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 41 to 60 of 359, best-graded first.

A

94/100

St John Kronstadt Convalescent Center

Castro Valley, CA · Alameda County

CMS 5/549 bedsNon-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
12%
Serious cites
0

St. John Kronstadt runs about 4.22 nurse hours per resident day, roughly 9% above the national average, though weekend coverage dips about 12% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. The turnover number is the real standout: 12.2% against a national average near 46%, which suggests a stable crew that knows the residents. The tradeoff is a longer deficiency record, 33 total, including one at the harm level and one abuse-related, so read the actual inspection reports rather than trusting the star ratings alone. The most recent state visit was November 2025, so the picture is current.

A

94/100

St Andrews

Los Angeles, CA · Los Angeles County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
28%
Serious cites
0

St Andrews runs lean on turnover, 27.6% compared to a national average near 46%, which matters more than any single inspection score, because stable staff know the residents. Nurse hours come in at 4.70 per resident day, roughly a fifth above the national figure, though weekends dip about 12% below the home's own weekday pace, so ask how that gap gets covered. The 51 deficiencies on record sound like a lot until you note none reached harm or jeopardy; one was abuse-related, which is worth asking about directly. State inspectors were last in on April 18, 2025, so the picture is recent.

A

94/100

Acc Care Center

Sacramento, CA · Sacramento County

CMS 5/599 bedsNon-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
43%
Serious cites
0

Acc Care Center runs on unusually heavy staffing for a nursing home, 5.42 nurse hours per resident day against a national average of 3.86, and weekends dip only about 8% below its own weekday levels, which matters because weekend coverage is where a lot of homes quietly thin out. Turnover sits at 43.3%, slightly better than the 45.8% national figure. The tradeoff shows up in its inspection record: 45 deficiencies, two tied to abuse, and six fines totaling $24,087, though none reached harm or jeopardy level. The most recent inspection was in September 2025, so the picture is current.

A

94/100

Sunny View Manor

Cupertino, CA · Santa Clara County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
14%
Serious cites
0

Sunny View Manor runs on unusually heavy staffing for a nursing home, 4.92 nurse hours per resident each day, roughly a quarter more than the national average, and its staff tend to stay, with turnover at 14.3% against a national rate near 46%. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Saturday. The tradeoff shows up in its record: 27 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse, and a single fine of $8,176. Its last inspection was in April 2025, and the nonprofit owner keeps both quality and staffing marks at the top of the federal scale.

A

94/100

Glenwood Care Center

Oxnard, CA · Ventura County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
30%
Serious cites
0

Glenwood Care Center in Oxnard runs on 4.48 nurse hours per resident day, about 16% above the national average of 3.86. Weekends dip roughly 12% below its own weekday staffing, so ask how that plays out on a Sunday afternoon. Turnover sits at 30.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The 15 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was May 30, 2025. It's a for-profit LLC with 99 certified beds.

A

94/100

The Terraces Of Los Gatos

Los Gatos, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
30%
Serious cites
0

The Terraces of Los Gatos runs on a nonprofit model with 59 certified beds, and its nurse staffing sits about 22 percent above the national average, roughly 4.73 hours per resident per day against 3.86. Turnover is 30.4 percent, well below the national 45.8, which matters because consistent caregivers tend to know residents' routines. Weekend coverage does dip about 12 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection history is the catch: 30 deficiencies on record, including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $32,487. The most recent inspection was January 9, 2025, so the picture is current.

A

94/100

Legacy Post Acute Care

Martinez, CA · Contra Costa County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
26%
Serious cites
0

Legacy Post Acute Care runs 96 certified beds in Martinez under corporate for-profit ownership, and its staffing sits at 4.30 nurse hours per resident day, about 11% above the national average of 3.86. Turnover is where this home separates itself: 26.3% annually against a national average of 45.8%, meaning the aides and nurses around your parent are more likely to still be there next year than at the typical facility. The tradeoffs are modest. Weekend coverage drops roughly 9% below weekday levels, and the current record shows 17 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Inspectors last visited in January 2025.

A

94/100

Veterans Home Of California - Chula Vista

Chula Vista, CA · San Diego County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
17%
Serious cites
0

The state-run veterans home in Chula Vista runs 4.80 nurse hours per resident per day, roughly a quarter above the national average, with a 5/5 CMS staffing rating and turnover at 17.3 percent, well under the 45.8 percent national figure. Those numbers help explain its B grade, but the 34 deficiencies on file matter too, including one at the harm level and two abuse-related citations, with a single $8,018 fine. Weekend staffing dips about 12 percent below its own weekday level. A January 2026 inspection is recent enough to trust. Solid staffing and stable workforce; the citation record is the piece to weigh.

A

93.5/100

Merced Behavioral Center

Merced, CA · Merced County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
18%
Serious cites
0

Merced Behavioral Center runs 96 certified beds under for-profit LLC ownership, and the turnover number is the one that stands out: 17.8% annually against a national average of 45.8%. That kind of stability matters more than most families realize, because consistent caregivers notice changes in a resident before anyone else does. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average of 3.86, and weekends run roughly 19% leaner than weekdays, so coverage thins out when families tend to visit. Inspections in February 2025 produced 17 deficiencies, one serious enough to reach harm or jeopardy level, with none tied to abuse.

A

93/100

South Marin Health & Wellness Center

Greenbrae, CA · Marin County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
38%
Serious cites
0

South Marin runs 4.42 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 37.8% sits well below the typical 45.8%, both point to a home that keeps people and keeps them present. Weekend staffing dips about 13% from weekday levels, which is worth asking about directly. The 37 deficiencies on record include one tied to abuse, though none reached harm or jeopardy, and the most recent inspection was December 2025. Quality measures score 5/5 while inspections score 3/5, a split that suggests the day-to-day care looks stronger than the paperwork trail. As a for-profit LLC with 72 beds, it's worth asking who owns it and how long they've been there.

A

93/100

Virgil Rehabilitation & Skilled Nursing Center

Los Angeles, CA · Los Angeles County

CMS 3/5124 bedsFor-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
19%
Serious cites
0

Virgil Rehabilitation runs 5.17 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 19.4% is less than half the national figure, retention like that usually shows up in daily care. Weekend staffing dips about 8% below weekdays, worth asking about if your family visits Saturdays or Sundays. The trouble sits in inspections: 49 deficiencies on record, including two at harm or jeopardy level and three tied to abuse, with a 1-out-of-5 inspection rating despite strong marks on quality measures and staffing. The most recent inspection was February 2026, so the record is current, not stale. Corporate-owned and for-profit, this is a home where the care numbers look better than the oversight history.

A

93/100

Jewish Home & Rehab Center D/P Snf

San Francisco, CA · San Francisco County

CMS 5/5362 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
26%
Serious cites
0

The Jewish Home & Rehab Center runs 362 beds on a nonprofit model, and its nurse staffing sits at 5.20 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 14% below its own weekday levels, and staff turnover comes in at 25.6% against a national 45.8%, so the same caregivers are likelier to still be there next year. What pulls against that picture is the inspection record: 52 deficiencies, including one at the harm level and seven tied to abuse, with the most recent inspection dated February 2026. Strong staffing and low turnover are real advantages, but the abuse-related findings are the part worth asking about directly.

A

93/100

Folsom Care Center

Folsom, CA · Sacramento County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.67 /day
Staff turnover
32%
Serious cites
0

Folsom Care Center runs a 99-bed for-profit operation in Sacramento County, and the staffing numbers are its strongest card: 4.67 nurse hours per resident day, roughly a fifth more than the national average, with weekend coverage dipping about 11% below its own weekday level. Turnover sits at 31.7%, well under the 45.8% national figure, which matters for anyone who wants the same faces showing up. The tradeoff is inspection history, 34 deficiencies on record, two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in April 2026.

A

93/100

Pine Ridge Care Center

San Rafael, CA · Marin County

CMS 5/5101 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
43%
Serious cites
0

Pine Ridge Care Center runs 101 certified beds in San Rafael, and the staffing numbers are the first thing worth knowing: 4.48 nurse hours per resident day, about 16% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover sits at 42.9%, slightly better than the national 45.8%. What complicates the picture is the inspection record, 44 deficiencies, one at harm or jeopardy level, four tied to abuse, and a 2/5 health inspection rating, despite 5/5 marks on staffing and quality measures. A single fine of $7,542 is on file, and the most recent inspection was December 5, 2025. For-profit partnership ownership.

A

93/100

Topanga Terrace

Canoga Park, CA · Los Angeles County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
6.25 /day
Staff turnover
28%
Serious cites
0

Topanga Terrace runs on unusually heavy staffing for a for-profit corporate home: 6.25 nurse hours per resident day, roughly 60% above the national average, and weekends barely dip below weekdays. Turnover sits at 27.7% against a national 45.8%, so the people around your relative are more likely to still be there next year. The tradeoff shows up in the inspection record, 41 deficiencies, including one tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was November 2025. Clinical quality measures score at the top of CMS's scale; the health inspection star sits at 3.

A

93/100

Piedmont Gardens Health Facility

Oakland, CA · Alameda County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
21%
Serious cites
0

Piedmont Gardens runs on a nonprofit model with 94 certified beds, and the staffing numbers are where it separates itself. At 4.76 nurse hours per resident day, it sits roughly 23 percent above the national average of 3.86, and weekend coverage only dips about 5 percent below its own weekday levels, which is a smaller drop than many homes manage. Staff turnover tells a similar story: 21.2 percent against a national average of 45.8 percent, meaning the people caring for residents tend to stay. Eleven deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. For a family weighing options, the pattern here is steady hands and few red flags.

A

93/100

Cottonwood Healthcare Center

Woodland, CA · Yolo County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
43%
Serious cites
0

Cottonwood Healthcare Center runs on 4.44 nursing hours per resident per day, roughly 15% above the national average, though weekends dip about 10% below what the home staffs on weekdays. Staff turnover sits at 43.4%, a touch better than the 45.8% national figure, and the current record shows 43 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The last inspection was July 30, 2025. This is a for-profit limited liability company with 98 certified beds, and its federal ratings split sharply: five stars each for staffing and quality measures, three for health inspections, strong day-to-day care numbers sitting alongside a longer inspection history.

A

93/100

Granada Hills Convalescent

Granada Hills, CA · Los Angeles County

CMS 5/548 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
14%
Serious cites
0

Granada Hills Convalescent runs on unusually steady staffing for a 48-bed for-profit home: 5.15 nurse hours per resident day, roughly a third above the national average, with weekend coverage dipping only about 4% below weekdays. Staff turnover sits at 13.7% against a national average near 46%, which matters more than any single inspection score because consistent caregivers tend to notice problems early. The tradeoff is in the inspection history, 37 deficiencies on the current record, including one at the harm level and two tied to abuse, plus an $8,018 fine. California's survey cycle runs roughly yearly to eighteen months, and the last visit was November 2025. Ask directly what changed after that harm-level finding.

A

93/100

Alden Terrace Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 5/5210 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
31%
Serious cites
0

Alden Terrace runs on more nurse hours than the typical American nursing home, 4.03 per resident day against a national average of 3.86, and weekend coverage dips only about 6% below its own weekday level, which matters when families visit on Saturdays and Sundays. Staff turnover sits at 31%, well under the national 45.8%, so the people caring for residents tend to stick around longer than elsewhere. The tradeoff shows up in its inspection history: 35 deficiencies on the current record, including one at the harm level and one abuse-related, despite a recent November 2025 inspection and strong marks on quality measures. For-profit corporate ownership, 210 beds.

A

93/100

Providence Little Co Of Mary Transitional Care Ctr

Torrance, CA · Los Angeles County

CMS 5/5115 bedsNon-profitMedicaid
Nurse hours
6.85 /day
Staff turnover
25%
Serious cites
0

Providence Little Co Of Mary Transitional Care Center runs on 6.85 nurse hours per resident per day, roughly 77% above the national average, and its staff tends to stay, turnover of 24.5% is about half the national figure. Weekend coverage dips around 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 28 deficiencies, none at the harm or jeopardy level, with one abuse-related citation worth asking about directly. Inspections are current as of April 2026, and this church-affiliated nonprofit holds a 4 out of 5 on health inspections and a 5 on 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