Pine Creek Care Center

    1139 Cirby Way, Roseville, CA, 95661
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Clean facility, great rehab, inconsistent

    I had a mostly positive experience: the facility was clean, bright and well kept, and many staff were professional, attentive and genuinely caring - rehab/physical therapy was outstanding. That said, parking and accessibility are a mess, and I observed inconsistent communication, slow responses (ignored call buttons/delayed meds), staffing shortages and occasional lapses in infection/COVID precautions and basic care. I'd recommend it for short-term rehab but urge families to stay engaged and confirm communication and care plans for longer stays.

    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

    4.08 · 166 reviews

    Overall rating

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

      3.7
    • Staff

      4.1
    • Meals

      3.1
    • Amenities

      2.8
    • Value

      1.8

    Pros

    • Compassionate, kind, and patient nursing staff and CNAs
    • Several highly praised individual caregivers and therapists (named staff like Amy, Karendeep, Neela, Michael, Aaron, Shannon, Liz, Malcolm, Jeffery)
    • Strong short-term rehabilitation/physical therapy program
    • Attentive, skilled physical and occupational therapists
    • Successful rehab outcomes (walking, strength, stroke and hip recovery)
    • Clean and well-kept areas reported by many reviewers
    • Helpful and professional admissions and front-desk staff
    • Supportive social services and discharge planning in many cases
    • Good transition coordination with home care agencies
    • Personalized activities and engaged activities director
    • Low staff turnover / stable staffing noted by some
    • Respectful treatment and dignity for many residents
    • Safe infection-control and COVID check-in policies noted by some reviewers
    • Pleasant communal spaces, wide hallways, good lighting and outdoor patio/garden
    • Some reviewers reported good, tasty, and nutritious meals
    • Spotless cleanliness reported by numerous families
    • Prompt responsiveness and exceptional customer service from some staff
    • Rehabilitation equipment and gym praised by several families
    • Emphasis on resident engagement and spiritual/recreational activities
    • Proactive dietitian involvement reported
    • Smooth and supportive discharge preparation reported by many
    • Caring end-of-life support mentioned
    • Helpful, clear communication and family updates in positive reports
    • Staff that go above and beyond and create a welcoming atmosphere
    • Good check-in policies and COVID protocols at times

    Cons

    • Highly inconsistent care quality between shifts/units
    • Neglectful care in multiple reports (ignored call buttons, missed meals, missed turns)
    • Serious clinical failures including bedsores, wound-care lapses, infections, sepsis and pneumonia
    • Medication errors, omissions, delays, and over-/under-medication
    • Short-staffing leading to long wait times and cancelled shifts
    • Unresponsive or poor communication from management and administration
    • Lost, misplaced, or ransacked personal belongings and laundry
    • Dirty rooms, unclean bedding, dried food or hair on sheets in some cases
    • Inadequate or infrequent bathing and hygiene assistance
    • Minimal or very short physical/occupational therapy sessions for some residents
    • Mixed or poor food quality (cold meals, rubbery eggs, flavorless items)
    • High daily cost relative to some families' perceived value
    • Outdated, worn furniture and facility areas in need of refresh
    • Noise issues (shredder, noisy roommates, noisy environment)
    • Security and safety breaches, including wandering, alleged theft, police involvement
    • Poor handling of sensitive events (e.g., delayed notification of resident's death)
    • Broken or nonfunctional emergency call systems in some reports
    • Inconsistent clinical oversight (delayed physician visits, infrequent in-house doctor contact)
    • COVID isolation causing limited visitation, cancelled activities and social isolation
    • Discontinuation of services or activities without clear follow-up
    • Perceived profit-driven decisions affecting care and billing concerns
    • Problematic discharge timing and policies (e.g., midweek discharges reported)
    • Poor follow-up and lack of post-discharge contact from facility
    • Occasional rude, unprofessional or condescending staff behavior
    • Parking, accessibility and small parking-lot issues

    Summary review

    Overall sentiment: The reviews of Pine Creek Care Center are highly polarized, with many families reporting exceptional, compassionate care and rehabilitation outcomes while a significant number of others report serious lapses in clinical care, communication, and professionalism. Two clear themes emerge: (1) when staffing, therapy, and management align, residents often receive excellent, personalized short-term rehab and nursing care; (2) when staffing shortages, management breakdowns, or procedural failures occur, the consequences can be severe, including missed treatments, infections, medication errors, and safety incidents.

    Care quality and clinical issues: Many reviewers praise the rehabilitation program and specific therapists for helping residents regain mobility and independence after surgery or stroke. Several caregivers and PT staff were singled out by name for exceptional skill and compassion. However, an alarming number of reviews describe clinical neglect: failure to turn bedridden residents, inadequate wound care that led to infections or surgery, development of bedsores that progressed to sepsis, delayed or omitted medications, and call buttons that went unanswered. These reports suggest inconsistent nursing oversight and variability in care delivery across shifts. Some families reported infrequent physician visits and delayed in-house medical attention, exacerbating clinical risks.

    Staffing, responsiveness and communication: Staffing adequacy and responsiveness are recurring fault lines. Positive reviews highlight warm, attentive RNs, CNAs and social workers who communicate well and support families through admissions and discharge. Negative reviews repeatedly cite short-staffing, long waits for assistance, cancelled shifts without notice, and staff who appear rushed or unprofessional. Communication from administration is inconsistent — while some families felt well-informed and supported, others reported unanswered emails and calls, lack of follow-up, poor coordination with families, and even serious mishandling of sensitive events (for example, not notifying family of a death). This variability points to uneven management practices and potential problems in training, staff scheduling, and accountability.

    Facilities and cleanliness: Many reviewers describe Pine Creek as bright, clean, and well-maintained, with wide hallways, good lighting, outdoor patio spaces, and pleasant common areas. At the same time, there are multiple accounts of dirty rooms, unclean bedding, foul odors, dried food on remotes, and even reports of roaches in the worst cases. Reviewers also point to aging furniture and areas that need refreshes. These contrasting accounts indicate that cleanliness standards may be met in many areas but not consistently across the entire facility or during periods of staffing strain.

    Dining and activities: Opinions on dining are mixed. Several reviewers praised the food as tasty and nutritious and noted an attentive dietitian, while others described cold, rubbery meals and poor quality dining experiences. Activities and recreation receive praise when the activities director is engaged and when personalized programming occurs; conversely, COVID-related isolation and reports of discontinued or limited activities left some residents isolated and disengaged.

    Safety, security and administration concerns: Serious safety and administrative issues appear in some reviews: lost or ransacked rooms, police involvement in alleged thefts, security breaches, and reports of nonfunctional emergency call systems. There are also recurring concerns about profit-driven decisions affecting care, billing confusion around deductibles/Medicare, and perceived prioritization of occupancy/financial metrics over resident welfare. These are among the more serious patterns raised and warrant close monitoring by prospective residents and their families.

    Patterns and likely causes: The reviews suggest that the facility can deliver exemplary short-term rehab and compassionate care when adequately staffed and managed; positive experiences often reference specific staff, successful therapy outcomes, smooth admissions, and strong discharge planning. The negative experiences frequently correlate with staffing shortages, management communication failures, and lapses in clinical protocols (wound care, turning, medication administration). This variability suggests operational inconsistency — likely stemming from shift coverage gaps, training differences, and uneven supervisory oversight.

    Who Pine Creek seems to suit best: Based on the weight of reviews, Pine Creek appears to be a strong option for short-term rehabilitation when the rehab team and frontline nursing staff are fully engaged — families repeatedly credit the therapy teams with significant functional gains. Those considering Pine Creek for long-term skilled nursing or complex medical needs should carefully evaluate current staffing levels, inspect wound-care and medication-administration protocols, and seek references about specific units or shifts.

    Recommendations for prospective families: Visit at different times of day and on different days of the week to observe staffing levels and responsiveness; ask for specifics about wound care, turning schedules, medication administration checks, and emergency call systems; request recent infection-control and staffing metrics; meet the therapy team if rehab is the goal; clarify billing, discharge timing, and communication practices; and get references from families whose loved ones had similar care needs.

    Conclusion: Pine Creek Care Center generates many heartfelt endorsements for individual caregivers, therapy teams, and successful rehabilitation outcomes, but a substantial and concerning set of reviews documents inconsistent care, safety lapses, and administrative failures. Prospective residents and families should weigh the facility’s strong rehabilitation reputation and compassionate staff against documented risks tied to staffing variability and administrative shortcomings. Where possible, due diligence focused on current staffing, clinical oversight, and management responsiveness will help determine whether Pine Creek is the right fit for a given resident’s needs.

    Location

    Map showing location of Pine Creek Care Center

    About Pine Creek Care Center

    Pine Creek Care Center sits at 1139 Cirby Way in Citrus Heights, and folks will notice it's linked to the Capital Rehab Medical Campus, which means people can get different kinds of medical care without going far, you can find both long-term care and short-term rehab services here. The nursing home gets a 4-star rating from the Centers for Medicare and Medicaid Services (CMS), based on health inspections, staff, and measures of quality, and it's also been recognized by U.S. News & World Report as one of the best nursing homes in the country for 2025, which gives families a little peace of mind. The place has a 4.0 rating over 47 reviews, and you'll see rooms are spacious with shared options available, the staff and caregiving team offer around-the-clock help with health needs, medication management, and more focused care like dementia support or end-of-life (hospice) care, and you're not left out of getting nutrition advice or diabetes support either, because nurses there have experience with blood sugar, meals, and exercise planning, and they stay available 24/7. Rehab and physical therapy, plus organized fitness sessions and trips to the gym, are built into their services. Medicare and Medicaid beds are certified, which can be important for folks using insurance resources for long-term care. Safety and comfort are built into the environment, and the team aims to make the space feel like home with activities and a few nice amenities, and everything's kept simple and welcoming, focused on helping seniors feel secure, cared for, and supported however they need.

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