Pacific Heights Transitional Care Center
Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy. Still worth an in-person visit.
based on 115 Google reviews

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What this means for your family
This facility is an excellent choice for patients needing intensive physical or occupational therapy, as the rehab team is consistently rated as top-tier. However, if your loved one has complex medical needs requiring strict medication adherence, you should perform extra due diligence and maintain frequent communication with the nursing staff to ensure all protocols are being met.
Google Reviews
Google Reviews
115 reviews on Google“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
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy
- Clean and well-maintained facility
- Compassionate and attentive nursing staff
- Strong social work and administrative support
- Helpful multilingual/translator services
Concerns
- Medication management errors (mentioned by 2 reviewers)
- Difficulty reaching doctors/physicians (mentioned by 2 reviewers)
- Inadequate response to call lights (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 119 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those are integrated into a resident's daily routine?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 3When a resident uses their call light, what is the typical response time and how do you ensure staff are able to attend to them promptly?
- 4How do you facilitate communication between the nursing staff and outside physicians to ensure there are no delays in medical updates?
- 5Could you describe some of the social activities or group outings that residents participate in to stay engaged with the community?
- 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
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 was a patient at this facility for rehabilitation and wound care from Oct. -Dec. 2022, after a below the knee amputation. I would like to commend the whole staff who played a key part in my care, healing and overall well being.”
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 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 whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
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 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.
Mar 13, 2026Routine6
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.
Jan 29, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 29, 2024Routine42
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.
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
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.
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.
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.
Sep 12, 2023Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jul 20, 2023Routine1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 3, 2023Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal Penalties
Fine
Jan 29, 2025
$25,490
Ownership & Operations
Who Operates This Facility
Pacific Heights Transitional Care Center
for profit
Chain Affiliation
Aspen Skilled Healthcare
35 facilities nationwide
Chain avg rating: 3.5/5 · Rank 4 of 34 (Best)
Ownership & Management
Owners
Skbm LLC
Owner · Organization
Asfp, LLC
Owner · Organization
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
115 reviews from families & visitors
Official Website
Visit phhealthsf.com
Medicare data downloads
Original nursing home datasets
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