PACIFICA NURSING AND REHABILITATION CENTER – PACIFICA, CA

CMS Verified | 2026-03-01

Pacifica Nursing And Rehabilitation Center

385 ESPLANADE AVENUE, Pacifica, CA 94044
(650) 993-5576
68 beds
All Pacifica facilities
5.0*
Overall
5.0*
Health Inspection
5.0*
Quality Care
5.0*
Staffing
94.6
Score /100
#188
National Rank

#188
of 14703 facilities
National
98.7% position
#37
of 1162 in CA
State Rank
#1
of 14 in San Mateo
County Rank
#1
of 2 in Pacifica
City Rank
#1
of 2 in ZIP 94044
ZIP Rank






About Pacifica Nursing And Rehabilitation CenterPacifica Nursing And Rehabilitation Center is located at 385 Esplanade Avenue, Pacifica, CA, reachable at (650) 993-5576. This For profit – Limited Liability company facility operates 68.0 certified beds and serves an average of 63 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 1970-05-13. Notably, Pacifica Nursing And Rehabilitation Center has maintained a perfect 5-star overall rating for all five years from 2022 to 2026, placing it among the top-performing facilities in CA.
Facility

Pacifica Nursing And Rehabilitation Center

Address

385 Esplanade Avenue, Pacifica, CA 94044

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 68 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Excellent (5★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
⚠️ 0 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
94.6
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#188 of 14703 nationally – #37 of 1162 in California

Who Is This Facility Best For?

Pacifica Nursing And Rehabilitation Center is a strong choice for families in the Pacifica, CA area seeking a well-inspected, high-quality care environment. Above-average staffing levels make it a good option for residents needing intensive nursing care. Its clean five-year compliance record adds confidence for families making this important decision.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

5 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

N/A
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightPacifica Nursing And Rehabilitation Center currently provides 5 hours 20 minutes of total nurse staffing per resident per day, including 1 hour 4 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. RN hours per resident have declined from 95 min/day (2022) to 64 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is 21.0%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing5 hours 20 minutes
Nurse Aide Hours2 hours 50 minutes
Licensed Practical Nurse (LPN) Hours1 hour 26 minutes
Registered Nurse (RN) Hours1 hour 4 minutes
Physical Therapist Hours35 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours4 hours 47 minutes
Weekend Registered Nurse (RN) Hours48 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryPacifica Nursing And Rehabilitation Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 25.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#188
of 14,703
National
Top 5%
#37
CA State
Top 5% in CA
#1
of 14
️ San Mateo County
Best in county
#1
of 2
️ Pacifica
Best in city
#1
of 2
ZIP 94044
Best in ZIP

Nationally, Pacifica Nursing And Rehabilitation Center ranks 188th out of 14,703 facilities (composite score: 94.6/100), placing it in the top 5% nationwide. Within CA, it ranks 37th out of 1,162 nursing homes. In Pacifica, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #767 nationally and RN hours rank #1,623 nationally (#119 in CA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 6.04 #385 / 14,703 #74 / 1,162 Top 5%
2023 5.74 #443 / 14,703 #81 / 1,162 Top 5%
2024 5.52 #618 / 14,703 #94 / 1,162 Top 5%
2025 5.36 #759 / 14,703 #103 / 1,162 Top 10%
2026 5.34 #767 / 14,703 #117 / 1,162 Top 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 1.58 #511 / 14,703 #53 / 1,162 Top 5%
2023 1.13 #1,237 / 14,703 #82 / 1,162 Top 10%
2024 1.02 #1,688 / 14,703 #103 / 1,162 Top 25%
2025 0.98 #1,965 / 14,703 #114 / 1,162 Top 25%
2026 1.07 #1,623 / 14,703 #119 / 1,162 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Pacifica Nursing And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1970-05-13. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (650) 993-5576 or your local Medicaid office to verify current eligibility.

Pacifica Nursing And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (5★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 94.6/100, placing it #188 of 14703 facilities nationally and #37 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Pacifica Nursing And Rehabilitation Center receives a reported average of 5 hours 20 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 4 minutes; Licensed Practical Nurse (LPN) — 1 hour 26 minutes; Nurse Aide — 2 hours 50 minutes. On weekends, total nurse staffing is 4 hours 47 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 21.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

Pacifica Nursing And Rehabilitation Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 25.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Pacifica Nursing And Rehabilitation Center ranks 188th out of 14,703 facilities (composite score: 94.6/100), placing it in the top 5% nationwide. Within CA, it ranks 37th out of 1,162 nursing homes. In Pacifica, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #767 nationally and RN hours rank #1,623 nationally (#119 in CA). Our composite quality score of 94.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Pacifica, visit: https://nursinghomesnearme.org/california/pacifica/

Contact and Location

ADR
Address

385 ESPLANADE AVENUE, Pacifica, CA 94044
Get directions on Google Maps

TEL
LLC
Legal Name

MUSSEL ROCK HEALTHCARE, INC.

MAP
Browse by Location

All California ·
San Mateo County ·
Pacifica ·
ZIP 94044

Facility Details

Number of Certified Beds 68
Average Residents / Day 63 (93% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County San Mateo County, CA
City Pacifica, CA
ZIP Code 94044
Approved Since May 13, 1970
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 056205
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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