Nursing Homes in San Mateo, CA.

BROOKSIDE SKILLED NURSING HOSPITAL

2620 FLORES STREET, SAN MATEO, CA 94403

Measured. Brookside Skilled Nursing Hospital is a high-performing facility on paper that hides a puzzling gap between its payroll and its actual results. On the bright side, they’ve mastered LOW_TURNOVER, keeping staff at a 22% churn that means the person helping your dad get dressed today is the same one who did it last Christmas. That consistency feeds directly into their LOW_FALLS_MAJOR_INJURY record, proving that when caregivers actually stay long enough to learn the floor plan, residents stop hitting the linoleum. However, we have a blatant STAFFING_CLAIM_MISMATCH where their five-star staffing numbers aren't translating into five-star health, suggesting those extra bodies might be busy with paperwork instead of people. You can see the friction in their HIGH_WEIGHT_LOSS flag, a 10.4% rate that usually means residents who need a slow hand at mealtime are being rushed or overlooked when the dinner bell rings. There’s also a HIGH_CATHETER flag to worry about, which often signals that staff are using tubes as a convenience shortcut rather than doing the hard work of walking residents to the bathroom. While they have zero federal fines on record—though we can’t say for sure if that's a lifetime achievement or just a recent streak—you still need to verify the vibe. Walk in at 6:00 PM and ask the administrator why their high staffing levels aren't stopping residents from losing weight or relying on catheters.

SAN MATEO MEDICAL CENTER D/P SNF

222 WEST 39TH AVENUE, SAN MATEO, CA 94403

SAN MATEO MEDICAL CENTER D/P SNF brings high quality measure scores (4.0/5) — Palmelle trust score 31/100. There are 2 federal fine(s) on record — no date context, so worth asking about directly.

ADAMS ICF/DD-N

1778 ADAMS ST, SAN MATEO, CA 94403

DEL MONTE ICF INC

1778 ADAMS ST, SAN MATEO, CA 94403

FRIENDS AND FAMILY HOME, INC.

225 ALMADEN WAY, SAN MATEO, CA 94403

AMERICAN STAR HOME 5 ICF/DD-N

1627 SHOREVIEW AVENUE, SAN MATEO, CA 94401

C.R.E. ENTERPRISE, INC.

2012 SHOREVIEW AVE, SAN MATEO, CA 94401

A AND F CARE SERVICES INC.

3617 PACIFIC BLVD, SAN MATEO, CA 94403

ARL CARE AND PROGRAM PROVIDERS, INC.

3937 CASANOVA DR, SAN MATEO, CA 94403

AMERICAN STAR HOME 1 ICF/DD-N

1209 DAKOTA AVE, SAN MATEO, CA 94401

LINDA MAR CARE CENTER

751 SAN PEDRO TERRACE ROAD, PACIFICA, CA 94044

Measured. Linda Mar Care Center in Pacifica is pulling off the rare feat of a five-star CMS sweep while battling some pretty gravity-defying physics on the floor. You’re looking at a world-class LOW_ANTIPSYCHOTIC rate of zero percent, which means they’re actually talking to residents and managing dementia with human connection instead of just pharmacological sedation. That hands-on culture shows up again in their LOW_PRESSURE_ULCERS data, suggesting the staff is actually present enough to keep people moving and keep their skin intact. However, the data hits a snag with HIGH_FALLS_MAJOR_INJURY, a flag that usually signals a gap between a resident thinking they can get to the bathroom alone and an aide actually showing up to help them do it safely. While there are zero federal fines on record—and we can’t tell if that’s a clean decade or just a quiet year—that lack of financial penalties is a solid baseline for a corporate-run spot. Since the RNs are clearly around but the falls are still happening, you need to walk in and ask the administrator why their residents are hitting the floor more often than the national average despite such high staffing numbers.

THE SEQUOIAS

501 PORTOLA ROAD, PORTOLA VALLEY, CA 94028

Rare. The Sequoias sits in that high-altitude tier where the data actually backs up the brochure, showing a facility that holds onto its people and its standards with a grip like a caffeinated toddler. Their 10% LOW_TURNOVER means you aren’t seeing a revolving door of strangers; it’s the same familiar faces who actually know how your mom likes her tea. That continuity pays off in physical results, specifically a LOW_PRESSURE_ULCERS rate of zero percent, proving the staff is actually on the floor moving residents and checking skin instead of hiding in the breakroom. You also see a LOW_ANTIPSYCHOTIC rate of zero, a rare signal that they’re managing dementia with actual human interaction and routine rather than just chemically sedating everyone into a quiet corner. This is backed by a FIVE_STAR_INSPECTION, which is essentially the gold medal for passing unannounced government pop quizzes on safety and cleanliness. There is a PENALTY_RATING_CONFLICT to consider, because they’ve racked up one federal fine despite that perfect overall score, and we can’t tell if that’s a dusty relic from years ago or a fresh red flag. Take a look at the one federal fine on the books and ask the administrator to walk you through exactly what happened and why it hasn't happened again.

GOLDEN HEIGHTS HEALTHCARE

35 ESCUELA DRIVE, DALY CITY, CA 94015

Measured. Golden Heights Healthcare is a bit of a statistical paradox, boasting a perfect five-star staffing rating and a clean inspection record while struggling to turn those extra hands into top-tier medical outcomes. On the bright side, the LOW_FALLS_MAJOR_INJURY flag is a genuine win, showing a 0.0% injury rate that suggests call lights aren’t just decorative and someone is actually there to help your mom get to the bathroom safely. You’re also looking at a stable crew with low turnover, meaning the same familiar faces are actually sticking around to learn your dad's routine rather than a revolving door of temp workers. However, we have to talk about the STAFFING_CLAIM_MISMATCH, because having a building full of nurses that still results in mediocre quality scores suggests those people might be busy with paperwork instead of providing actual bedside care. That disconnect shows up in the HIGH_MOBILITY_DECLINE flag, where nearly a quarter of long-stay residents are losing their ability to walk or move, which usually means they’re spending way too much time staring at the ceiling instead of getting rehab. There are zero federal fines on record, though we can’t tell if that’s a lifelong streak of excellence or just a very quiet couple of years. When you walk in, ignore the shiny lobby and ask the administrator why a facility with so many nurses on the clock has such a high percentage of residents losing their physical independence.

MILLBRAE CARE CENTER

33 MATEO AVENUE, MILLBRAE, CA 94030

Mixed. Millbrae Care Center is a bit of a statistical riddle, pairing a lackluster federal rating with staffing stability that most facilities would sell a kidney for. Because of the LOW_TURNOVER flag, you’re looking at a crew that actually sticks around instead of a revolving door of strangers, meaning the person helping your mom likely knows exactly how she takes her tea. That continuity pays off in safety, too, as the LOW_FALLS_MAJOR_INJURY flag suggests these long-term staffers are actually watching the floor and catching stumbles before they become hip fractures. It’s not all sunshine and roses, though, as the overall quality and inspection data suggest the administrative side of things might be fraying at the edges. There is one federal fine on the books, though the data doesn't clarify if that’s a ghost from five years ago or a fresh headache from last month. You have to wonder why a team that stays together so well is still struggling to hit the high marks on paper. When you walk through the front doors, skip the small talk and ask the administrator why their veteran staff isn't translating into better federal inspection scores.

PACIFICA NURSING AND REHABILITATION CENTER

385 ESPLANADE AVENUE, PACIFICA, CA 94044

Legit. Pacifica Nursing and Rehabilitation Center is essentially the unicorn of the local care world, boasting a top-tier record that actually seems to hold up under a microscope. Because of their HIGH_RN_COVERAGE, you’re looking at over an hour of registered nurse time per resident daily, which is the difference between a professional catching a subtle change in breathing and an avoidable midnight ambulance ride. You also have LOW_TURNOVER at a level that puts most of the industry to shame, meaning the staff actually knows your name and how you take your coffee rather than being a rotating door of strangers. Their FIVE_STAR_INSPECTION isn’t just a gold star for the lobby; it means when the state showed up unannounced to poke around the kitchen and the medicine carts, they found a tight ship that follows the rules. There are zero federal fines on record, and while we can’t be sure if that’s a lifelong streak or just a very clean recent history, it’s a massive green flag. It’s a for-profit operation, but the data suggests they are reinvesting in the people on the floor rather than just the bottom line. When you visit, don't just take the tour—ask the nurses how long they’ve worked there and if they feel they have the time to actually listen to their patients.

GOLDEN PAVILION HEALTHCARE

99 ESCUELA DRIVE, DALY CITY, CA 94015

Messy. Golden Pavilion Healthcare is currently doing this high-wire act where the staff looks great on paper but the results on the floor are a different story. To their credit, they’ve earned a LOW_ANTIPSYCHOTIC flag, which means they aren’t just sedating residents into a quiet corner to make the shift easier; they’re actually doing the hard work of managing dementia with human interaction instead of a pill bottle. You’re also getting solid RN coverage here, so there is usually a high-level set of eyes in the building to catch a medical crisis before it turns into a 911 call. However, that makes the HIGH_WEIGHT_LOSS flag even more frustrating, because it suggests that despite having the bodies on shift, residents are literally shrinking because nobody is sitting down to help them finish their dinner. There are also two federal fines on the books—we can’t tell if those are fresh scars or old history, but they’re worth a mention. You need to walk in there around 5:30 PM, head to the dining room, and ask the administrator why their robust staffing levels aren't translating into residents getting the actual calories they need to stay healthy.

AHMC SETON MEDICAL CENTER

1900 SULLIVAN AVENUE, DALY CITY, CA 94015

AHMC SETON MEDICAL CENTER brings above-average staffing (4.0/5), 1.36 RN hours per resident daily, and low staff turnover (30%) — Palmelle trust score 24/100. There are 3 federal fine(s) on record — no date context, so worth asking about directly.

SAN BRUNO SKILLED NURSING

890 EL CAMINO REAL, SAN BRUNO, CA 94066

SAN BRUNO SKILLED NURSING brings a 4.0-star CMS rating, high quality measure scores (5.0/5), low staff turnover (39%), and no federal fines on record — Palmelle trust score 84/100.

BELMONT HEALTHCARE CENTER

2140 CARLMONT DRIVE, BELMONT, CA 94002

BELMONT HEALTHCARE CENTER brings a 5.0-star CMS rating, strong inspection scores (4.0/5), high quality measure scores (5.0/5), and no federal fines on record — Palmelle trust score 86/100.

DEVONSHIRE OAKS NURSING CENTER

3635 JEFFERSON AVENUE, REDWOOD CITY, CA 94062

DEVONSHIRE OAKS NURSING CENTER brings strong inspection scores (4.0/5), high quality measure scores (4.0/5), and no federal fines on record — Palmelle trust score 81/100.

ATHERTON PARK POST-ACUTE

1275 CRANE STREET, MENLO PARK, CA 94025

ATHERTON PARK POST-ACUTE brings a 4.0-star CMS rating, above-average staffing (4.0/5), high quality measure scores (5.0/5), low staff turnover (32%), and no federal fines on record — Palmelle trust score 84/100.

PENINSULA POST-ACUTE

1609 TROUSDALE DRIVE, BURLINGAME, CA 94010

PENINSULA POST-ACUTE brings high quality measure scores (5.0/5), 0.63 RN hours per resident daily, and no federal fines on record — Palmelle trust score 70/100.