
    • inconsistent cleanliness and sanitation across units
    • inconsistent bathing and personal-care scheduling
    • variable meal quality and limited fresh produce/vegetable variety
    • crowded rooms and limited patient privacy
    • facility maintenance issues (roof/fan leaks and repairs)
    • parking shortages and drop-off/entry coordination problems
    • limitations in visitor seating and common-area capacity
    • inconsistent infection-control adherence in some units

    Summary of reviews

    Reviews portray Pacifica Nursing & Rehab Center as a facility with a consistently strong rehabilitation focus, especially in physical and occupational therapy. Therapy teams are frequently described as knowledgeable, energetic, and effective at improving balance, mobility, and function; many families credit therapy staff with measurable recovery. Admissions, discharge planning, and transportation arrangements are often highlighted as well-organized, and several reviewers praised case managers and liaisons for proactive coordination with physicians and insurers.

    Clinical care receives mixed but often positive commentary. Numerous accounts emphasize compassionate, skilled CNAs and nurses who provide attentive bedside care and respectful interactions. At the same time, reviewers describe variability in staff responsiveness—particularly on evening and night shifts—and in the tone of some interactions. There are recurrent operational concerns about medication and documentation practices (for example, inconsistent IV or catheter documentation and delays in analgesia), and a smaller number of serious individual accounts raised significant clinical-wound–care concerns that families should investigate further when considering placement.

    Dining and activities are strengths for many residents. The activities program is often described as engaging and inclusive, with arts, games, music, and social events that contribute to a positive social environment. The kitchen is praised for flexibility in accommodating dietary needs and for attractive meal presentation, and several families reported good appetite and meal satisfaction. However, a persistent theme is variability in meal quality and menu composition; reviewers requested more vegetables, fresh fruit, and less repetitive or spicy offerings.

    Facility condition and environment elicit mixed impressions. Many reviewers describe clean, bright common areas, well-maintained public rooms, and attractive ocean views that support a pleasant rehabilitative setting. Conversely, there are repeated comments about uneven housekeeping and sanitation across units, occasional odor concerns, and specific maintenance items such as water leaks or fan/roof repairs. Room arrangements can be cramped in some units, producing crowding and reduced privacy for residents.

    Management, communication, and logistics show both strengths and gaps. When administrators and social services are involved, families report responsive, transparent communication and helpful problem solving. Conversely, several reviews document delays in call-bell response, inconsistent family communication from nursing staff, and difficulty reaching staff by phone. Practical logistics such as visitor parking, drop-off coordination, and visitor seating capacity are also commonly noted as constraints.

    Notable patterns for prospective residents and families: the facility excels at structured rehabilitation and offers an active social program in an attractive location, and many families describe highly positive, compassionate frontline staff and effective therapy outcomes. At the same time, consistent questions arise about staffing levels (especially at night), variable housekeeping and maintenance, meal consistency, and certain clinical-process gaps (documentation, wound management, medication timing). Families touring the facility should observe staffing on all shifts, ask about night coverage and nurse-to-resident ratios, review wound-care and medication-administration protocols, sample menu options, and confirm room layout and privacy before making a placement decision.

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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

    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 22 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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