Skilled nursing facility · CMS certification number 056205

PACIFICA NURSING AND REHABILITATION CENTER

PACIFICA, California · Medicare and Medicaid · 68 certified beds in Care Compare

Download PACIFICA NURSING AND REHABILITATION CENTER’s record (CSV, each figure with its worksheet, line and column)

PACIFICA NURSING AND REHABILITATION CENTER: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 25, 2025.
Net patient revenue rose from $19.7M in fiscal year 2023 to $22.3M in fiscal year 2024.
Its result from service to patients: −$442K (2021), −$714K (2023), $2.9M (2024).
Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
Its net patient revenue of $22.3M ranks 177th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
All 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

PACIFICA NURSING AND REHABILITATION CENTER: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-10	2024 · report 1429488	2023 · report 1425076	2021 · report 1334656	2020 · report 1307770	2019 · report 1313208	2018 · report 1277894	2017 · report 1246704	2016 · report 1214588	2015 · report 1178882	2014 · report 1140949	2013 · report 1108642	2012 · report 1057828	2011 · report 1024330
Period began	January 1, 2024	January 1, 2022	January 1, 2021	January 1, 2020	January 1, 2019	January 1, 2018	January 1, 2017	January 1, 2016	January 1, 2015	January 1, 2014	January 1, 2013	January 1, 2012	January 1, 2011
Period ended	December 31, 2024	January 31, 2023	December 31, 2021	December 31, 2020	December 31, 2019	December 31, 2018	December 31, 2017	December 31, 2016	December 31, 2015	December 31, 2014	December 31, 2013	December 31, 2012	December 31, 2011
Processed by CMS	June 25, 2025	June 5, 2025	September 30, 2022	December 23, 2021	March 30, 2022	January 14, 2021	December 4, 2019	November 30, 2018	November 28, 2017	August 12, 2016	August 24, 2015	March 31, 2014	January 31, 2013
Total patient revenue	$20,751,264	$25,096,416	$15,725,887	$14,304,066	$19,449,343	$18,404,502	$17,836,075	$17,827,728	$17,003,422	$17,147,884	$17,317,505	$17,319,985	$13,047,763
Contractual allowances and discounts	−$1,502,786	$5,434,018	−$686,906	$200,944	$2,782,658	$2,225,917	$1,286,774	$750,395	$258,905	$894,951	$1,126,983	$1,365,857	−$1,735,460
Net patient revenue	$22,254,050	$19,662,398	$16,412,793	$14,103,122	$16,666,685	$16,178,585	$16,549,301	$17,077,333	$16,744,517	$16,252,933	$16,190,522	$15,954,128	$14,783,223
Total operating expenses	$19,348,303	$20,376,430	$16,854,596	$15,969,638	$17,024,316	$16,561,041	$15,571,876	$14,946,650	$14,796,319	$13,997,572	$12,842,532	$12,695,098	$11,496,842
Net income from service to patients	$2,905,747	−$714,032	−$441,803	−$1,866,516	−$357,631	−$382,456	$977,425	$2,130,683	$1,948,198	$2,255,361	$3,347,990	$3,259,030	$3,286,381
Total other income	$4,581	$240,746	$145,183	$971,447	$1,504	$22,752	$30,883	$23,194	$26,766	$13,519	$7,835	$42,476	$57,270
Net income after other income	$2,910,328	−$473,286	−$296,620	−$895,069	−$356,127	−$359,704	$1,008,308	$2,153,877	$1,974,964	$2,268,880	$3,355,825	$3,301,506	$3,343,651
Net income	$2,910,328	−$473,189	−$308,903	−$877,496	−$283,774	−$368,817	$1,008,308	$2,127,809	$1,973,599	$2,268,880	$3,350,659	$3,301,506	$3,343,401
Total facility beds, all components	68	75	68	68	68	68	68	68	68	68	68	68	68
Bed days available, all components	24,888	—	—	—	—	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	9,738	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	17	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer patient days	11,932	—	—	—	—	—	—	—	—	—	—	—	—
Total patient days, all components	21,687	21,389	17,716	16,191	22,358	22,395	22,499	22,575	22,599	22,352	22,576	23,292	23,091
Medicare discharges	393	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer discharges	624	—	—	—	—	—	—	—	—	—	—	—	—
Total discharges, all components	1,017	1,118	856	763	1,012	879	917	813	938	1,008	939	939	917
Average length of stay, Medicare, in days	24.78	24.72	25.07	23.62	21.08	24.31	23.85	27.19	24.69	25.2	26.57	26.35	26.99
Average length of stay, Medicaid, in days	—	231.5	119.75	97	—	366	357	342	369	399	150.67	373	—
Average length of stay, all patients, in days	21.32	19.13	20.7	21.22	22.09	25.48	24.54	27.77	24.09	22.17	24.04	24.81	25.18

Net income, fiscal years 2024, 2023, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Form CMS-2540-96: every report is settled.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-96	2010 · report 429685	2009 · report 381957	2008 · report 351757	2007 · report 324923	2006 · report 291081	2005 · report 260703	2004 · report 228327	2003 · report 188739	2002 · report 198175	2001 · report 169867	2000 · report 82103	1999 · report 82101	1998 · report 82099	1997 · report 82097	1996 · report 63278
Period began	January 1, 2010	January 1, 2009	January 1, 2008	January 1, 2007	January 1, 2006	January 1, 2005	January 1, 2004	January 1, 2003	January 1, 2002	January 1, 2001	January 1, 2000	January 1, 1999	January 1, 1998	December 1, 1996	October 1, 1995
Period ended	December 31, 2010	December 31, 2009	December 31, 2008	December 31, 2007	December 31, 2006	December 31, 2005	December 31, 2004	December 31, 2003	December 31, 2002	December 31, 2001	December 31, 2000	December 31, 1999	December 31, 1998	December 31, 1997	September 30, 1996
Processed by CMS	May 31, 2012	July 16, 2010	July 21, 2009	August 25, 2008	August 6, 2007	August 8, 2006	July 20, 2005	July 30, 2004	October 26, 2004	March 2, 2004	February 26, 2002	April 3, 2001	May 7, 2000	June 9, 1999	September 23, 1998
Net patient revenue	$13,382,102	$12,568,653	$11,454,847	$11,454,847	$10,466,898	$9,597,134	$8,437,209	$7,412,937	$6,847,517	$5,227,146	$4,366,380	$3,980,623	$4,259,372	$4,640,918	$4,197,428
Total operating expenses	$10,526,647	$9,074,489	$8,626,871	$8,402,144	$7,811,687	$6,941,743	$6,220,813	$5,636,323	$5,427,470	$5,121,091	$4,163,648	$3,826,759	$4,090,614	$4,640,893	$4,532,973
Net income from service to patients	$2,855,455	$3,494,164	$2,827,976	$3,052,703	$2,655,211	$2,655,391	$2,216,396	$1,776,614	$1,420,047	$106,055	$202,732	$153,864	$168,758	$25	−$335,545
Total other income	$58,230	$60,141	$22,736	$22,736	$41,937	$18,153	$7,752	$7,910	$7,307	$11,958	$13,313	$8,555	$6,871	$5,387	$1,580
Total other expenses	—	—	—	—	—	$36,191	$248	—	—	$2,569	$3,901	$3,905	$4,369	$1,600	—
Net income	$2,913,685	$3,554,305	$2,850,712	$3,075,439	$2,697,148	$2,637,353	$2,223,900	$1,784,524	$1,427,354	$115,444	$212,144	$158,514	$171,260	$3,812	−$333,965
Total facility beds, all components	68	68	68	68	68	68	68	68	136	68	68	68	68	68	68
Total patient days, all components	23,651	22,731	23,511	23,672	22,488	23,036	22,936	21,888	22,851	22,822	23,367	22,867	23,565	24,714	16,640
Total discharges, all components	454	425	998	709	712	712	585	431	6,442	171	382	362	327	267	299
Average length of stay, Medicare, in days	29.02	32.53	30.94	33.21	28.02	31.17	37.4	39.09	—	32.59	29.89	25.05	21.65	37.56	29.7
Average length of stay, Medicaid, in days	8.11	8.48	552.5	541	369	435	227.45	640.5	2.02	376.4	261.03	431.59	327.03	199.62	127.84
Average length of stay, all patients, in days	52.09	53.48	23.56	33.39	31.58	32.35	39.21	50.78	3.55	133.46	61.17	63.17	72.06	92.56	55.65

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

PACIFICA NURSING AND REHABILITATION CENTER: nurse staffing hours by quarter →

Who owns PACIFICA NURSING AND REHABILITATION CENTER, as filed with CMS

Care Compare

ADP OF THE SNF: BEAMAN, JACOB (individual), since 02/01/2023; ENSIGN SERVICES INC (organization), since 11/01/2022; MURPHY, GERALD (individual), since 02/01/2023
CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 02/01/2023
CORPORATE OFFICER: BURNAM, SOON (individual), since 11/08/2022; KEETCH, CHAD (individual), since 03/01/2011; MONETTE, CORY (individual), since 02/01/2023; SATO, AMI (individual), since 09/09/2024
MANAGING CONTROL - GOVERNING BODY: BEAMAN, JACOB (individual), since 02/01/2023; MURPHY, GERALD (individual), since 02/01/2023
OPERATIONAL/MANAGERIAL CONTROL: BEAMAN, JACOB (individual), since 02/01/2023; BURNAM, SOON (individual), since 11/08/2022; MURPHY, GERALD (individual), since 02/01/2023; PORT, BARRY (individual), since 07/26/2018

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of MUSSEL ROCK HEALTHCARE INC (enrollment ID O20230306002327).

5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE NORTH LLC (organization), 100.00%, since 11/08/2022
5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 02/01/2023
ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 11/01/2022; GERALD FRANCIS MURPHY (individual), since 02/01/2023; JACOB BEAMAN (individual), since 02/01/2023
CORPORATE DIRECTOR: ADAM WILLITS (individual), since 02/01/2023
CORPORATE OFFICER: AMI SATO (individual), since 09/09/2024; CHAD KEETCH (individual), since 03/01/2011; CORY R MONETTE (individual), since 02/01/2023; SOON BURNAM (individual), since 11/08/2022
MANAGING CONTROL - GOVERNING BODY: GERALD FRANCIS MURPHY (individual), since 02/01/2023; JACOB BEAMAN (individual), since 02/01/2023
OPERATIONAL/MANAGERIAL CONTROL: BARRY PORT (individual), since 07/26/2018; GERALD FRANCIS MURPHY (individual), since 02/01/2023; JACOB BEAMAN (individual), 0.00%, since 02/01/2023; SOON BURNAM (individual), since 11/08/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE NORTH LLC; THE ENSIGN GROUP INC; ENSIGN SERVICES INC.

Private equity company, real estate investment trust and holding company: Paused by CMS: GERALD FRANCIS MURPHY; JACOB BEAMAN; ADAM WILLITS; AMI SATO; CHAD KEETCH; CORY R MONETTE; SOON BURNAM; GERALD FRANCIS MURPHY; JACOB BEAMAN; BARRY PORT; GERALD FRANCIS MURPHY; JACOB BEAMAN; SOON BURNAM.

Changes in ownership

July 1, 2026, enrollment ownership file; no longer listed: CRAIG FITCH (CORPORATE OFFICER); JACOB BEAMAN (W-2 MANAGING EMPLOYEE); first listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since November 8, 2022; GERALD FRANCIS MURPHY (ADP OF THE SNF), associated since February 1, 2023; GERALD FRANCIS MURPHY (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2023; GERALD FRANCIS MURPHY (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023; CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; AMI SATO (CORPORATE OFFICER), associated since September 9, 2024; ENSIGN SERVICES INC (ADP OF THE SNF), associated since November 1, 2022; BARRY PORT (OPERATIONAL/MANAGERIAL CONTROL), associated since July 26, 2018; JACOB BEAMAN (ADP OF THE SNF), associated since February 1, 2023; JACOB BEAMAN (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
September 1, 2024, enrollment ownership file; no longer listed: VICTOR G LUNDQUIST (OFFICER); NAHS NORTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST); JAMES ELLIS-SHERINIAN (DIRECTOR); NAHS HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); MICHAEL J MOORE (DIRECTOR); NAHS EMPLOYEE STOCK OWNERSHIP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); JEFFREY A DALY (OFFICER); JACOB BEAMAN (OPERATIONAL/MANAGERIAL CONTROL); JACOB BEAMAN (W-2 MANAGING EMPLOYEE); JACOB BEAMAN (DIRECTOR); JACOB BEAMAN (OFFICER); first listed: SOON E BURNAM (OFFICER), associated since November 8, 2022; CORY R MONETTE (OFFICER), associated since February 1, 2023; CRAIG FITCH (OFFICER), associated since February 1, 2023; ADAM WILLITS (DIRECTOR), associated since February 1, 2023; THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since February 1, 2023; JACOB BEAMAN (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023; JACOB BEAMAN (W-2 MANAGING EMPLOYEE), associated since February 1, 2023; FLAGSTONE HEALTHCARE NORTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since November 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Inspections of PACIFICA NURSING AND REHABILITATION CENTER

Cycle 1: health May 22, 2026 (0 deficiencies), fire safety May 22, 2026 (4)
Cycle 2: health November 22, 2024 (3 deficiencies), fire safety November 22, 2024 (2)
Cycle 3: health August 24, 2023 (3 deficiencies), fire safety August 24, 2023 (8)

Deficiencies cited at PACIFICA NURSING AND REHABILITATION CENTER

6 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0658, resident assessment and care planning: November 22, 2024 (E, corrected November 28, 2024).
F 0661, resident assessment and care planning: November 22, 2024 (D, from a complaint, corrected November 28, 2024).
F 0812, nutrition and dietary: November 22, 2024 (F, corrected November 28, 2024).
F 0641, resident assessment and care planning: June 4, 2024 (D, from a complaint, corrected June 28, 2024).
F 0684, quality of life and care: June 4, 2024 (D, from a complaint, corrected June 28, 2024).
F 0880, infection control: August 24, 2023 (E, corrected September 20, 2023).

PACIFICA NURSING AND REHABILITATION CENTER in Care Compare

Ownership Type: For profit - Limited Liability company
Legal Business Name: MUSSEL ROCK HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid Services: 1970-05-13
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: San Mateo
Telephone Number: 6509935576
Chain Name: THE ENSIGN GROUP
Chain ID: 507
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Average Number of Residents per Day: 58.1
Overall Rating: 5
Health Inspection Rating: 5
QM Rating: 5
Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for PACIFICA NURSING AND REHABILITATION CENTER: no penalty in Care Compare.

Other nursing facilities in PACIFICA and California

Report a figure on PACIFICA NURSING AND REHABILITATION CENTER’s record that differs from its CMS file, quoting 056205.