Pacifica Nursing and Rehabilitation Center
385 Esplanade Avenue, Pacifica, CA 94044 · San Mateo County · 68 certified beds · avg 63 residents/day · certified since May 13, 1970
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (6)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 22, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 22, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Jun 4, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jun 4, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.14 | 4.31 | 3.95 | top 48% in California; top 34% in the U.S. |
| Registered Nurse hours | 0.87 | 0.61 | 0.69 | top 14% in California; top 23% in the U.S. |
| Weekend total nurse staffing | 3.68 | 3.90 | 3.50 | bottom 46% in California; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.51 | 0.48 | top 22% in California; top 23% in the U.S. |
| Total nursing staff turnover (%) | 28.7 | 36.7 | 45.8 | top 26% in California; top 12% in the U.S. |
| RN turnover (%) | 18.8 | 38.1 | 42.9 | top 18% in California; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.25, RN 1.10, weekend 4.67. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Beaman, Jacob | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2023 |
| Beaman, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Beaman, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 11/08/2022 |
| Burnam, Soon | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/08/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Monette, Cory | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Murphy, Gerald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2023 |
| Murphy, Gerald | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Murphy, Gerald | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Port, Barry | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/26/2018 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Willits, Adam | Individual | Corporate Director | NOT APPLICABLE | 02/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Golden Pavilion Healthcare | 1.6 mi | Daly City, CA | ★★★☆☆ | 3/5 | |
| Golden Heights Healthcare | 1.7 mi | Daly City, CA | ★★★★★ | 4/5 | |
| Ahmc Seton Medical Center | 2.4 mi | Daly City, CA | ★☆☆☆☆ | 1/5 | |
| San Bruno Skilled Nursing | 4.1 mi | San Bruno, CA | ★★★★☆ | 3/5 | |
| Linda Mar Care Center | 4.4 mi | Pacifica, CA | ★★★★★ | 4/5 | |
| San Francisco Post Acute | 4.6 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Jewish Home & Rehab Center D/P SNF | 6.2 mi | San Francisco, CA | ★★★★★ | 4/5 | |
| Millbrae Care Center | 6.4 mi | Millbrae, CA | ★★☆☆☆ | 2/5 | |
| The Avenues Transitional Care Center | 6.8 mi | San Francisco, CA | ★★★★★ | 3/5 | |
| Laguna Honda Hospital & Rehabilitation Ctr D/P SNF | 6.8 mi | San Francisco, CA | ★★★☆☆ | 2/5 | abuse |
| Peninsula Post-Acute | 7.3 mi | Burlingame, CA | ★★★★☆ | 4/5 | |
| Lawton Skilled Nursing & Rehabilitation Center | 7.6 mi | San Francisco, CA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 056205.