Home / California / Pacifica
Pacifica Nursing and Rehabilitation Center
385 Esplanade Avenue, Pacifica, CA 94044 · San Mateo County · (650) 993-5576
68 certified beds, about 63 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1970
CMS Care Compare ratings, data as of September 1, 2026 · CCN 056205 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 22, 2026, inspectors cited 0 health deficiencies (the California average is 15.6, the national average 9.2).
None of its 6 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.25 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.
28.7% of nursing staff left within the year CMS measured (California average 36.7%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
May 22, 2026Standard inspection · 0 citations
November 22, 2024Standard inspection, Complaint inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe operations when swirl bowls were stored wet.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that licensed staff initialed and dated lidocaine patches (pain medication delivered through the skin from applying patches) after applying the patches to affected areas on two out of two residents (Resident 5 and Resident 15). This failure has the potential for residents to not receive the full therapeutic effects of the pain medication.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident's discharge summary (provides necessary information to continuing care providers pertaining to the course of treatment while the resident was in the facility and the resident's plans for care after discharge) included an accurate recapitulation of stay (a concise summary of the resident's stay and course of treatment in the facility) and reconciliation of medications (a process of comparing pre-discharge medications to post-discharge medications by creating an accurate list of both prescription and over the counter medications that includes the drug name, dosage, frequency, route, and indication for use) for one of three sampled residents (Resident 1). This failure may result in residents to not receive continuous and coordinated, person-centered care; [...]
June 4, 2024Complaint inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure the assessment of one of 5 sampled residents (Resident 1) accurately reflected the resident's redness on his right chest on 9/8/23, 9/9/23, 9/10/23, 9/12/23, 9/13/23, 9/14/23, 9/15/23, 9/17/23, and 9/19/23. This deficient practice had the potential to result in Resident 1 not receiving appropriate treatments and services.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure one of 5 sampled residents (Resident 1) receive care in accordance with professional standards of practice when there was no evidence that the facility monitored a small raised area with redness on the right side of the chest from PM shift on 9/1/23 to PM shift on 9/5/23. This failure had the potential to delay identifying symptoms of infection.
August 24, 2023Standard inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement their infection prevention and control program when: 1. Housekeeping Staff (HKS) 1 did not remove gown and gloves, (types of personal protective equipment (PPE), worn to minimize exposure to hazards that cause serious workplace injuries and illnesses) before exiting a resident's room, in the facility's COVID-19 (Coronavirus disease 2019, a respiratory infectious disease) unit (a designated area or floor for residents who were confirmed positive for COVID-19). 2. HKS 1 wore an N95 respirator (a respiratory protective device designed to filter airborne particles) with the lower strap hanging loose below the chin, in the facility's designated COVID-19 unit. 3. [...]
Fire safety inspections
14 fire safety citations on file: 4 on May 22, 2026, 2 on November 22, 2024, 8 on August 24, 2023.
Every fire safety citation14 citations
- E Provide a written emergency evacuation plan.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Meet requirements for the use of electrical equipment.
- E Ensure proper usage of power strips and extension cords.
- D Provide a written emergency evacuation plan.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have simulated fire drills held at unexpected times.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.25 | 4.52 | 3.86 |
| Registered nurses | 1.10 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.67 | 4.09 | 3.42 |
| Nurse aides | 2.66 | ||
| Licensed practical nurses | 1.48 | ||
| Nursing staff turnover (share who left in a year) | 28.7% | 36.7% | 45.8% |
| Registered nurse turnover | 18.8% | 38.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.48 on weekdays and 4.67 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.21 in April to June 2025 to 5.25 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.25 | 1.10 | 5.48 | 4.67 | 0.0% | 0 of 90 | 63 |
| Oct to Dec 2025 | 5.40 | 1.19 | 5.65 | 4.77 | 0.0% | 0 of 92 | 61 |
| Jul to Sep 2025 | 5.34 | 1.07 | 5.55 | 4.78 | 0.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 5.21 | 1.03 | 5.44 | 4.64 | 0.0% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.8 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.2 | 11.2 | 12.0 |
Owners and operators
Legal business name: MUSSEL ROCK HEALTHCARE INC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Beaman, Jacob | Managing control - governing body | Individual | 02/01/2023 | |
| Murphy, Gerald | Managing control - governing body | Individual | 02/01/2023 | |
| Willits, Adam | Corporate director | Individual | 02/01/2023 | |
| Burnam, Soon | Corporate officer | Individual | 11/08/2022 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Monette, Cory | Corporate officer | Individual | 02/01/2023 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Beaman, Jacob | Operational/managerial control | Individual | 02/01/2023 | |
| Burnam, Soon | Operational/managerial control | Individual | 11/08/2022 | |
| Murphy, Gerald | Operational/managerial control | Individual | 02/01/2023 | |
| Port, Barry | Operational/managerial control | Individual | 07/26/2018 | |
| Ensign Services Inc | Adp of the SNF | Organization | 11/01/2022 | |
| Beaman, Jacob | Adp of the SNF | Individual | 02/01/2023 | |
| Murphy, Gerald | Adp of the SNF | Individual | 02/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 22, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 22, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 4, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 24, 2023: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Golden Pavilion Healthcare Daly City, 1.7 mi · 2 of 5 stars · 69 citations
- Golden Heights Healthcare Daly City, 1.7 mi · 5 of 5 stars · 45 citations
- Ahmc Seton Medical Center Daly City, 2.4 mi · 1 of 5 stars · 61 citations
- San Bruno Skilled Nursing San Bruno, 4.1 mi · 4 of 5 stars · 37 citations
- Linda Mar Care Center Pacifica, 4.4 mi · 5 of 5 stars · 17 citations
- San Francisco Post Acute San Francisco, 4.6 mi · 5 of 5 stars · 24 citations
- Jewish Home & Rehab Center D/P SNF San Francisco, 6.2 mi · 5 of 5 stars · 48 citations
- Millbrae Care Center Millbrae, 6.4 mi · 2 of 5 stars · 57 citations
California contacts for a concern about a nursing home
These are the official offices in California. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: California Department of Public Health, Center for Health Care Quality, Licensing and Certification Program, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: California Long-Term Care Ombudsman Program, 1-800-231-4024. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Cal Health Find, where California publishes its own records on licensed homes.
Common questions
- What is Pacifica Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Pacifica Nursing and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pacifica Nursing and Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on May 22, 2026. The California average is 15.6.
- Has Pacifica Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Pacifica Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Pacifica Nursing and Rehabilitation Center?
- CMS lists 14 owners and managers, and links the home to The Ensign Group. Legal business name: MUSSEL ROCK HEALTHCARE INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.