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Strong Medicare quality ratings; public reviewers often praise exceptional physical and occupational therapy. Still worth an in-person visit.
based on 131 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Pacific Heights Transitional Care Center has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: exceptional physical and occupational therapy and clean and well-maintained facility. Review the component ratings and current source records before deciding.
Families considering Pacific Heights Transitional Care Center can expect exceptional rehabilitation services and a highly praised therapy team that focuses on mobility and recovery. While the facility is widely lauded for its cleanliness and the kindness of its nursing and social work staff, some past reviews have raised serious concerns regarding medication management and physician responsiveness.
Quality Themes
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Concerns
Rating Trends
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Distribution · 135 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“Therapy are tremendous and just excellent. Help me to do therapy and have me encouragement, gave personal attention which made it so much better.”
“The nurses and staff here are kind, helpful and genuinely want the best for your loved ones. I appreciate the timely updates and notification of any changes to my father's condition, medication, Or general care.”
“I had a relative who was placed here out of the hospital for around a month. During my loved one's stay I asked to speak to a doctor there about her health, to my recollection, over ten times. I NEVER even once had the doctor call back.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
1
measures
3
measures
Residents on anti-anxiety or sleep medication
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 needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control 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
Detailed Medicare record · up to 3-year lookback
This facility has ongoing inspection challenges with 77 deficiencies across 9 surveys, including 6 complaint-triggered by families reporting concerns about pest control, care planning, and treatment quality. The most recurring issues involve medication management, fire safety systems, and emergency preparedness protocols. While most deficiencies show correction dates, the pattern of repeated violations in critical areas like pharmacy services and safety systems suggests persistent operational challenges that families should carefully evaluate.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services 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.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Jan 29, 2025
$25,490
Pacific Heights Transitional Care Center
for profit
Aspen Skilled Healthcare
35 facilities nationwide
Chain avg rating: 3.5/5 · Rank 1 of 34 (Highest rating)
Owners
Skbm LLC
Owner · Organization
Asfp, LLC
Owner · Organization
Sequoia Healthcare Group LLC
Owner (parent company) · Organization
Bradshaw, Peter
Owner (parent company)
Elsner, Eric
Owner (parent company)
Parti, Shruty
Owner (parent company)
Paxman, Marcus
Owner (parent company)
Bradshaw, Jeffrey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
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