Quick answers
- Where is Pacifica Nursing and Rehabilitation Center?
- 385 Esplanade Avenue, Pacifica, CA 94044, in San Mateo County, California.
- What is the phone number of Pacifica Nursing and Rehabilitation Center?
- (650) 993-5576, as listed by Medicare (CMS).
- What is the Medicare star rating of Pacifica Nursing and Rehabilitation Center?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Pacifica Nursing and Rehabilitation Center been fined?
- Medicare lists no fines for Pacifica Nursing and Rehabilitation Center.
- What did inspectors find at Pacifica Nursing and Rehabilitation Center?
- In its last three inspection cycles (August 24, 2023 to May 22, 2026), Medicare lists 6 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 24, 2023 to May 22, 2026), Pacifica Nursing and Rehabilitation Center had 6 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 5.48 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 22, 2026 — no health citations
Inspections in this cycle: May 22, 2026 (standard health inspection).
Previous cycle: November 22, 2024 — 3 health citations
Inspections in this cycle: November 22, 2024 (complaint investigation); November 22, 2024 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
Earlier cycle: August 24, 2023 — 3 health citations
Inspections in this cycle: August 24, 2023 (standard health inspection); June 4, 2024 (complaint investigation).
Show 3 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (14)
K0711 Level E
“Provide a written emergency evacuation plan.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level D
“Have simulated fire drills held at unexpected times.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.25 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.40 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.84 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 5.48 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.76 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.80 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 29.4% | 36.6% | 45.3% |
| RN turnover (per year) | 27.8% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 347 nursing homes: The Ensign Group.
Legal business name: Mussel Rock Healthcare Inc.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 68 |
| Average residents per day | 58.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | The Ensign Group |
| Legal business name | Mussel Rock Healthcare Inc |
| First approved by Medicare/Medicaid | 1970-05-13 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 385 Esplanade Avenue, Pacifica, CA 94044 |
| County | San Mateo County |
| State | California |
| Phone | (650) 993‑5576 |
| CMS Certification Number | 056205 |
| Name in Medicare records | PACIFICA NURSING AND REHABILITATION CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Golden Pavilion Healthcare1.7 mi · Daly City, CA · 1 of 5 stars
- Golden Heights Healthcare1.7 mi · Daly City, CA · 5 of 5 stars
- AHMC Seton Medical Center2.4 mi · Daly City, CA · 1 of 5 stars
- San Bruno Skilled Nursing4.1 mi · San Bruno, CA · 4 of 5 stars
- Linda Mar Care Center4.4 mi · Pacifica, CA · 5 of 5 stars
Nearest hospital emergency rooms
- AHMC Seton Medical Center2.2 mi · Daly City, CA · Acute Care Hospital
- Peninsula Medical Center7.1 mi · Burlingame, CA · Acute Care Hospital
- California Pacific Medical Center - Mission Bernal7.6 mi · San Francisco, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13