Overall sentiment across the reviews is mixed, with a substantial number of strong positive testimonials about Coast Care’s compassion, responsiveness, and administrative support balanced against a series of serious negative reports about reliability, caregiver conduct, and safety. Many reviewers describe caregivers and coordinators who are warm, family-oriented, and professional, praising named staff (for example Claudia, Misty, Holli, Donna, Selina and Diego) for their communication, follow-up, and personal attention. At the same time, multiple reviewers recount no-shows, last-minute cancellations, care instructions not followed, and at least a few alarming incidents (clients left unfed, refusals to perform expected services, and a reported fall) that suggest uneven service quality and gaps in oversight.
Care quality receives both high praise and strong criticism. Positive accounts emphasize attentive in-home care, dependable bedridden care, companionship (walks, lunches, social interaction), and aides who go "above and beyond." Several reviews specifically commend the agency’s ability to help with Long-Term Care insurance paperwork and reimbursement—an administrative strength that families valued. Conversely, other reviewers describe caregivers who do not follow instructions, arrive late, or cancel at the last minute, and at least one report suggests severe neglect (an 89-year-old left unfed or without a drink). These opposing narratives indicate that while the agency can deliver excellent care, the experience depends heavily on which caregivers are assigned and how well they are supervised.
Staff and scheduling are recurring themes. The agency is frequently praised for flexible scheduling and for individual schedulers who communicate well and accommodate requests. Positive reviewers cite rapid response times, helpfulness, and a family-like atmosphere. Named employees receive consistent commendation for advocacy and follow-through. However, scheduling practices are also criticized—some clients report only being told who will arrive the night before at 9 p.m., and several accounts describe last-minute cancellations or unstable assignments. This inconsistency in scheduling and backup coverage is the most commonly reported operational weakness and is directly tied to the negative experiences (missed medications, missed meals, anxiety for family members).
Management and organizational impressions vary sharply. Several reviewers describe the agency as locally owned, compassionate, reasonably priced, and focused on client well-being; others accuse ownership of being money-focused and raise concerns about the owner’s legal background. While many families felt supported and had a positive partnership during transitions into senior communities or through difficult care periods, the negative comments about management priorities and customer service (including reports of staff hanging up or yelling) point to pockets of unprofessional behavior and potential leadership or culture issues that need addressing.
Safety and reliability are critical areas of concern. Positive reports that emphasize "attendance promise" and eliminated no-shows coexist with multiple reports of no-shows, clients left without needed care, and at least one fall tied to poor coverage. These are high-risk outcomes in home care; they indicate inconsistency in hiring, training, supervision, or scheduling backups. Prospective clients and families should treat reliability and contingency planning as key questions when engaging the agency, asking specifically about backup caregivers, late-notice procedures, and how the agency documents and remedies service lapses.
Other dimensions reported by reviewers include value and geographic coverage. Many reviewers praise the company’s reasonable pricing and good value relative to alternatives in San Diego, and caregivers note pay that is better than other places—factors that may help recruitment. There are also positive nods to services like meal preparation (one reviewer mentioned an "amazing cook") and social activities or supportive companionship. These strengthen the perception that Coast Care can provide holistic, dignity-focused home care when systems work well.
In summary: Coast Care receives numerous strong endorsements for compassionate, knowledgeable, and responsive care—especially from families and from clients who dealt with specific praised coordinators and caregivers. However, there is a significant and consistent cluster of reports about missed visits, last-minute cancellations, caregivers not following directions, safety lapses, and occasional poor customer service. The pattern suggests the agency can deliver excellent home care but struggles with reliability and consistency across staff assignments. Families considering Coast Care should verify scheduling policies and backup plans, ask for references for specific caregivers, confirm communication expectations, and monitor initial shifts closely to ensure the care delivered matches the positive examples many reviewers describe.
