Firstat Nursing Services

    411 Camino del Rio S #100, San Diego, CA 92108

    Compassionate skilled responsive highly recommended

    I'm very pleased with this in-home care team - the transition manager was responsive, the aides and nurses compassionate, skilled, and professional, sign-up was easy, communication was excellent, and the friendly office staff and flexible scheduling made everything reassuring. Everything exceeded my expectations overall, the app is great, and I would highly recommend them (just a little room for improvement).

    Loved one of client
    May 2026

    Services

    • Home Health Care

    Reviews

    3.84·(38)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Caregivers

      3.7
    • Communication

      2.5
    • Reliability

      1.9
    • Scheduling

      2.9
    • Value

    Pros

    • Compassionate caregivers
    • Clinically skilled nurses and aides
    • Warm, respectful caregiver demeanor
    • Responsive transition and onboarding support
    • Quick response times
    • Flexible short-notice scheduling
    • Easy sign-up and user-friendly app
    • Thorough, knowledgeable clinicians
    • Friendly office staff
    • Helpful case-management support

    Cons

    • Inconsistent caregiver skill and professionalism
    • Unreliable shift coverage with no-shows and reschedules
    • Frequent late arrivals and narrow scheduling windows
    • Weak office communication and unresponsiveness
    • Disorganized scheduling and administrative operations
    • Insufficient backup staffing for missed shifts
    • Delayed evaluations and slow follow-up
    • Inconsistent adherence to care plans and coordination gaps

    Summary of reviews

    Overall impression: Feedback is mixed and clusters into two clear themes. Many comments praise individual caregivers and clinicians for compassionate, skilled, and respectful direct care; however, consistent operational weaknesses at the agency level—particularly around communication and scheduling—appear to undermine that clinical strength for some families.

    Caregiver quality: Several accounts describe aides and nurses as caring, competent, and attentive, with specific praise for compassionate interactions and thorough clinical assessments. At the same time, other accounts describe variability in caregiver skill, professionalism, and adherence to client care plans. This suggests the agency can deliver strong hands-on care but that consistency between staff members is uneven.

    Office communication and case management: A prominent pattern concerns administrative communication. Examples include delayed or missing responses to calls and emails, inconsistent information from caseworkers, and long waits for initial evaluations. Conversely, some families cite responsive transition managers and helpful case-management support. The overall picture is of uneven office responsiveness and coordination: certain staff or pathways work well, while others produce delays or gaps in follow-up.

    Reliability and scheduling: Reliability is a recurrent concern. Review summaries indicate frequent late arrivals, narrow scheduling windows that feel tight for families, repeated reschedules or no-shows, and an absence of timely replacement caregivers. The agency is also described as having disorganized scheduling practices. These operational issues create coverage gaps that affect continuity of care even when individual caregivers are effective.

    Scheduling flexibility and onboarding: Positive comments note the agency can be flexible on short notice and that onboarding/sign-up processes and the mobile app are user-friendly. These strengths support families who need rapid starts or last-minute adjustments, but their benefit is diminished when combined with inconsistent shift reliability or delayed clinical evaluations.

    Value and management: Perceptions of value vary depending on whether the family experienced dependable scheduling and consistent staffing. Where direct-care staff were steady and communicative, families described the service as professional and reassuring. Where administrative coordination faltered, families felt trust and value were reduced. The pattern points to management and operational coordination as the critical areas for improvement to make the agency’s clinical strengths consistently useful.

    Notable pattern and takeaway: The dominant pattern is a split between strong individual caregiver experiences and weaker backend operations. Prospective clients should weigh the likelihood of strong, compassionate direct care against the risk of administrative or scheduling instability. Asking specific questions about backup staffing, average response times, assignment consistency, and escalation pathways during intake may help families gauge how likely they are to experience the positive side of the service versus the documented operational gaps.

    Location

    Map showing location of Firstat Nursing Services

    Firstat Nursing Services is located at 411 Camino del Rio S #100, San Diego, CA 92108.

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    Disclaimer

    Mirador Home Care is not affiliated with the owner or operator(s) of Firstat Nursing Services. The information on this page is provided as a public resource and may not reflect the most current details. For exact information, please contact Firstat Nursing Services directly. There is no cost for using this service.

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