Pacific Care Nursing Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 56 Google reviews
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What this means for your family
This facility offers a clean environment and many nurses who are genuinely compassionate. However, you must closely monitor the physical therapy schedule and hygiene protocols, as multiple families have reported significant failures in these specific areas.
Google Reviews
Google Reviews
56 reviews on Google“Families seeking rehabilitation may find the nursing staff to be compassionate and the facility exceptionally clean. However, there are significant, recurring reports of physical therapy services being inconsistent or unavailable, and serious allegations regarding medical neglect and hygiene issues.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Compassionate and professional nursing staff
- Transparent communication regarding patient charts
- Welcoming and friendly administrative team
Concerns
- Inconsistent or inadequate physical therapy services (mentioned by 4 reviewers)
- Slow response times to call lights and patient needs (mentioned by 2 reviewers)
- Issues with hygiene and skin care (e.g., scabies, itching) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 57 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how friendly and welcoming your administrative team is; how do you typically handle communication with families regarding updates on a resident's care?
- 2What specific steps are being taken to ensure consistent and high-quality physical therapy services for residents?
- 3How does the nursing team manage medication administration to ensure everything is handled accurately and on schedule?
- 4Could you tell us about your protocols for responding to call lights to ensure residents' needs are met promptly, especially during the night?
- 5What are your current procedures for maintaining skin integrity and hygiene standards for all residents?
- 6In the event of a medical emergency after hours, what is the process for coordinating with doctors or transferring to a hospital?
Personalized based on this facility's data
Key Review Excerpts
“The facility is clean and well managed, the food is good, and the staff, including the nurses and administrative team, are professional, attentive, and compassionate.”
“The Staff, Nurses and PT at Pacific care nursing center is incredibly caring and attentive . "The facility is always clean and smells so good."”
“My husband was at this facility for 5 months he had told them multiple times he was itching all over they had not done anything to help him with it... he ended up in keizer with scabies”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
3
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who were physically restrained
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
This facility has concerning patterns with 28 complaint-triggered deficiencies, indicating families have filed reports about care issues. The most recurring problems involve infection control, medication management, and pressure ulcer prevention. While all violations show correction dates, serious issues like pressure ulcers have repeated recently (2023 and 2024), suggesting ongoing challenges in maintaining consistent care standards despite corrective efforts.
Feb 4, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 21, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Jul 18, 2025Routine24
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Mar 6, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 28, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 24, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jan 24, 2025
$17,215
Fine
Dec 2, 2024
$31,150
Fine
Oct 9, 2023
$51,648
Ownership & Operations
Who Operates This Facility
Pacific Care Nursing Center
for profit
Chain Affiliation
The Mandelbaum Family
16 facilities nationwide
Chain avg rating: 3.5/5 · Rank 11 of 15
Ownership & Management
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
56 reviews from families & visitors
Official Website
Visit pacificcarenc.com
Medicare data downloads
Original nursing home datasets
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