PACIFICA NURSING AND REHABILITATION CENTER
385 ESPLANADE AVENUE
PACIFICA, CA, 94044
6509935576
CCN: 056205
5
Overall5
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
BACK TO HEALTH, INC
1128b8
Excluded 2004-08-19
CENTURION HEALTHCARE, INC
1128a1
Excluded 2013-04-18
INDEPENDENCE HOME HEALTHCARE,
1128b7
Excluded 2024-01-08
Ownership
| Name | Role | % |
|---|---|---|
| FLAGSTONE HEALTHCARE NORTH LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| WILLITS, ADAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| BURNAM, SOON | CORPORATE OFFICER | NOT APPLICABLE |
| FITCH, CRAIG | CORPORATE OFFICER | NOT APPLICABLE |
| MONETTE, CORY | CORPORATE OFFICER | NOT APPLICABLE |
| BEAMAN, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BEAMAN, JACOB | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (8)
2024-11-22 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2024-06-04 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-08-24 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2019-09-13 · Health
E
F761 · Pharmacy Service Deficiencies
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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.34
RN Hrs/Resident/Day0.54
1.07
LPN Hrs/Resident/Day0.81
1.43
CNA Hrs/Resident/Day2.33
2.83
PT Hrs/Resident/Day0.12
0.59
Data as of 2026-03-01