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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 101 to 120 of 359, best-graded first.

A

92/100

Bay Area Healthcare Center

Oakland, CA · Alameda County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
6.73 /day
Staff turnover
13%
Serious cites
0

Bay Area Healthcare Center sits in Oakland with 99 certified beds and for-profit partnership ownership. The staffing numbers are genuinely unusual: 6.73 nurse hours per resident day, roughly 74% above the national average, with weekend coverage dipping about 11% below its own weekday level. That's a real drop, though from a high starting point. Annual turnover of 12.5% is far below the national 45.8%, meaning the people caring for residents tend to stay. Inspections in February 2025 produced 10 deficiencies, none at harm or jeopardy level, one abuse-related. All three CMS star ratings, health inspection, quality measures, staffing, come in at 5 out of 5. The record isn't spotless, but nothing in it suggests danger.

A

92/100

Clear View Convalescent Center

Gardena, CA · Los Angeles County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
22%
Serious cites
0

Clear View Convalescent Center runs 99 certified beds in Gardena under corporate for-profit ownership, and the staffing numbers are its strongest card: 4.03 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 6% below its own weekday level. Turnover sits at 22%, less than half the national rate of 45.8%, a real signal that workers tend to stay. The tradeoff shows up in its record: 13 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the most recent inspection came March 27, 2026.

A

92/100

Clear View Sanitarium

Gardena, CA · Los Angeles County

CMS 5/573 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
32%
Serious cites
0

Clear View Sanitarium runs on 4.29 nurse hours per resident per day, roughly 11% above the national average, and its staff turnover of 31.5% sits well below the 45.8% national figure, a sign people tend to stay. Weekends thin out about 10% against its own weekday coverage, worth asking about if your family visits then. The inspection record shows 15 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was February 2026. Corporate for-profit ownership, 73 beds, in Gardena.

A

91.5/100

Vibra Hospital Of Northern California D/P Snf

Redding, CA · Shasta County

CMS 5/532 bedsFor-profitMedicaid
Nurse hours
6.09 /day
Staff turnover
n/a
Serious cites
0

Vibra Hospital of Northern California runs 32 certified beds in Redding, and its nurse staffing sits at 6.09 hours per resident day, roughly 58% above the national average of 3.86. Weekend hours drop about 14% below its own weekday levels, so coverage thins out on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, though four are abuse-related. A May 2025 inspection is recent, and the for-profit corporate owner runs the building. High staffing and strong quality measures are doing the heavy lifting here, but those four abuse-related citations are worth asking about directly before you decide.

A

91.5/100

Emanate Health Inter-Community Hospital- D/P Snf

Covina, CA · Los Angeles County

CMS 5/525 bedsNon-profitMedicaid
Nurse hours
6.10 /day
Staff turnover
15%
Serious cites
0

Emanate Health Inter-Community Hospital runs a small 25-bed skilled nursing unit in Covina, and its staffing numbers stand out: 6.10 nurse hours per resident day, roughly 58% above the national average. Weekend coverage does dip about 16% below its own weekday level, so ask how that plays out on Saturdays. Annual turnover of 15.4% is well below the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies with none at the harm level, though one is abuse-related, worth asking about directly. A May 2025 inspection means the record is current.

A

91.5/100

Zuckerberg San Francisco General Hosp & Trauma Snf

San Francisco, CA · San Francisco County

CMS 5/530 bedsGovernmentMedicaid
Nurse hours
8.33 /day
Staff turnover
n/a
Serious cites
0

Zuckerberg San Francisco General's skilled nursing unit is run by the city and county, and it shows in the numbers: 8.33 nurse hours per resident day, roughly double the national average. Weekend staffing dips about 14 percent below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The current record carries 12 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. With 30 beds, it's small enough that staffing and oversight stay close to the residents.

A

91/100

Linda Mar Care Center

Pacifica, CA · San Mateo County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.56 /day
Staff turnover
38%
Serious cites
0

Linda Mar Care Center runs on more nursing hours than most homes in the country, 4.56 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 37.7% versus 45.8% nationally. The tradeoff shows up on weekends, when coverage drops about 12% below the home's own weekday level, so ask how that plays out on a Sunday shift. Seventeen deficiencies sit on the current record, none involving harm or abuse, and the last inspection was in January 2025. For-profit corporate ownership is worth naming, but the numbers here don't read like a home cutting corners on care.

A

91/100

Idylwood Care Center

Sunnyvale, CA · Santa Clara County

CMS 5/5185 bedsFor-profitMedicaid
Nurse hours
6.07 /day
Staff turnover
31%
Serious cites
0

Idylwood Care Center runs on unusually heavy nurse staffing for a 185-bed for-profit home, 6.07 hours per resident day, well above the 3.86 national figure, and its staff tends to stay, with turnover at 30.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home was inspected in April 2025 and carries 30 deficiencies, none at the harm level but one tied to abuse, so ask directly how that was resolved. Ownership is a limited liability company, meaning financial accountability can be harder to trace than with a nonprofit or public operator.

A

91/100

California Home For The Aged

Fresno, CA · Fresno County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
34%
Serious cites
0

California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.

A

91/100

Greenfield Care Center Of Fullerton, Llc

Fullerton, CA · Orange County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
22%
Serious cites
0

Nurse staffing here runs about 4.21 hours per resident day, roughly 9% above the national average, and weekends dip only slightly below weekdays, a sign the schedule holds up rather than thinning out. Staff turnover sits at 21.5%, less than half the national rate of 45.8%, which matters for residents who value seeing the same faces. The record shows 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was September 11, 2025. It's a for-profit limited liability company with 99 certified beds, drawing 4s on both health inspections and quality measures and a 5 on staffing.

A

91/100

Red Bluff Health Care Center

Red Bluff, CA · Tehama County

CMS 4/558 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
32%
Serious cites
0

Red Bluff Health Care Center runs 58 certified beds under corporate ownership, and its staffing sits slightly under the national average at 3.75 nurse hours per resident day. That's a modest gap, and weekends dip only about 1% below weekdays, so coverage stays fairly even. What stands out more is turnover: 32.1% against a national average of 45.8%, meaning this home retains caregivers better than most. The tradeoff shows up in its inspection record, 26 deficiencies, one abuse-related, and 10 fines totaling $47,637, though none reached harm or jeopardy level, and the most recent inspection was January 2026. Strong quality and staffing marks sit alongside that compliance history.

A

91/100

Westland House

Monterey, CA · Monterey County

CMS 3/528 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
44%
Serious cites
0

Westland House is a small nonprofit home in Monterey, 28 beds, and the raw staffing number looks strong at 5.17 nurse hours per resident day, well above the national average of 3.86. Weekend coverage dips only slightly below weekdays, and turnover at 44.4% is basically in line with the national figure. Where it gets interesting: the federal staffing star comes in at just 1 out of 5, which suggests the mix of RN versus aide hours matters more than the total. The inspection record is solid, 13 deficiencies, none causing harm and none abuse-related, with the most recent survey in September 2025.

A

91/100

Saratoga Retirement Community Health Center

Saratoga, CA · Santa Clara County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
24%
Serious cites
0

Saratoga Retirement Community Health Center runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 23.9% is about half the national rate of 45.8%, two numbers that tend to matter more than anything else for day-to-day care. Weekend staffing dips about 7% below its own weekday level, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2025. As a nonprofit with a 5-star health inspection rating, the pattern here is steady rather than spotless.

A

91/100

Freedom Village Healthcare Center

Lake Forest, CA · Orange County

CMS 5/552 bedsFor-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
36%
Serious cites
0

Freedom Village Healthcare Center runs on 5.03 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 35.8% beats the 45.8% national figure, two numbers that usually don't travel together. Weekend staffing dips about 15% below its own weekday level, so coverage isn't perfectly even, but the floor stays high. The catch is the inspection record: 55 deficiencies on file, including 2 tied to abuse, though none at the harm or jeopardy level, and the most recent inspection came in late 2025. A 3/5 health inspection rating against 5/5 for staffing and quality measures sums up the split, strong day-to-day care, a paper trail that needs watching.

A

91/100

Hillcrest Heights Healthcare Center

San Diego, CA · San Diego County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
30%
Serious cites
0

Hillcrest Heights runs about 96 beds in San Diego under a for-profit limited liability owner, and the staffing numbers are the strongest thing about it: 4.09 nurse hours per resident day, roughly 6% above the national average, with turnover at 30.3% against a national 45.8%. Weekend coverage dips about 8% below its own weekday level, which is common but worth knowing if your visits fall on Saturdays. The inspection record shows 43 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was January 2025. Quality and staffing measures both rate well above average for a home this size.

A

91/100

Covenant Village Care Center

Turlock, CA · Stanislaus County

CMS 4/550 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Covenant Village Care Center runs about 4.29 nurse hours per resident per day, roughly 11 percent above the national average, and its staff turnover of 30.9 percent sits well below the 45.8 percent typical elsewhere. Weekend coverage dips about 12 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The 18 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was in June 2025. As a nonprofit with four out of five stars on health inspections, quality measures, and staffing, the numbers point to steady care rather than a standout or a concern.

A

91/100

Samarkand Skilled Nursing Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/563 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
35%
Serious cites
0

Samarkand runs about 4.38 nurse hours per resident per day, roughly 13% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, that combination matters more than any single number, since consistent caregivers who stay tend to know residents' routines. Weekend staffing dips about 11% below weekdays, which is common but worth asking about if your family visits on Saturdays or Sundays. The inspection record shows 28 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in January 2026, so the survey history is current and free of serious findings.

A

90.5/100

Summerfield Health Care Center

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
35%
Serious cites
0

Summerfield runs leaner than most places on turnover, and that matters more than any single inspection score. About a third of its staff leaves each year, well under the national rate, which usually means residents see the same faces instead of a rotating cast. Nurse staffing sits about 15% above the national average, though weekends run roughly 16% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is clean where it counts: 19 deficiencies on file, none at the harm level, nothing abuse-related, and a single fine just over $3,100. The last inspection was September 2025, so the picture is current. It's a for-profit LLC with 70 beds.

A

90.5/100

Desert Regional Medical Center D/P Snf

Palm Springs, CA · Riverside County

CMS 5/532 bedsFor-profitMedicaid
Nurse hours
8.10 /day
Staff turnover
16%
Serious cites
0

Desert Regional Medical Center's skilled nursing unit runs on unusually heavy staffing, 8.10 nurse hours per resident day, roughly double the national figure, and its 15.8% turnover is remarkably low next to the 45.8% typical elsewhere. Weekends dip about 18% below weekday coverage, though even that reduced level stays well above average. What pulls the record down is the inspection side: 27 deficiencies, including one at the harm level and one abuse-related, with a $14,043 fine and a two-out-of-five inspection rating. The most recent survey was August 2025. So you're looking at a small, for-profit unit that staffs generously and keeps its workers, but has a documented history of serious problems a family should ask about directly.

A

90/100

Brookside Skilled Nursing Hospital

San Mateo, CA · San Mateo County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Brookside runs 4.16 hours per resident day, about 8 percent above the national average, and the 5/5 staffing star reflects that. Turnover is the standout number: 28.2 percent against a national average near 46 percent, which matters because consistent caregivers know the residents. Two dozen deficiencies sit on the current record, but none rose to harm or jeopardy, only one is abuse-related, and the most recent inspection closed in April 2026. Weekend coverage dips roughly 10 percent below weekday levels, a common pattern worth asking about if your family visits mainly on Saturdays or Sundays. As a nonprofit, this San Mateo home has the staffing depth and inspection record that most facilities don't.

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