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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 301 to 320 of 359, best-graded first.

A

85/100

Fairmont Rehabilitation Hospital

Lodi, CA · San Joaquin County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
35%
Serious cites
0

Fairmont Rehabilitation Hospital in Lodi runs 4.55 nurse hours per resident day, about 18% above the national average, and its weekend staffing dips roughly 12% below its own weekday level, a gap worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover sits at 34.7%, noticeably better than the 45.8% national figure, which matters for continuity. The tradeoff shows up in inspections: 25 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in January 2025.

A

85/100

Monrovia Post Acute

Duarte, CA · Los Angeles County

CMS 3/582 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
40%
Serious cites
0

Monrovia Post Acute sits in Duarte with 82 certified beds, run by a for-profit limited liability company. The staffing numbers are the bright spot: 4.36 nurse hours per resident day, roughly 13% above the national average, and turnover at 39.5% is better than the 45.8% national figure. Weekends run about 12% leaner than weekdays, so coverage isn't perfectly even. The inspection record is where the picture darkens, 59 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. A 2/5 health inspection rating against a 5/5 quality measure score is a strange split. The last inspection was April 2026, so that record is current.

A

85/100

Lomita Post-Acute Care Center

Lomita, CA · Los Angeles County

CMS 3/571 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
35%
Serious cites
0

Lomita Post-Acute runs 71 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average. Weekends dip about 13% below its own weekday coverage, so the weekday number is the better one. Annual turnover of 35.3% is meaningfully lower than the 45.8% national figure, which suggests less churn than most homes manage. Where it gets complicated is inspection history: 51 deficiencies on the current record, including one abuse-related citation, with no harm or jeopardy findings. The health inspection rating lands at 2 out of 5, while quality measures come in at 5 out of 5. That split is worth understanding before you visit, ask about the abuse citation and what changed after it.

A

85/100

Mission Valley Post Acute

Fremont, CA · Alameda County

CMS 4/585 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
33%
Serious cites
0

Mission Valley Post Acute runs about 4.06 nurse hours per resident day, roughly 5% above the national average, though weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 33.3%, well under the national 45.8%, which matters for continuity of care. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was October 2024. It's a for-profit limited liability company with 85 certified beds in Fremont, holding 5 out of 5 stars on both health inspections and quality measures, with staffing at 4. The weaker point is weekend consistency, not safety or clinical quality.

A

85/100

John C. Fremont Healthcare District Dp/Snf

Mariposa, CA · Mariposa County

CMS 2/516 bedsGovernmentMedicaid
Nurse hours
6.53 /day
Staff turnover
51%
Serious cites
0

John C. Fremont Healthcare District's skilled nursing unit runs on unusually heavy staffing for its size: 6.53 nurse hours per resident day, roughly 69% above the national average, which matters a lot in a 16-bed hospital-based unit where residents tend to be sicker. The tradeoff shows up elsewhere. Weekend coverage drops about 15% below its own weekday level, and annual turnover sits at 51.2%, higher than the 45.8% national figure, so the hours are there, but the faces change. Fifteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2026. As a government hospital-district home, it answers to public oversight rather than a chain.

A

85/100

La Paloma Healthcare Center

Oceanside, CA · San Diego County

CMS 5/593 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
40%
Serious cites
0

La Paloma Healthcare Center sits in Oceanside with 93 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.95 hours per resident day, a bit above the national average of 3.86, though weekends dip about 6% below its own weekday levels. Staff turnover is 40.2%, better than the national 45.8%. The inspection history is the part worth pausing on: 30 deficiencies on record, including one at the harm or jeopardy level and three tied to abuse. The last inspection was April 17, 2025, so that record is recent. Strong marks on health inspections and quality measures sit alongside those deficiencies, and the staffing rating lands in the middle. Read the inspection detail before deciding.

A

85/100

Huntington Drive Health And Rehabilitation Center

Arcadia, CA · Los Angeles County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
32%
Serious cites
0

Huntington Drive runs a for-profit operation under an LLC, and the numbers pull in two directions. Nurse staffing sits at 4.02 hours per resident day, a bit above the national figure, and weekend coverage only dips about 9% below weekdays, but that staff turns over at 31.9%, better than the national 45.8%, so people tend to stay. The trouble is the inspection record: 82 deficiencies, six tied to abuse, and a one-star health inspection rating, though nothing on the current record rises to actual harm or jeopardy. Quality measures score four stars, and the last inspection was February 2026, so it's recent.

A

85/100

Claremont Care Center

Pomona, CA · Los Angeles County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
38%
Serious cites
0

Claremont Care Center runs 99 beds in Pomona under for-profit LLC ownership, and its staffing numbers are the strongest part of the story: 4.24 nurse hours per resident day, about 10% above the national average. Weekend coverage dips roughly 12% below its own weekday level, so ask how that plays out on Saturdays. Turnover sits at 37.6%, better than the 45.8% national figure, which matters for whether you see the same faces. The current record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection in February 2026. Quality measures score well; inspections are middling.

A

85/100

Hayward Gardens Post Acute

Hayward, CA · Alameda County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
31%
Serious cites
0

Hayward Gardens runs on 4.27 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 30.6% is well below the 45.8% national figure, that combination is harder to find than the bed count suggests. The trade-off sits in the inspection record: 32 deficiencies on file, one serious enough to reach harm or jeopardy level, though none involve abuse. Weekend coverage dips about 12% below weekday levels, which matters for a 75-bed for-profit home where families often visit on Saturdays and Sundays. The last inspection was in May 2026, so the record is current rather than stale.

A

85/100

Valley Vista Post Acute

Escondido, CA · San Diego County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
43%
Serious cites
0

Valley Vista Post Acute runs 59 beds in Escondido under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average of 3.86. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.1%, a touch better than the 45.8% national figure, so most caregivers sticking around is a modest plus. The current record shows 28 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related, enough to warrant a direct question about what happened and what changed. The last inspection was September 2025, so the picture is recent.

A

85/100

Niles Canyon Post Acute

Fremont, CA · Alameda County

CMS 5/573 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
21%
Serious cites
0

Niles Canyon Post Acute sits in Fremont with 73 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing runs 4.25 hours per resident day, roughly 10% above the national average, though weekend coverage dips about 9% below its own weekday level, so ask how that gap gets covered. Staff turnover is 21%, less than half the national rate of 45.8%, which matters for whether you see the same faces each visit. Its inspection record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. The quality measure rating is 4 out of 5.

A

85/100

Kingsburg Center

Kingsburg, CA · Fresno County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
25%
Serious cites
0

Kingsburg Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.86 hours per resident day, with weekends about 6% thinner than weekdays. What stands out is retention: 24.7% annual turnover against a 45.8% national average, meaning aides and nurses here tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 47 deficiencies on the current record, two serious enough to involve harm or jeopardy, though none abuse-related. The last survey was October 2024. Quality measures score well at 4/5, so day-to-day care metrics look better than the paper trail from regulators.

A

85/100

Bonita Hills Post Acute

La Habra, CA · Orange County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
39%
Serious cites
0

Bonita Hills Post Acute runs 86 certified beds in La Habra under for-profit LLC ownership, and the staffing picture is genuinely mixed. Total nursing hours sit at 4.28 per resident day, about 11% above the national average of 3.86, and annual turnover of 39.2% is better than the 45.8% national figure. Weekends are the soft spot: coverage drops roughly 10% below the home's own weekday level. The inspection record is where families should slow down. CMS gives it 2 out of 5 stars for health inspections, with 90 deficiencies on the current record, three of them abuse-related. None rose to harm or jeopardy level, and the most recent inspection was August 11, 2025, so the picture is current. Quality measures score 5 out of 5; consistent staffing doesn't cancel out that inspection history.

A

85/100

St. Catherine Healthcare

Fullerton, CA · Orange County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

St. Catherine Healthcare runs 99 beds in Fullerton under corporate ownership, and its staffing sits slightly above the national average at 3.95 hours per resident day, modest, but on the right side of the line. The standout number is turnover: 16.9% against a national average near 46%, which suggests people actually stay. Weekend coverage dips about 7% below weekdays, so ask how that plays out on Saturdays. The inspection record is heavier: 52 deficiencies on file, three tied to abuse, though none reached harm or jeopardy level, and the last survey was recent. Quality measures score well; the inspection side is where the questions live.

A

85/100

Ontario Healthcare Center

Ontario, CA · San Bernardino County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
42%
Serious cites
0

Ontario Healthcare Center runs 59 certified beds under for-profit limited liability ownership, and its last inspection on February 20, 2026, came back clean at the harm level, 23 deficiencies on record, none causing injury or jeopardy, none tied to abuse. Nurse staffing sits at 3.85 hours per resident day, essentially matching the national average of 3.86, though weekends drop about 7 percent below the home's own weekday coverage, so ask how that gap gets filled. Staff turnover of 42.2 percent is a bit better than the 45.8 percent national figure. The inspection and quality measure ratings both come in at 5 out of 5; staffing is the weaker 3, which tracks with the thin weekend margin.

A

85/100

Sunset Park Healthcare

Santa Monica, CA · Los Angeles County

CMS 2/544 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
30%
Serious cites
0

Sunset Park Healthcare runs 44 beds in Santa Monica under for-profit LLC ownership. Nurse staffing sits at 4.63 hours per resident day, about 20% above the national average, and the 30.2% turnover rate is notably lower than the 45.8% typical elsewhere. Weekend coverage, though, runs roughly 13% thinner than weekdays. The health inspection record is a different story: 58 deficiencies on file, one at harm or jeopardy level, and seven tied to abuse. The last inspection was in May 2025. Quality measures rate well, but the inspection history remains the concern a family would want to weigh when deciding.

A

85/100

Cloverdale Healthcare Center

Cloverdale, CA · Sonoma County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
37%
Serious cites
0

Cloverdale Healthcare Center runs 72 certified beds under for-profit LLC ownership, and the numbers that stand out most are on the care side: a 5/5 health inspection rating with 13 deficiencies on record, none of them causing harm or involving abuse. Total nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends dip about 12% below the home's own weekday levels, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 36.5% is meaningfully better than the 45.8% national figure, which matters for continuity of care. The most recent inspection was December 19, 2025.

A

85/100

Valley Skilled Nursing Center

Modesto, CA · Stanislaus County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
19%
Serious cites
0

Valley Skilled Nursing Center runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 19.2% is less than half the national rate, a genuinely unusual combination in a for-profit, LLC-owned home. Weekend staffing drops about 15% below its own weekday level, so coverage thins out on Saturdays and Sundays. The 48 deficiencies on record include two tied to abuse, though none reached harm or jeopardy, and the last inspection was in March 2025. With 70 beds and a 4-out-of-5 on both health inspections and quality measures, this is a smaller home whose numbers mostly hold up, with the weekend pattern and that deficiency count worth asking about directly.

A

85/100

Country Manor La Mesa Healthcare Center

La Mesa, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
27%
Serious cites
0

Country Manor La Mesa runs on 4.12 nurse hours per resident day, about 7% more than the national average, and its weekend staffing dips roughly 8% below its own weekday level, noticeable, though not the kind of drop that usually signals danger. The turnover picture is the real standout: 27% against a national average near 46%, meaning far fewer people are cycling through the building than is typical. Inspectors cited 23 deficiencies, none at the harm level and none abuse-related, and the most recent visit came in January 2025, so the record is current. For-profit, LLC-owned, and it shows in neither the staffing numbers nor the survey history.

A

85/100

Torrance Care Center West, Inc

Torrance, CA · Los Angeles County

CMS 2/5195 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
26%
Serious cites
0

Torrance Care Center West runs 195 certified beds under corporate ownership, and its staffing looks solid on paper, 4.14 nurse hours per resident day, about 7% above the national average, with weekend coverage dipping roughly 8% below its own weekday level. Turnover sits at 25.8%, well under the 45.8% national figure, which suggests a steadier workforce than most. The trouble is inspections: a 1-out-of-5 health inspection rating, 72 deficiencies on the current record including three at harm or jeopardy level and three abuse-related, plus $45,047 in fines across three penalties. Quality measures score 5 out of 5, and the most recent inspection was August 2025, so the picture is current rather than stale. Strong staffing and quality numbers are doing a lot of work here against a serious inspection record.

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