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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 321 to 340 of 359, best-graded first.

A

85/100

Watsonville Post Acute Center

Watsonville, CA · Santa Cruz County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
41%
Serious cites
0

Watsonville Post Acute Center runs 95 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The health inspection record shows 35 deficiencies, including one at the harm or jeopardy level, with no abuse citations, and one fine of $8,018. Its last inspection was August 29, 2025, so the record is recent.

A

85/100

Golden Heights Healthcare

Daly City, CA · San Mateo County

CMS 5/5102 bedsFor-profitMedicaid
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Golden Heights runs on 4.43 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 35.5% sits well below the 45.8% norm, that combination is why it holds a 5/5 on CMS staffing. Weekend coverage dips about 10% from weekday levels, worth asking about if your family visits on Saturdays or Sundays. The catch is in the inspection record: 49 deficiencies, including four tied to abuse, though none reached harm or jeopardy level. A March 2025 inspection means the record is current. Corporate-owned and for-profit, it's a well-staffed building with a paper trail that deserves a direct question.

A

85/100

Seal Beach Health And Rehabilitation Center

Seal Beach, CA · Orange County

CMS 2/5198 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
34%
Serious cites
0

Seal Beach Health and Rehabilitation Center runs 198 certified beds under for-profit LLC ownership, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. Retention is where it stands out: 34.2% annual turnover against a national 45.8% means aides and nurses are staying longer than at the typical home, though weekends run about 9% thinner than weekdays. The concern is the inspection record, 128 deficiencies, including 6 tied to abuse, with the most recent survey in April 2025. None of those rose to harm or jeopardy level, but that volume is a lot to carry. Quality measures score well; the inspection side is what's holding this one back.

A

85/100

Gardena Convalescent Center

Gardena, CA · Los Angeles County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
25%
Serious cites
0

Gardena Convalescent Center runs 74 certified beds in Los Angeles County under corporate for-profit ownership. Its 4.17 nurse hours per resident day sit about 8% above the national average of 3.86, and weekend staffing dips roughly 11% below its own weekday level, so the coverage is real, though thinner on Saturdays and Sundays. Staff turnover of 25.4% is notably lower than the 45.8% national figure, which matters for continuity of care. The record is more mixed on oversight: 50 deficiencies total, none at harm or jeopardy level, but 4 abuse-related. Its last inspection was March 13, 2026. Quality and staffing each earned 4 stars from CMS, with health inspection at 3.

A

85/100

Lone Tree Post Acute

Antioch, CA · Contra Costa County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Lone Tree Post Acute runs 4.03 total nurse hours per resident day, a bit above the national average of 3.86, and its 33% annual turnover is well below the 45.8% typical elsewhere, both signs of a steadier floor than many homes manage. The catch sits in the inspection record: 29 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was May 2026. Weekend staffing drops about 10% from weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The quality measure score is strong; the health inspection side is more mixed.

A

85/100

Alexandria Care Center

Los Angeles, CA · Los Angeles County

CMS 1/5177 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
17%
Serious cites
0

Alexandria Care Center runs on steady staffing, not flash. Nurse coverage sits just above the national average, and a 16.5% turnover rate is remarkably low next to the 45.8% typical elsewhere, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend coverage dips about 7% below weekdays, so families should ask who's on shift Saturdays and Sundays. The trouble is the inspection record: 115 deficiencies on file, including four tied to abuse, even though none rose to harm or jeopardy level, and the most recent inspection was January 2025. A one-out-of-five health inspection rating against four-out-of-five marks for quality and staffing tells you the care numbers look better than the paperwork trail.

A

85/100

Washington Center

San Leandro, CA · Alameda County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
20%
Serious cites
0

Washington Center runs on a for-profit LLC structure with 99 certified beds, and the numbers tell a steadier story than most. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage does thin out on Saturdays and Sundays. What stands out is the 20.2% annual turnover, less than half the national rate of 45.8%, which suggests a workforce that mostly sticks around. Thirteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection from November 2024. The soft spot is raw staffing hours, not safety.

A

85/100

Casitas Care Center

Granada Hills, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Casitas Care Center in Granada Hills runs on a corporate for-profit model with 99 certified beds, and its staffing picture is genuinely better than most: 4.00 nurse hours per resident day, slightly above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 24.4%, roughly half the national rate, which suggests people stay. The catch is the inspection record, 59 deficiencies on file, including two tied to abuse, and a health inspection rating of 2 out of 5. Nothing reached harm or jeopardy level, and the most recent inspection was March 2026, so the record is current. Quality measures score well. The staffing is real; so is the paper trail.

A

85/100

Mountain View Conv Hosp

Sylmar, CA · Los Angeles County

CMS 2/5114 bedsFor-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
27%
Serious cites
0

Mountain View Conv Hosp runs on a for-profit LLC model with 114 certified beds, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. Turnover is 26.5% against a national 45.8%, so the same caregivers are more likely to stick around. Weekend staffing dips about 9% below its own weekday level. What pulls the record down is the inspection side: 109 deficiencies on file, including one at harm or jeopardy level and seven tied to abuse, with a 1/5 health inspection rating. That's a wide gap between how the place is staffed and how it has actually been cited.

A

85/100

Golden Empire

Grass Valley, CA · Nevada County

CMS 4/5148 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
40%
Serious cites
0

Golden Empire runs 148 beds in Grass Valley under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 40.4%, a bit better than the 45.8% national figure. Inspections are current as of August 2025, and the record shows 30 deficiencies with none at the harm or jeopardy level, though four are abuse-related, worth asking about directly. Quality measures score well; the health inspection side is where the record is thinner.

A

85/100

Laurel Park Behavioral Health Center

Pomona, CA · Los Angeles County

CMS 4/543 bedsFor-profitMedicaid
Nurse hours
2.68 /day
Staff turnover
35%
Serious cites
0

Laurel Park runs on 2.68 nursing hours per resident day, roughly 31 percent under the national average of 3.86, and weekends drop about 10 percent below its own weekday level. Turnover is 35.3 percent, better than the 45.8 percent national figure, so the problem looks less like a revolving door than like too few hands on any given shift. The current record carries 48 deficiencies, including one at the harm level and nine tied to abuse, against a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, but strong charting doesn't offset thin coverage or that inspection history.

A

85/100

Shandin Hills Behavior Therapy Center

San Bernardino, CA · San Bernardino County

CMS 5/578 bedsFor-profitMedicaid
Nurse hours
2.55 /day
Staff turnover
41%
Serious cites
0

Shandin Hills runs lean on nursing hours: 2.55 per resident day against a national average of 3.86, roughly a third below. Weekends dip further, about 7% under the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Turnover sits at 41.4%, a bit better than the 45.8% national figure, and the home's inspection record is recent and clean at the harm level, 18 deficiencies on file, none causing harm or jeopardy, though one is abuse-related, which is worth asking about directly. For-profit, LLC-owned, 78 beds. The care numbers look strong; the question is whether the staffing level holds up on a bad night.

A

85/100

Hayes Convalescent Hospital

San Francisco, CA · San Francisco County

CMS 5/534 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
44%
Serious cites
0

Hayes Convalescent Hospital is a small for-profit home in San Francisco, 34 beds, owned by a limited liability company. Its most recent inspection was in November 2025, and the record shows 10 deficiencies, none of which rose to harm or jeopardy, though one was abuse-related. Nurse staffing sits at 4.00 hours per resident day, modestly above the national average, and weekend coverage dips only slightly below weekdays. Annual turnover of 44.1% is a touch better than the national figure. The five-star health inspection rating is the standout here; the one abuse-related deficiency is worth asking about directly before you decide.

A

85/100

Del Mar Convalescent Hospital

Rosemead, CA · Los Angeles County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
22%
Serious cites
0

Del Mar Convalescent Hospital runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its weekend staffing only dips about 6% below weekday levels, a modest gap. Staff turnover sits at 22%, less than half the national figure of 45.8%, which matters because consistent caregivers tend to know residents' routines. The home carries 26 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was in December 2025, so the record is recent. With 59 beds under corporate for-profit ownership, this is a small operation whose numbers hold up on staffing and inspection history, even if the deficiency count is worth asking about directly.

A

85/100

Victoria Care Center

Baldwin Park, CA · Los Angeles County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
43%
Serious cites
0

Victoria Care Center runs 49 beds in Baldwin Park under for-profit limited liability ownership, and its staffing sits at 4.55 nurse hours per resident day, roughly 18% above the national average. Weekends dip about 10% below its own weekday levels, so coverage isn't perfectly even. Turnover lands at 42.6%, a bit better than the 45.8% national figure, and the last inspection was April 2026. The health inspection rating is 4 out of 5 and quality measures are 5 out of 5, yet the record carries 38 deficiencies, including 2 tied to abuse. None were cited at the harm or jeopardy level. Strong clinical marks and low harm findings, but that deficiency count is worth asking about directly.

A

85/100

Linwood Meadows Care Center

Visalia, CA · Tulare County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

Linwood Meadows runs 4.03 nurse hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 8% below its own weekday staffing. Turnover sits at 36.4%, better than the 45.8% national figure, which matters for continuity of care. The catch is the inspection record: 54 deficiencies on file, including one abuse-related citation, with no harm-level findings, and the last state visit was May 2025. Quality measures score well, but the 2/5 inspection rating is where the real story lives. This is a for-profit LLC with 98 beds, and the numbers suggest decent daily care alongside a documented compliance history worth asking about directly.

A

85/100

Hillcrest Post Acute

Petaluma, CA · Sonoma County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
26%
Serious cites
0

Hillcrest Post Acute runs on more nursing hours than most homes in the country, 4.38 per resident day against a national average of 3.86, and its staff tends to stay: turnover sits at 25.9% where the typical facility loses closer to 46% of its nurses a year. Weekend coverage dips roughly 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays. The 30 deficiencies on record include two tied to abuse, though none rose to the level of harm or jeopardy, and the most recent inspection came in September 2025. It's a for-profit LLC with 59 beds.

A

85/100

Oak River Rehab

Anderson, CA · Shasta County

CMS 5/5143 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
40%
Serious cites
0

Oak River Rehab runs 143 certified beds in Anderson under for-profit LLC ownership, and the numbers behind its grade hold up under a closer look. Nurse staffing sits at 3.94 hours per resident per day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 40.3% is better than the national 45.8%, which matters for whether the same aides keep showing up. The 19 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was December 2024.

A

85/100

Lincoln Square Post Acute Care

Stockton, CA · San Joaquin County

CMS 3/568 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
6%
Serious cites
0

Lincoln Square runs on a notably stable crew, 6.1% annual turnover against a national average near 46% is the kind of number that usually shows up in how consistently residents get the same aides. Nurse staffing lands at 4.03 hours per resident day, a bit above the national figure, though weekends dip about 11% below weekdays, so coverage isn't perfectly even across the week. The inspection record is doing the dragging: 46 deficiencies on file, including one abuse-related citation, with the last state visit in March 2026. Family members should ask about that abuse finding specifically and how weekend shifts are covered.

A

85/100

Coast Care Convalescent Center

Baldwin Park, CA · Los Angeles County

CMS 4/548 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
22%
Serious cites
0

Coast Care Convalescent Center runs 48 certified beds in Baldwin Park, and the numbers tell two different stories. The clinical side looks steady: a 4/5 inspection rating, a 5/5 on quality measures, and 31 deficiencies on record with none at the harm level and nothing abuse-related. Staff turnover sits at 21.7%, well below the 45.8% national average, which matters for whether you see the same faces month to month. The catch is staffing itself, rated 1/5 by CMS, thin hours per resident despite the stable workforce. A recent inspection on January 2, 2026 means the record is current. Corporate-owned and for-profit, this is a home where care quality reads better than its day-to-day staffing coverage.

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