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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 61 to 80 of 359, best-graded first.

A

93/100

Adventist Health Sonora - D/P Snf

Sonora, CA · Tuolumne County

CMS 5/568 bedsNon-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
28%
Serious cites
0

Adventist Health Sonora's nursing home runs four and a half nurse hours per resident each day, about a fifth more than the typical American nursing home, and its weekend coverage, while lighter than weekdays, doesn't fall off a cliff. Staff turnover of roughly 28 percent is well below the national figure, which matters more than any single inspection score, since familiar aides tend to notice changes in a resident's condition. The trade-off sits in the record: 39 deficiencies, including five tied to abuse, though none rose to the level of actual harm. State inspectors were last in the building in June 2025.

A

93/100

Sharp Chula Vista Med Ctr Snf

Chula Vista, CA · San Diego County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
5.45 /day
Staff turnover
22%
Serious cites
0

Sharp Chula Vista Med Ctr Snf runs on a level of nurse staffing you rarely see: 5.45 hours per resident per day, about 41% above the national average, with weekend coverage dipping only slightly below weekdays. Staff turnover sits at 21.6%, less than half the national rate, a sign people stay. Inspections were recent and the health record is solid, though 34 deficiencies include one at harm level and two tied to abuse, which families should ask about directly. Nonprofit ownership and a B grade reflect a home whose day-to-day care capacity is strong, with specific past problems worth understanding before you decide.

A

93/100

Regents Point - Windcrest

Irvine, CA · Orange County

CMS 4/559 bedsNon-profitMedicaid
Nurse hours
4.99 /day
Staff turnover
31%
Serious cites
0

Regents Point - Windcrest runs a lean ship on the staffing side. Its 4.99 nurse hours per resident day sit about 29% above the national average, and the team sticks around far longer than most, 30.8% turnover against a national 45.8%. Weekend coverage dips roughly 8% below its own weekday level, worth knowing if you visit Saturdays. The record isn't spotless: 34 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site in May 2025. This nonprofit's clinical quality measures and inspection history both land at four stars, with staffing at the top of the scale.

A

93/100

The Meadows Of Napa Valley

Napa, CA · Napa County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at The Meadows of Napa Valley runs about 4.82 hours per resident per day, roughly a quarter above the national average, and weekends dip only about 8% below weekday levels, so coverage stays fairly steady. The nonprofit's 41.7% turnover is modestly better than the 45.8% national figure. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and two abuse-related citations, with the last inspection in November 2024. Strong staffing and a five-star inspection rating sit alongside some serious past findings, which is the tension worth weighing when you visit.

A

93/100

Meadowood A Health And Rehabilitation Center

Stockton, CA · San Joaquin County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
29%
Serious cites
0

Meadowood runs on a non-profit model with 100 certified beds in Stockton, and the staffing numbers are the first thing that stands out: 5.20 nurse hours per resident day, roughly a third more than the national average of 3.86. That matters, though weekends run about 10% leaner than weekdays, so coverage isn't perfectly even across the week. Staff turnover sits at 28.7%, well under the 45.8% national figure, a sign people tend to stay. The tradeoff is a longer deficiency record: 38 total, three tied to abuse, though none rose to harm or jeopardy level. The last inspection was February 2025, so the picture is current.

A

93/100

Veterans Home Of California - West Los Angeles

Los Angeles, CA · Los Angeles County

CMS 3/5312 bedsGovernmentMedicaid
Nurse hours
5.82 /day
Staff turnover
35%
Serious cites
0

The state-run veterans home in West Los Angeles has 312 certified beds and a nurse staffing level of 5.82 hours per resident day, roughly 51% above the national average of 3.86. That staffing cushion is real, and it shows in a 35.3% turnover rate that beats the national 45.8%. The catch is inspections: a 2-out-of-5 health inspection rating, with 46 deficiencies on the current record. None were flagged at the harm or jeopardy level, but three are abuse-related, which families should ask about directly. The most recent inspection was December 12, 2025, so the record is current. Strong hands-on care, weaker regulatory track record.

A

92.5/100

Veterans Home Of California - Redding

Redding, CA · Shasta County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.92 /day
Staff turnover
39%
Serious cites
0

The state-run Veterans Home of California in Redding employs nurses at 5.92 hours per resident day, roughly 53% above the national average of 3.86, and its staff turnover of 38.9% sits below the national 45.8%. That staffing depth shows up in the CMS ratings: 5 out of 5 for staffing, quality measures, and 4 out of 5 on health inspections, with the most recent inspection dated April 2026. The record isn't spotless. Twenty-one deficiencies are documented, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,278. Weekend coverage drops about 16% below weekday levels. Strong day-to-day staffing, a handful of serious findings worth asking about directly.

A

92/100

Country Manor Healthcare

Lake View Terrace, CA · Los Angeles County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
20%
Serious cites
0

Country Manor Healthcare runs on 4.30 nurse hours per resident day, roughly 11 percent above the national average, and its staff turnover of 20.4 percent is less than half the national figure of 45.8 percent, a combination that usually signals a stable, well-staffed floor. Weekend coverage dips about 6 percent below weekday levels, so ask how that plays out on Sundays. The caution sits in the inspection record: 66 deficiencies, including one at the harm or jeopardy level and five tied to abuse, against a 2-out-of-5 health inspection rating. The most recent inspection was February 2026, and fines total $8,018. Good staffing, thin regulatory margin.

A

92/100

Eisenberg Village

Reseda, CA · Los Angeles County

CMS 3/5166 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
17%
Serious cites
0

Eisenberg Village runs on 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff tends to stay, 16.7% turnover against a national rate near 46%. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your visits fall on Saturdays or Sundays. The record shows 37 deficiencies, none at the harm or jeopardy level, though one is abuse-related and the last inspection was in February 2026. This nonprofit's strength sits in staffing and quality measures rather than a spotless inspection history, so read the survey findings yourself before deciding.

A

92/100

Shields Richmond Nursing Center

Richmond, CA · Contra Costa County

CMS 4/584 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
18%
Serious cites
0

Shields Richmond Nursing Center runs 84 certified beds under corporate for-profit ownership, and its staffing story is more interesting than the headline number. Total nurse staffing sits at 3.71 hours per resident day, about 4 percent under the national average, and weekends dip roughly 7 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is retention: 18.2 percent annual turnover against a national average of 45.8 percent means the same caregivers are largely still there year to year. Inspections are recent, from April 2025, and the record shows 43 deficiencies with none at the harm level, though two are abuse-related.

A

92/100

High Valley Lodge

Sunland, CA · Los Angeles County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
14%
Serious cites
0

High Valley Lodge runs on a lean but steady staff. At 4.20 nurse hours per resident day, it sits about 9% above the national average of 3.86, and its 13.6% turnover is a fraction of the 45.8% national figure, a sign people tend to stay. Weekend coverage dips roughly 10% below weekdays, which is common but still worth asking about. The record isn't spotless: 43 deficiencies, three tied to abuse, though none at the harm or jeopardy level. Inspectors were last in on August 7, 2025, and the home scored 4/5 on health inspections, 5/5 on quality measures, and 4/5 on staffing. For-profit corporate ownership is worth noting. Ask about those abuse-related citations directly.

A

92/100

Apple Valley Post-Acute Rehab

Sebastopol, CA · Sonoma County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
30%
Serious cites
0

Apple Valley Post-Acute Rehab runs 4.54 nurse hours per resident day, about 18 percent above the national average, and its staff turnover of 29.9 percent sits well below the 45.8 percent typical nationwide, that combination matters, because consistent caregivers tend to know residents' routines and catch changes early. Weekend staffing dips roughly 10 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows 23 deficiencies, including two at the harm or jeopardy level and two abuse-related, though the last inspection was November 2024 and the health inspection rating came back at 4 out of 5. Worth asking what those abuse citations involved and what's changed since.

A

92/100

Broadway Villa Post Acute

Sonoma, CA · Sonoma County

CMS 5/5144 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
32%
Serious cites
0

Broadway Villa runs 144 certified beds in Sonoma under corporate for-profit ownership, and the nurse staffing works out to 3.99 hours per resident day, a bit above the national average of 3.86. That margin is thin, and weekends dip about 11% below the home's own weekday numbers, so coverage isn't uniform across the week. Turnover sits at 31.5% against a national 45.8%, which is genuinely low for this industry and suggests people stay. The current record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. Last inspection was April 2026, so the picture is recent.

A

92/100

Community Convalescent Center Of San Bernardino

San Bernardino, CA · San Bernardino County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
9.85 /day
Staff turnover
24%
Serious cites
0

Community Convalescent Center Of San Bernardino runs on 9.85 nurse hours per resident day, roughly two and a half times the national average of 3.86, and keeps its staff: turnover is 23.9% against a national 45.8%. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Sunday. Inspectors were last in on April 24, 2025, and found 12 deficiencies, none at the harm or jeopardy level but one flagged as abuse-related, which is worth asking about directly. The nonprofit operator has a 5/5 inspection rating and 5/5 on quality measures, though staffing scored 4/5 despite the high hours, likely a mix or retention issue.

A

92/100

Garden Grove Post Acute

Garden Grove, CA · Orange County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
28%
Serious cites
0

Garden Grove Post Acute runs on a corporate for-profit model with 99 beds, and its staffing is genuinely heavy: 4.71 nurse hours per resident day, roughly 22% above the national average. That cushion matters less on weekends, when hours drop about 12% below the home's own weekday level, and the 28.3% turnover rate, well under the 45.8% national figure, suggests the people who stay know the building. The inspection record is where it gets murkier: 50 deficiencies on file, two tied to abuse, though none rose to harm or jeopardy, and the most recent state visit was March 2025. Strong quality measures and recent eyes on the building, but that abuse count is worth asking about directly.

A

92/100

Centinela Grand Inc

Perris, CA · Riverside County

CMS 5/5109 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
13%
Serious cites
0

Centinela Grand runs 4.63 total nurse hours per resident day, roughly 20% above the national average of 3.86, and its 12.5% annual turnover is far below the 45.8% typical nationwide, that kind of stability usually means consistent caregivers who know the residents. Weekends dip about 11% below weekday staffing, so ask how coverage is handled then. The 27 deficiencies on record include one at harm or jeopardy level and two abuse-related, which is worth asking about directly, though the last inspection was recent and the health inspection rating came in at 4 of 5. It's a for-profit corporate home with 109 beds.

A

92/100

Pacifica Nursing And Rehabilitation Center

Pacifica, CA · San Mateo County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
29%
Serious cites
0

Pacifica Nursing and Rehabilitation Center runs 68 certified beds under for-profit LLC ownership, and the numbers that stand out most are its staffing and its inspection record. Nurse staffing sits at 5.25 hours per resident day, roughly a third more than the national average, and annual turnover of 28.7% is well below the 45.8% typical elsewhere, both signs of a stable, well-manned floor. Weekend coverage does dip about 11% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. On inspections, six deficiencies sit on the current record, none rising to harm or jeopardy, and none abuse-related. The last survey was recent, in May 2026. Five stars across health inspections, quality measures, and staffing round out a record with no obvious soft spot.

A

92/100

Atterdag Care Center

Solvang, CA · Santa Barbara County

CMS 3/550 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
20%
Serious cites
0

The staffing situation at Atterdag is unusual in two directions at once. Total nurse hours run 4.85 per resident day, roughly a quarter above the national average, and the 19.6% turnover is less than half the national figure, people tend to stay. But that same staffing rates only 1 star from CMS, likely because those hours aren't distributed the way the formula expects, and weekends drop about 12% below the home's own weekday level. The inspection record is heavier than you'd want: 32 deficiencies, one abuse-related, though none rose to harm or jeopardy. The most recent survey was January 2026, so the picture is current. As a nonprofit with 50 beds, it's small and locally run, worth visiting on a weekend.

A

92/100

Vale Healthcare Center

San Pablo, CA · Contra Costa County

CMS 3/5202 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
34%
Serious cites
0

Vale Healthcare Center runs 202 certified beds in San Pablo, and its staffing numbers are genuinely better than they look at first glance. Nurse coverage sits at 3.95 hours per resident day, a bit above the national average, and weekend hours only dip about 6% from weekday levels. Staff turnover is 33.9%, well under the national 45.8%, which matters for whether your family sees the same faces month to month. The catch is the inspection record: 50 deficiencies on file, including 6 tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was July 25, 2025. Quality measures score well; the survey history is where the concerns live.

A

92/100

Vista Pacifica Center

Jurupa Valley, CA · Riverside County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
26%
Serious cites
0

Vista Pacifica Center runs lean on nurses: 3.05 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday staffing. What offsets that is continuity, turnover of 25.6% sits well under the 45.8% national figure, so the aides and nurses your family member sees are more likely to be the same faces month to month. The current record shows 29 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was in May 2025. A for-profit corporate owner, 108 beds, and strong marks on inspections and quality measures round out a picture of a home that's well-run on paper but staffed thinner than average.

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