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359 Best Medicaid Nursing Homes in California

359 of the 1,165 Medicare-certified nursing homes in California (31%) are top-graded Medicaid-certified, and all are listed below. 359 of the 359 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 29.5%, 7.2 points lower than the 36.7% across all homes there. Veterans Home Of California - Fresno in Fresno grades highest at A (99 out of 100).

How top-graded Medicaid-certified homes in California compare

This group set against every nursing home in California, from the current CMS release.

Nursing hours per resident per day

4.77

All homes in California: 4.52

Better than the local average

Nurse staff turnover

29.5%

All homes in California: 36.7%

Better than the local average

Average ElderGrade score

89.2/100

All homes in California: 79/100

Better than the local average

Grade spread

A

359 grade A,

The best-graded top-graded Medicaid-certified home in California is Veterans Home Of California - Fresno in Fresno, CA, grade A, 99/100.

Every top-graded Medicaid-certified nursing home in California

Showing 241 to 260 of 359, best-graded first.

A

87/100

Arbor Rehabilitation & Nursing Center

Lodi, CA · San Joaquin County

CMS 4/5149 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
44%
Serious cites
0

Arbor Rehabilitation & Nursing Center runs 149 certified beds in Lodi under corporate ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average, though weekends dip about 7% below its own weekday levels. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows 48 deficiencies, none at the harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was January 9, 2026, so the findings are recent. Quality measures score well; the inspection side is more mixed.

A

87/100

San Gabriel Valley Medical Ctr D/P Snf

San Gabriel, CA · Los Angeles County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
7.66 /day
Staff turnover
20%
Serious cites
0

San Gabriel Valley Medical Ctr D/P Snf runs on unusually heavy staffing for a 44-bed for-profit home, 7.66 nurse hours per resident day, roughly double the national figure, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 20% against a national average near 46%, so the people providing that care tend to stay. The trade-off shows up in its inspection record: 34 deficiencies, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. Quality measures score at the top of CMS's scale, and ownership is corporate for-profit. Families weighing a small, well-staffed home against a longer paper trail should ask what those 34 citations actually involved.

A

87/100

The Villas At Poway

Poway, CA · San Diego County

CMS 5/5129 bedsGovernmentMedicaid
Nurse hours
6.90 /day
Staff turnover
12%
Serious cites
0

The Villas At Poway runs on unusually deep nurse staffing, 6.90 hours per resident day against a national average of 3.86, and weekend coverage only dips about 12% below its weekday level, so care doesn't thin out as much when families visit. Staff turnover sits at 11.8% while the national figure is 45.8%, which means the people caring for residents tend to stick around. The tradeoff shows up in its inspection history: 40 deficiencies currently on record, including one at the harm level and three tied to abuse, plus ten fines totaling $57,124. Its last inspection was in May 2025, so the picture is recent. Strong staffing and retention, but the survey record is the thing to ask about directly.

A

87/100

Encino Hospital Medical Center D/P Snf

Encino, CA · Los Angeles County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
7.62 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at this Encino home runs 7.62 hours per resident day, roughly double the national average of 3.86, and turnover sits at 32.7%, well under the 45.8% norm. Those are real strengths, and they show up in the staffing and quality stars. The inspection record tells a different story: 25 deficiencies on file, including one at the harm level and three tied to abuse, plus a $24,030 fine. State inspectors were last on site in December 2025, so the picture is current. Corporate ownership and 28 beds mean a small operation where a single bad incident carries proportionally more weight.

A

87/100

Vista Knoll Specialized Care Facility

Vista, CA · San Diego County

CMS 5/5119 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
40%
Serious cites
0

Vista Knoll runs a for-profit operation under a limited liability company, with 119 certified beds in San Diego County. The numbers here are decent overall: a 4-out-of-5 inspection rating, a perfect 5 on quality measures, and turnover at 39.8%, better than the national average of 45.8%. Total nurse staffing sits at 3.79 hours per resident day, slightly under the national 3.86, and weekends run about 13% leaner than weekdays, so families should ask how coverage holds up on Saturdays and Sundays. The record shows 31 deficiencies, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. The last inspection was September 26, 2025, so the picture is recent.

A

87/100

Holiday Manor Care Center

Canoga Park, CA · Los Angeles County

CMS 3/594 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
23%
Serious cites
0

Holiday Manor Care Center runs 94 certified beds in Canoga Park under for-profit LLC ownership, and the staffing numbers here are genuinely strong: 4.14 nurse hours per resident day, about 7% above the national average, with a 5/5 CMS staffing rating and turnover at 23.3% against a 45.8% national figure. That stability matters. What pulls the picture down is the inspection record, 63 deficiencies, four at harm or jeopardy level, seven tied to abuse, and a 2/5 health inspection rating. Weekend staffing also drops roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Two fines totaling $18,363 round out the enforcement history.

A

87/100

Marysville Post-Acute

Marysville, CA · Yuba County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
35%
Serious cites
0

Marysville Post-Acute runs 86 beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That margin is thin enough to disappear on weekends, when coverage drops roughly 10% below the home's own weekday level. Staff turnover is the genuine bright spot at 35.2%, well under the 45.8% national figure, which suggests people tend to stay. The tradeoff shows up in the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent inspection was April 2025, so the picture is current. Quality and staffing star ratings both land at 4 or 5 out of 5.

A

87/100

Chapman Global Medical Center D/P Snf

Orange, CA · Orange County

CMS 3/527 bedsFor-profitMedicaid
Nurse hours
8.45 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at Chapman Global runs 8.45 hours per resident day, more than double the national average of 3.86, and weekend coverage barely dips from weekday levels. Staff turnover sits at 21.2 percent against a national average near 46 percent, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record: 59 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and a single fine of $4,194. This is a small for-profit home, 27 beds, last inspected in April 2026. The staffing is the story here, steady hands, a thin margin for error on compliance.

A

87/100

Tice Valley Post Acute

Walnut Creek, CA · Contra Costa County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
37%
Serious cites
0

Tice Valley Post Acute runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, and its staff turnover is 36.5% against a national 45.8%, both real positives. Weekend staffing drops about 11% below its own weekday level, so coverage thins on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Inspectors last visited in December 2025, so the picture is recent.

A

87/100

Camarillo Healthcare Center

Camarillo, CA · Ventura County

CMS 5/5114 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
39%
Serious cites
0

Camarillo Healthcare Center runs 114 beds under corporate ownership, and its nurse staffing sits at 3.89 hours per resident day, just a hair above the national average of 3.86. Weekend coverage drops roughly 7% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover lands at 39.1%, which is meaningfully better than the 45.8% national figure, and its last inspection was recent, in February 2025. The 33 deficiencies on record include none tied to harm or jeopardy and none related to abuse. Quality measures scored well, and the health inspection record is solid. The staffing edge over average is thin, though, that's the number worth watching.

A

87/100

Providence Little Comp Of Mary Subacute Care Ctr

San Pedro, CA · Los Angeles County

CMS 4/5125 bedsNon-profitMedicaid
Nurse hours
8.67 /day
Staff turnover
25%
Serious cites
0

Providence Little Company of Mary Subacute Care Center sits in San Pedro with 125 certified beds, run by a nonprofit corporation. The staffing numbers stand out: 8.67 nurse hours per resident day is roughly two and a quarter times the national average, and weekend coverage only dips about 6% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover runs 25.2%, well under the 45.8% national figure, which suggests people stick around. The record isn't clean, though. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, plus a single $11,170 fine. The most recent inspection was January 30, 2026. Strong staffing and low turnover, but a deficiency count that deserves a hard look before you decide.

A

87/100

Kindred Hospital Brea D/P Snf

Brea, CA · Orange County

CMS 3/538 bedsFor-profitMedicaid
Nurse hours
7.13 /day
Staff turnover
26%
Serious cites
0

Kindred Hospital Brea runs a 38-bed skilled nursing unit in Orange County under corporate ownership, and the staffing numbers are genuinely unusual: 7.13 nurse hours per resident day, roughly 85 percent above the national average, with weekend coverage dipping only about 7 percent below weekdays. Turnover sits at 26.2 percent against a national 45.8, so the people caring for residents tend to stay. What pulls the record down is inspections, a 2 out of 5 star rating, 50 deficiencies on file, and 2 tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was February 2026, so the picture is current. Families weighing heavy care needs against regulatory history have a real tradeoff here.

A

87/100

Forest Hill Manor Health Center

Pacific Grove, CA · Monterey County

CMS 4/526 bedsFor-profitMedicaid
Nurse hours
5.04 /day
Staff turnover
44%
Serious cites
0

Forest Hill Manor runs a 26-bed operation in Pacific Grove, and the staffing numbers are its strongest card: 5.04 nurse hours per resident day, roughly a third above the national average. That margin matters in a small building, though weekend coverage drops about 14% from weekday levels, so care can thin out when families visit most. Turnover sits at 44.4%, essentially the national rate, and the quality measure score is perfect while health inspections land mid-range. The record shows 28 deficiencies, one serious enough to cause harm, and a single fine of $8,278, not alarming for a for-profit LLC, but worth asking about directly.

A

86.5/100

Vacaville Convalescent And Rehabilitation Center

Vacaville, CA · Solano County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
5.68 /day
Staff turnover
n/a
Serious cites
0

Vacaville Convalescent runs its nurse staffing at 5.68 hours per resident day, roughly 47% above the national average of 3.86, the kind of margin that matters most during evenings and weekends. That said, weekend coverage dips about 13% below its own weekday level, so the staffing cushion thins out on Saturdays and Sundays. The home sits on 22 deficiencies, with none rising to harm or jeopardy but five flagged as abuse-related, which a family should ask about directly. It carries one fine totaling $7,976, and its last inspection was in early March 2026, so the record is current.

A

86/100

Redwood Grove Post Acute

Santa Cruz, CA · Santa Cruz County

CMS 2/5144 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
56%
Serious cites
0

Redwood Grove Post Acute runs 144 certified beds in Santa Cruz under a for-profit LLC, and its nurse staffing of 4.70 hours per resident day sits roughly 22% above the national average of 3.86, the kind of margin that usually shows up in daily care. Weekend coverage dips about 7% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The concerns are on the record: 39 deficiencies, including one at the harm level and two tied to abuse, with the last inspection in February 2025. Annual turnover hits 56% against a national 45.8%, meaning more than half the staff leaves each year. Strong hours, unsettled history.

A

86/100

Magnolia Gardens Convalescent Hospital

Granada Hills, CA · Los Angeles County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
36%
Serious cites
0

Magnolia Gardens runs 99 certified beds in Granada Hills, corporate-owned and for-profit. Nurse staffing sits at 3.84 hours per resident day, essentially even with the national average, though weekends dip about 8% below its own weekday levels. Turnover is a real strength here: 35.6% against a national 45.8% means aides and nurses are staying longer than at the typical home. The catch is inspections. A one-star health inspection rating with 82 deficiencies on record, two of them abuse-related, points to problems that staffing numbers alone don't capture. No deficiency reached harm or jeopardy level, and the most recent inspection was April 2026. Quality and staffing measures both score well; the inspection history is what pulls this one down.

A

86/100

Fallbrook Skilled Nursing

Fallbrook, CA · San Diego County

CMS 4/593 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
41%
Serious cites
0

Fallbrook Skilled Nursing runs 93 certified beds under for-profit LLC ownership, and its staffing sits right at the national mark, 3.84 nurse hours per resident day against an average of 3.86. Weekends dip about 12% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover runs 40.9%, a bit better than the 45.8% national figure, so the team is somewhat more stable than most. Inspections are recent, from May 2025, and the home carries 20 deficiencies, none at harm or jeopardy level, though one is abuse-related. Health and quality measure ratings both land at 4 out of 5 stars, staffing at 3.

A

86/100

Desert Canyon Post Acute, Llc

Lancaster, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
25%
Serious cites
0

Desert Canyon Post Acute runs 4.09 nurse hours per resident day, about six percent above the national average, and its staff turnover of 25.3% is well below the 45.8% national figure, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend staffing dips roughly ten percent below weekday levels, so coverage thins out when families tend to visit. The inspection record is where it gets harder to ignore: 111 deficiencies on file, including two at the harm level and nine tied to abuse, with a one-out-of-five inspection rating and a survey as recent as February 2026. Good staffing numbers don't cancel out that paper trail.

A

86/100

Manning Gardens Care Center, Inc

Fresno, CA · Fresno County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
27%
Serious cites
0

Manning Gardens runs on a relatively lean corporate ownership structure, but the numbers that matter most here are the people on the floor. Nurse staffing sits at 4.61 hours per resident day, about 19% above the national average, and the staff retention is unusually steady, 26.7% turnover against a national 45.8% means caregivers tend to stay. Weekend coverage dips roughly 11% below weekday levels, which is worth asking about if your family visits or needs help on Saturdays and Sundays. The inspection record is the tradeoff: 40 deficiencies on file, two of them serious enough to reach harm or jeopardy level, though none involve abuse. A single $12,000 fine and an inspection as recent as December 2025 suggest the state is watching closely.

A

86/100

Santa Monica Health Care Center

Santa Monica, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
37%
Serious cites
0

Santa Monica Health Care Center runs on 4.64 nurse hours per resident day, roughly 20% more than the national average, and its staff turnover of 37.1% beats the national figure of 45.8%, real signs of a stable floor. Weekend staffing dips about 10% below weekday levels, which matters if your family visits on Saturdays or Sundays. The trouble sits in the inspection record: 38 deficiencies, three of them serious enough to put residents in harm's way. The last survey was April 2025, so the picture is current, not stale. For-profit partnership ownership and that deficiency count are what pull the grade down despite solid staffing.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in California?
There are 359 top-graded Medicaid-certified Medicare-certified nursing homes in California, 31% of the 1,165 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In California they average 4.77 total nursing hours per resident per day, against 4.52 for all nursing homes in California, a difference of +0.25 hours. Staff turnover averages 29.5% against 36.7%.
Which top-graded Medicaid-certified nursing home grades best in California?
Veterans Home Of California - Fresno in Fresno, CA, grade A, 99 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 359 graded top-graded Medicaid-certified homes in California, 359 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in California accept Medicaid?
359 of the 359 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in California