Pacific Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (58%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in JAMES & JUDY LINCOLN chain · No penalties on record
What this means for your family
While some families report positive experiences with the rehab team and specific staff members, the facility has a pattern of complaints regarding staffing levels and management. We strongly recommend visiting during off-hours to observe staffing ratios and asking management directly about their current turnover rates and plans for addressing resident hygiene concerns.
Google Reviews
Google Reviews
28 reviews on Google“Pacific Care Center receives highly polarized feedback, with some families praising the compassionate staff and clean environment, while others report significant concerns regarding management and staffing levels. Critical reviews highlight issues with cleanliness, missing personal items, and a lack of adequate care, while positive reviews emphasize the dedication of specific nurses and the administrator. Prospective families should be aware of the inconsistency in care quality reported across different experiences.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Clean, odor-free facility environment
- Involved and accessible administration
- Effective post-surgery rehab support
Concerns
- Understaffing leading to delayed care and lack of attention (mentioned by 3 reviewers)
- Poor management and administrative oversight (mentioned by 4 reviewers)
- Poor food quality and lack of variety (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that staffing levels are a primary focus for your team, how do you ensure that residents receive timely assistance when they press their call buttons during peak hours?
- 2I noticed the facility is kept very clean and odor-free; what specific protocols do you have in place to maintain that high standard of environment for the residents?
- 3Since administrative accessibility is a strength here, how do you typically handle and resolve family concerns regarding day-to-day care or management issues?
- 4What steps are you taking to improve the variety and nutritional quality of the meal options to better meet the residents' preferences?
- 5With the current focus on post-surgery rehab, how do you coordinate the transition from intensive therapy to daily long-term care to ensure no drop-off in support?
- 6Could you walk me through the current schedule of social activities and how you encourage residents to participate in these events throughout the week?
Personalized based on this facility's data
Key Review Excerpts
“My husband has been at Pacific Care Center for a while now. I can't say enough about the hard working staff & the compassionate and caring administrator, Kevin.”
“My mom stayed here a few days for recovery. We had one issue with the call button the first night but after we communicated our expectations, they were wonderful.”
“There are not enough staff members to keep up with the residents needs including dietary,personal hygiene and mental stimulation /daily activities.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
10
measures
2
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Pacific Care Center has a concerning pattern of safety and fire protection violations that persist across multiple surveys, including repeated issues with sprinkler systems, fire alarms, and emergency power backup. Families have filed complaints about basic daily care assistance and staff training. The facility shows ongoing problems with infection control, care planning, and safety hazards, though all deficiencies appear to have correction dates.
Feb 12, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jul 26, 2024Routine20
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Jul 26, 2024Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
May 24, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Apr 19, 2024Complaint8
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 10, 2023Routine19
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Ownership & Operations
Who Operates This Facility
Pacific Care Center
for profit
Chain Affiliation
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 48 of 56 (Worst)
Ownership & Management
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit visitpacificcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.