ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 21 to 40 of 359, best-graded first.

A

96/100

Webster House

Palo Alto, CA · Santa Clara County

CMS 5/5145 bedsNon-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
21%
Serious cites
0

Webster House runs on 5.05 nurse hours per resident per day, which is about a third more staffing than the typical California nursing home manages. The tradeoff is weekends, when hours drop roughly a quarter below the weekday pace, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 20.6%, less than half the national rate, so the people caring for residents tend to stay. Twenty-three deficiencies on the current record sounds like a lot until you see none involved harm or jeopardy, and none were abuse-related. The last inspection was in January 2025, so the picture is recent.

A

96/100

Tahoe Forest Hospital D/P Snf

Truckee, CA · Nevada County

CMS 5/537 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
22%
Serious cites
0

Tahoe Forest Hospital's skilled nursing unit runs on a nonprofit model with 37 certified beds, and the numbers suggest it's doing right by its residents. Nurse staffing sits at 4.77 hours per resident day, roughly a quarter above the national average, and weekend coverage dips only slightly from weekday levels, which matters because that's where many homes cut corners. Staff turnover is 22%, less than half the national rate, so you're seeing familiar faces rather than a revolving door. The home has 8 deficiencies on record, none involving harm or abuse, and its most recent inspection was in February 2026. For a small rural unit, this is a steady operation.

A

96/100

Marian Regional Medical Center D/P Snf

Santa Maria, CA · Santa Barbara County

CMS 5/595 bedsNon-profitMedicaid
Nurse hours
6.18 /day
Staff turnover
16%
Serious cites
0

Nurse staffing here runs about 6.18 hours per resident day, roughly 60% above the national average, and the aide and nurse turnover rate of 16% is well under the national figure of about 46%. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The home is church-affiliated and nonprofit, holds a five-star CMS inspection rating, and its last inspection in April 2026 left 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related. Quality measures score four stars. That combination of high staffing, low turnover, and no harm-level findings is what's behind the grade.

A

96/100

Lincoln Glen Skilled Nursing

San Jose, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
23%
Serious cites
0

Lincoln Glen runs on unusually stable staffing for a nursing home: 4.76 nurse hours per resident day, roughly a quarter more than the national average, and turnover of 22.6% against a national rate near 46%. Weekend coverage dips about 7% below weekdays, which is worth asking about if your visits fall on Saturdays or Sundays. The church-affiliated nonprofit's inspection record shows 27 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2025. Quality and staffing measures both sit at the top of CMS's scale, while the health inspection rating lands in the middle.

A

96/100

El Encanto Healthcare Center

City Of Industry, CA · Los Angeles County

CMS 4/5185 bedsNon-profitMedicaid
Nurse hours
5.16 /day
Staff turnover
23%
Serious cites
0

El Encanto runs on 5.16 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 23.4% sits well under the 45.8% typical elsewhere, that combination is unusual and it matters, because consistent caregivers tend to know residents' routines. Weekend coverage dips about 11% below weekdays, so ask how that plays out on Sundays. The record shows 37 deficiencies with none at the harm level, though four are abuse-related, which is worth a direct question. State inspectors were last in on June 13, 2025, so the picture is fairly current. As a nonprofit, it isn't answering to shareholders.

A

96/100

Grossmont Hospital D/P Snf

La Mesa, CA · San Diego County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.71 /day
Staff turnover
15%
Serious cites
0

Staffing at this La Mesa nonprofit runs 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86, and the 15.2% annual turnover is far below the 45.8% national figure, so the same caregivers tend to stay. Weekend coverage dips about 9% below weekdays, worth asking about. The 14 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was June 2025. With 30 certified beds, it's small enough that a hospital-based operation can keep close tabs on residents.

A

96/100

Totally Kids Rehabilitation Hospital - D/P Snf

Loma Linda, CA · San Bernardino County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
11.90 /day
Staff turnover
31%
Serious cites
0

Totally Kids Rehabilitation Hospital runs about 11.9 nurse hours per resident day, roughly triple the national average, and its weekend staffing only dips about 7% below weekdays, a gap that's often wider elsewhere. Staff turnover sits at 31.3%, well under the 45.8% national figure, which matters for kids who need consistent caregivers. The tradeoff shows up in its record: 23 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. This is a for-profit operation in Loma Linda with a recent inspection, and the staffing numbers are doing most of the work here.

A

96/100

Glendale Adventist Medical Center Dp/Snf

Glendale, CA · Los Angeles County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
6.51 /day
Staff turnover
18%
Serious cites
0

Glendale Adventist runs about 6.51 nurse hours per resident per day, roughly 69% above the national average of 3.86, and weekend staffing dips only around 12% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 18.3% against a national average of 45.8%, which matters because unstable staffing often shows up in care quality before it shows up on paper. The current record lists 14 deficiencies, none at the harm level and none abuse-related, with the last inspection in August 2025. It's a for-profit partnership with 40 certified beds, so it's small, and small homes can be uneven, but the numbers here are steady rather than strained.

A

95.5/100

Town & Country

Santa Ana, CA · Orange County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
32%
Serious cites
0

Town & Country runs on real staffing depth: 5.47 nurse hours per resident day against a national average of 3.86, and its staff turnover of 31.5% sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in the inspection record, 53 deficiencies on file, four of them abuse-related, though none rose to the level of harm or jeopardy, and the most recent inspection came in November 2025. That split, strong quality and staffing scores, a thinner three-star inspection history, nonprofit ownership, is what's actually behind the 86. Weekend coverage dips about 16% below weekday levels, worth asking about directly.

A

95/100

Marycrest Manor

Culver City, CA · Los Angeles County

CMS 5/557 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
21%
Serious cites
0

Marycrest Manor is a fifty-seven bed nonprofit in Culver City, and the staffing numbers are the first thing worth noticing. At 5.12 nurse hours per resident day, it runs about a third above the national average, and its staff turnover of 20.8% is less than half the national rate, a big deal in a field where aides cycling out the door is often the quiet reason care slips. Weekend coverage dips roughly 11% below its own weekday level, which is common but still worth asking about. On inspections, nineteen deficiencies are on record, none at the harm level and none abuse-related, with the most recent visit in January 2026.

A

95/100

Grace Home Inc.

Livingston, CA · Merced County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
16%
Serious cites
0

Grace Home in Livingston runs on a church-affiliated nonprofit model with just 33 certified beds, and the numbers reflect a stable, well-run operation. Nurse staffing sits at 4.34 hours per resident day, roughly 12% above the national average, though weekends dip about 10% below the home's own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is the standout figure: 16.2%, well under the national 45.8%, which suggests caregivers stay. The home carries 18 deficiencies on its record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was in May 2026.

A

95/100

Atherton Baptist Home

Alhambra, CA · Los Angeles County

CMS 5/5113 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
26%
Serious cites
0

Atherton Baptist Home sits in Alhambra with 113 certified beds and a nonprofit owner, which tends to show up in the numbers here. Nurses provide 4.29 hours per resident day, about 11 percent more than the national average of 3.86, though weekend coverage dips roughly 12 percent below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 25.8 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The 28 deficiencies on record include one abuse-related citation but none at the harm or jeopardy level, and the last inspection dates to January 2026.

A

95/100

Siena Skilled Nursing & Rehabilitation Center

Auburn, CA · Placer County

CMS 5/5107 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
35%
Serious cites
0

Siena runs on better-than-average nurse coverage, 4.03 hours per resident day against a national 3.86, and its 34.8% turnover sits well under the 45.8% national figure, meaning the people around your relative tend to stick around. The catch is weekends, when staffing drops about 11% below the home's own weekday level, so afternoons and evenings Saturday and Sunday can feel thinner. Inspections in August 2025 turned up 18 deficiencies, none causing harm and one tied to abuse, with a single $4,194 fine on record. For-profit LLC ownership is worth knowing, though the inspection history is recent and light on serious findings.

A

94/100

Mission View Health Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5162 bedsFor-profitMedicaid
Nurse hours
5.31 /day
Staff turnover
39%
Serious cites
0

Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.

A

94/100

Ventura Post Acute

Ventura, CA · Ventura County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.

A

94/100

Empress Care Center, Llc

San Jose, CA · Santa Clara County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
33%
Serious cites
0

Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.

A

94/100

The Redwoods Post-Acute

San Jose, CA · Santa Clara County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
31%
Serious cites
0

The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.

A

94/100

California Pacific Medical Ctr- Davies Campus Hosp

San Francisco, CA · San Francisco County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
8.97 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.

A

94/100

Carlsbad By The Sea

Carlsbad, CA · San Diego County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
25%
Serious cites
0

Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

94/100

Dept Of State Hospitals - Napa D/P Snf

Napa, CA · Napa County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
10.32 /day
Staff turnover
31%
Serious cites
0

State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.

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