359 Best Medicaid Nursing Homes in California

Nurse hours

4.08 /day

Staff turnover

33%

Serious cites

0

Sierra Valley Rehab Center runs 139 certified beds in Porterville under for-profit LLC ownership, and the staffing picture is genuinely better than average: 4.08 nurse hours per resident day against a national 3.86, with turnover at 33.3% compared to the 45.8% norm. Weekends dip about 8% below weekday coverage, so care can thin out on Saturdays and Sundays. The trade-off shows up in inspection history, 62 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a single fine of $8,190. The last inspection was February 27, 2025, so the record is recent. Quality measures score well; the inspection side is where the concerns live.

Nurse hours

5.43 /day

Staff turnover

29%

Serious cites

0

Buena Park Nursing Center runs on a split personality. Nurse staffing sits at 5.43 hours per resident day, roughly 41% above the national average, and the 29% turnover rate is well below the typical 45.8%, that's a stable crew delivering more hands-on care than most homes. But the inspection record is ugly: 75 deficiencies, including one at the harm or jeopardy level and five tied to abuse, against just a single $8,278 fine. A one-star health inspection rating means the government found real, repeated problems. The quality measures look great at 5 stars, but those come largely from resident assessments the home reports itself, while surveys come from outside inspectors. High staffing is a real strength; the survey history is the reason to ask hard questions before moving anyone in.

Nurse hours

4.37 /day

Staff turnover

41%

Serious cites

0

Grass Valley Healthcare Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.37 hours per resident day, about 13% above the national average of 3.86. That's a real margin, though weekends dip roughly 11% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 40.9% is slightly better than the 45.8% national figure. The record isn't clean: 23 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was September 2025, so the picture is current. Staffing and quality measures both rated 4 out of 5; health inspections came in at 3.

Nurse hours

4.67 /day

Staff turnover

37%

Serious cites

0

Santa Paula Post Acute Center runs 99 certified beds under individual for-profit ownership, and its staffing is the clearest strength: 4.67 nurse hours per resident day, roughly 21% above the national average. Turnover sits at 36.9% against a national 45.8%, though weekend coverage dips about 12% below its own weekday level, so ask how that gap gets filled. The inspection record shows 35 deficiencies, none at the harm level and none abuse-related, with the most recent survey in April 2025. All three CMS ratings, health inspection, quality measures, and staffing, land at 4 out of 5.

Nurse hours

4.77 /day

Staff turnover

43%

Serious cites

0

Mission Park runs on 4.77 nurse hours per resident per day, roughly 23% above the national average, though weekends dip about 11% below its own weekday staffing. Turnover sits at 42.5%, slightly better than the 45.8% national figure. The inspection record shows 14 deficiencies, none at harm or jeopardy level, but two are abuse-related, and the most recent inspection was in December 2024, so the record is current. The 5/5 inspection rating and 4/5 quality measures reflect that clean harm-level record, while the 3/5 staffing rating suggests CMS isn't fully crediting the above-average hours. It's a for-profit LLC with 138 beds.

Nurse hours

4.87 /day

Staff turnover

31%

Serious cites

0

Guardian Rehabilitation Hospital sits in Los Angeles with 93 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 4.87 nurse hours per resident day, roughly a quarter more than the national average, with turnover at 31.2% against a national 45.8%, so people are staying longer than at the typical home. Weekends run about 12% leaner than weekdays, which is worth asking about. Against that, the current inspection record carries 49 deficiencies, four tied to abuse, and one fine of $32,040. None of the deficiencies reached harm or jeopardy level, and the last inspection was in March 2026, so the record is recent.

Nurse hours

3.78 /day

Staff turnover

38%

Serious cites

0

Escondido Post Acute runs 180 beds under corporate ownership, and its staffing sits at 3.78 nurse hours per resident day, about 2% under the national average of 3.86. Weekends dip roughly 4% below its own weekday coverage, so the thinnest shifts come when families tend to visit. What stands out is retention: 37.9% annual turnover against a national 45.8%, which means more familiar faces than most places. The record shows 42 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspectors were last on site in May 2025, and the quality measure rating is strong while staffing lands mid-range.

Nurse hours

4.44 /day

Staff turnover

46%

Serious cites

0

San Luis Post Acute Center sits in San Luis Obispo with 162 certified beds under corporate ownership. Its 4.44 nurse hours per resident day runs about 15% above the national average of 3.86, and weekend staffing dips roughly 8% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record is the stronger story: a recent March 2025 survey, 16 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Turnover lands at 45.5%, essentially matching the national 45.8%. For-profit ownership and a solid survey history together.

Nurse hours

3.86 /day

Staff turnover

21%

Serious cites

0

Broadway Healthcare Center runs 59 beds in San Gabriel under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekends about 3% thinner than weekdays. What stands out is retention: 21.4% annual turnover against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record, 43 deficiencies, including one at the harm level and one abuse-related, with a single $3,145 fine. The most recent inspection was February 2026. Quality measures rate well above average, so the day-to-day care looks steadier than that paper trail suggests.

Nurse hours

5.10 /day

Staff turnover

41%

Serious cites

0

Palm Springs Healthcare & Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.10 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips modestly, about 8% below weekday levels, while annual turnover of 41.2% comes in slightly under the national 45.8%. The current inspection record shows 31 deficiencies but none at the harm or jeopardy level and nothing abuse-related, with the most recent survey completed in December 2024. Its CMS stars line up evenly across health inspections, quality measures, and staffing, each at 4 out of 5.

Nurse hours

4.19 /day

Staff turnover

39%

Serious cites

0

We Care Skilled Nursing in Fremont runs on 4.19 nurse hours per resident day, about 8% above the national average, and its 38.9% turnover is meaningfully better than the 45.8% typical elsewhere. Weekend staffing dips roughly 7% from weekday levels, so coverage is a little thinner on Saturdays and Sundays. Inspectors wrote up 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last visit in December 2024. The for-profit limited liability company behind it earned a 3 out of 5 on health inspections, while quality measures and staffing both came in at 4. Staffing and turnover look like the strengths here; the inspection record, while free of serious findings, is the softer spot.

Nurse hours

4.14 /day

Staff turnover

38%

Serious cites

0

San Leandro Healthcare Center runs 62 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover is 37.5%, noticeably better than the 45.8% national figure, which matters for whether your family sees the same faces. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Inspections, quality measures, and staffing each landed at 4 out of 5 stars.

Nurse hours

4.16 /day

Staff turnover

29%

Serious cites

0

Lake Merritt Healthcare Center runs on a for-profit LLC structure with 53 certified beds, and its staffing is the clearest strength: 4.16 nurse hours per resident day sits about 8% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover at 28.6% is well under the national 45.8%. The inspection record is where the picture darkens, 44 deficiencies on file, three tied to abuse, and a 2/5 health inspection rating, though none reached harm or jeopardy. The most recent inspection was October 2024. A 4/5 staffing rating paired with a 2/5 inspection rating tells you the hands are there but the compliance history has been rougher than average.

Nurse hours

10.93 /day

Staff turnover

28%

Serious cites

0

All Saints runs unusually heavy nurse staffing, nearly 11 hours per resident day, roughly triple the national figure, and its 28% turnover beats the 45.8% national average. Weekend coverage dips about 10% below its own weekday level, but the numbers stay high regardless. The inspection record is where it falls apart. Ninety-six deficiencies are on file, four of them at the harm or jeopardy level and six tied to abuse, with three fines totaling $118,855. The most recent inspection, in January 2026, gave the home a one-star health inspection rating even as its quality and staffing measures scored five. Corporate ownership, 128 beds, and a record showing both strong bedside hours and serious compliance problems, that combination is what the grade reflects.

Nurse hours

4.12 /day

Staff turnover

36%

Serious cites

0

Fremont Healthcare Center runs 115 beds under for-profit partnership ownership, and the staffing numbers here are the real story: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 7% below its own weekday level. Turnover sits at 36%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in the inspection record, 30 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus one fine of $12,051. The most recent inspection was November 2025. Quality measures score well and staffing is strong; the survey history is where a family should ask questions.

Nurse hours

4.65 /day

Staff turnover

25%

Serious cites

0

Downey Community Health Center runs about 4.65 nurse hours per resident day, roughly 20% above the national average, and weekend staffing dips only about 9% below its own weekday level, that's a fairly modest drop. Staff turnover sits at 25% against a national average near 46%, so people tend to stay. The catch is the inspection record: 71 deficiencies on file, three tied to abuse, though none rose to the harm or jeopardy level. State surveyors were last in on April 10, 2025. With 198 beds under for-profit partnership ownership, the staffing and retention numbers are genuinely strong; the deficiency count and 2-out-of-5 inspection rating are where the concerns live.

Nurse hours

3.77 /day

Staff turnover

39%

Serious cites

0

Willows Post Acute runs 79 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean for a home this size: 20 deficiencies on the books, but none at the harm or jeopardy level and none tied to abuse, with a survey completed in April 2025. The weaker spot is staffing. At 3.77 nurse hours per resident day, it sits just under the national average, and weekend coverage drops roughly 5% below its own weekday level, a gap families should ask about directly, since needs don't pause on Saturdays. Turnover at 38.6% is better than the 45.8% national figure. Quality measures score strongly; direct-care hours are the number to watch.

Nurse hours

4.89 /day

Staff turnover

48%

Serious cites

0

Vineyard Hills runs on more nursing hours than most places, 4.89 per resident per day, roughly a quarter above the national average, and that shows up in its four-out-of-five staffing rating. It's not perfect coverage, though: weekends run about 15% thinner than weekdays, and annual turnover sits at 48.1%, a touch above the national figure, so the faces around a resident change fairly often. On the regulatory side, the record is clean where it matters most. Sixteen deficiencies on the current file, but none at the harm level and none tied to abuse, with a five-star health inspection rating and a survey completed in June 2025. Corporate-owned and Medicare-certified for 99 beds.

Nurse hours

3.51 /day

Staff turnover

30%

Serious cites

0

Lakeport Post Acute runs leaner than most homes on nurse staffing, 3.51 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover at 29.8% is notably better than the 45.8% national figure, which suggests less churn among the people actually providing care. The inspection record is the harder read: 49 deficiencies, one at harm or jeopardy level and one abuse-related, with a two-star health inspection rating, though the most recent inspection came in June 2025. Quality measures score well, but that reflects resident outcomes on paper, not how consistently the building is staffed or cited.

Nurse hours

3.87 /day

Staff turnover

20%

Serious cites

0

Alta Gardens runs 129 certified beds in Garden Grove under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86. Weekends run about 7% leaner than weekdays, so coverage thins out when families tend to visit. Turnover is where it stands apart: 20.4% annually against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in oversight. Inspectors last visited in February 2026 and logged 58 deficiencies, including one at the harm level and two tied to abuse, with a single $8,278 fine. Quality measures score well; the inspection record is the weaker half.