On vacation to Pismo Beach. Arroyo Grande Community Hospital rates a 10+ in my book. Went to the ER after four days of experiencing excruciating back pains that could not be relieved by all the drugs in my medicine cabinet, back brace or heating pad. The ER staff were amazing, friendly and efficient. Dr. Young ordered a Cat Scan, gave me a pain shot, exam and and recommended I cut my vacation short and go to regular doctor in southern Ca. I have no comlpaints about this top notch pain.