Nursing home · Top rated by CMS
Pacifica Nursing and Rehabilitation Center
385 Esplanade Avenue, Pacifica, CA 94044 · Map
For profit - Limited Liability company · Part of The Ensign Group (329 facilities) · 68 certified beds
Pacifica Nursing and Rehabilitation Center is a Medicare-certified nursing home in Pacifica, California. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 5.34 hours per resident per day, above the California average of 4.51. Its most recent inspection on Nov 22, 2024 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pacifica Nursing and Rehabilitation Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.34 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.07 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.83 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 21.0% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 22, 2024 inspection was corrected by November 28, 2024
What inspectors found at Pacifica Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 4, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 4, 2024 · Full report (PDF)
Show all 8 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 24, 2023 - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Sep 13, 2019 - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Sep 13, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 385 Esplanade Avenue
Pacifica, CA 94044 - CMS certification #
- 056205
- Ownership
- For profit - Limited Liability company
- Certified beds
- 68
- Avg residents/day
- 63.1
- Provider type
- Medicare and Medicaid
- First certified
- 1970-05-13
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pacifica Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Pacifica Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ahmc Seton Medical Center, Daly City. 2.2 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Golden Pavilion Healthcare, Daly City. 1.7 miles away, straight line.
- Nearest home health agency office
- Home Health Bay Area Inc., Daly City. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94044 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Daly City Dialysis, Daly City, 1.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita South San Francisco At Home (Pd), South San Francisco, 2.9 miles away, straight line
Fresenius Kidney Care South San Francisco, South San Francisco, 3.4 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 29 Medicare hospices tell CMS they serve ZIP code 94044.
Alliance Hospice, office in Daly City, 3.7 miles away, straight line
Angel Palliative Care And Hospice, office in South San Francisco, 4.0 miles away, straight line
Crossroads Home Health & Hospice, office in San Francisco, 6.1 miles away, straight line - Nearest geriatric medicine practice
- Marielle Bolano, MD, Brisbane. 5.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, coastal flooding relatively low, wildfire very low, tornado very low, heat wave very low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Pacifica Nursing and Rehabilitation Center a good nursing home?
CMS gives Pacifica Nursing and Rehabilitation Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pacifica Nursing and Rehabilitation Center staffed?
Pacifica Nursing and Rehabilitation Center reports 5.34 total nurse hours per resident per day, compared with the California average of 4.51.
Has Pacifica Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Pacifica Nursing and Rehabilitation Center have?
Pacifica Nursing and Rehabilitation Center is certified for 68 beds.