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78 Continuing Care Retirement Communities in California

78 of the 1,165 Medicare-certified nursing homes in California (7%) are CCRC, and all are listed below. 55 of the 78 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 30.9%, 5.8 points lower than the 36.7% across all homes there. Creekview Skilled Nursing in Pleasanton grades highest at A (99 out of 100).

How CCRC homes in California compare

This group set against every nursing home in California, from the current CMS release.

Nursing hours per resident per day

4.91

All homes in California: 4.52

Better than the local average

Nurse staff turnover

30.9%

All homes in California: 36.7%

Better than the local average

Average ElderGrade score

88.1/100

All homes in California: 79/100

Better than the local average

Grade spread

A
B

55 grade A, 20 grade B, 3 grade C,

The best-graded CCRC home in California is Creekview Skilled Nursing in Pleasanton, CA, grade A, 99/100.

Every CCRC nursing home in California

Showing 1 to 20 of 78, best-graded first.

A

99/100

Canterbury Woods

Pacific Grove, CA · Monterey County

CMS 5/524 bedsNon-profit
Nurse hours
6.71 /day
Staff turnover
19%
Serious cites
0

Canterbury Woods runs 24 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 19.2% against a national 45.8%, so the people caring for residents tend to stay. Inspections in February 2026 produced 26 deficiencies, none at the harm or jeopardy level and none abuse-related, alongside top marks on health inspection, quality measures, and staffing.

A

99/100

The Terraces At San Joaquin Gardens Village

Fresno, CA · Fresno County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
30%
Serious cites
0

The Terraces at San Joaquin Gardens Village runs a strong staffing operation, 5.13 nurse hours per resident day, about a third above the national average, with a 5/5 CMS staffing star. Weekend coverage dips roughly 13% below weekday levels, and turnover sits at 30.3%, well under the 45.8% national figure. Quality measures score 5/5, though the 3/5 health inspection rating reflects 31 deficiencies on record, one serious enough to reach harm or jeopardy level; no abuse citations appear. This nonprofit's last inspection was March 21, 2025, so the record is current. The staffing and quality numbers are the real story here.

A

99/100

Spring Lake Village

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsNon-profit
Nurse hours
5.54 /day
Staff turnover
22%
Serious cites
0

Spring Lake Village runs a genuine nonprofit operation in Santa Rosa with 70 certified beds, and the staffing numbers show it: 5.54 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% from weekday levels. Annual turnover sits at 22.1%, roughly half the national rate of 45.8%, which suggests caregivers are staying long enough to know the residents. The health inspection record holds 26 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Inspectors were last on site January 22, 2026, and the federal ratings land at 4 out of 5 for health inspections and 5 out of 5 on both quality measures and staffing.

A

99/100

Health Care Ctr At The Forum At Rancho San Antonio

Cupertino, CA · Santa Clara County

CMS 4/548 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
29%
Serious cites
0

The Health Care Center at The Forum at Rancho San Antonio runs on unusually heavy staffing for a 48-bed nonprofit home, 5.75 nurse hours per resident day, roughly half again the national figure. Weekend coverage dips about 8% below weekday levels, but turnover sits at 28.8% against a national average near 46%, so the people caring for residents tend to stay. The tradeoff shows up in inspections: 36 deficiencies on the current record, one tied to abuse, though none reached harm or jeopardy. The last survey was in January 2026. Strong quality and staffing marks sit alongside middling inspection results, worth asking about that abuse citation directly.

A

99/100

Vi At La Jolla Village

San Diego, CA · San Diego County

CMS 5/560 bedsFor-profit
Nurse hours
5.24 /day
Staff turnover
26%
Serious cites
0

Vi At La Jolla Village runs a 60-bed for-profit operation in San Diego, and its staffing is the standout: 5.24 nurse hours per resident day, roughly 36% above the national average, with weekends dipping only about 8% below its own weekday level. Turnover sits at 25.6% against a national 45.8%, and the home holds 5-star marks on health inspections, quality measures, and staffing alike. The record isn't spotless, 15 deficiencies, two tied to abuse, but none rose to harm or jeopardy, and the most recent inspection closed in August 2025. For families weighing a smaller home with unusually steady nursing coverage, the numbers here are worth a closer look.

A

99/100

Glenbrook

Carlsbad, CA · San Diego County

CMS 5/594 bedsFor-profit
Nurse hours
5.23 /day
Staff turnover
31%
Serious cites
0

Glenbrook runs 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 30.9% against a national 45.8%, a meaningful difference when you consider how much continuity affects daily care. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record isn't clean: 24 deficiencies, one at the harm or jeopardy level, one abuse-related, and a $9,311 fine. Inspectors were last in during September 2025, so the picture is current. For-profit, LLC-owned, 94 beds.

A

99/100

Vi At Palo Alto

Palo Alto, CA · Santa Clara County

CMS 5/544 bedsFor-profit
Nurse hours
6.10 /day
Staff turnover
20%
Serious cites
0

Vi At Palo Alto runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, about 58% above the national average, and its staff tend to stay, with turnover at 20.3% against a national 45.8%. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The tradeoff shows up in its inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and the most recent inspection was January 2026. Ownership is for-profit through a limited liability company. The staffing and quality numbers are strong; the deficiency count is the piece to press them on.

A

99/100

Creekview Skilled Nursing

Pleasanton, CA · Alameda County

CMS 5/573 bedsFor-profit
Nurse hours
5.05 /day
Staff turnover
31%
Serious cites
0

Creekview runs about 5.05 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its staff turnover of 31.3% is well below the 45.8% national figure, a combination that usually shows up as consistent care rather than revolving faces. State inspectors visited in February 2025 and logged 12 deficiencies, none at the level of actual harm and none related to abuse, so what's on the record reads as paperwork and process issues rather than resident safety. Weekend coverage dips about 9% below weekdays, worth asking about if your family tends to visit Saturday or Sunday.

A

97/100

Valle Verde Health Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
26%
Serious cites
0

Valle Verde runs on a nonprofit model with 80 certified beds in Santa Barbara, and the staffing numbers are the first thing that stands out: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 25.7%, well under the national 45.8%. The home carries 22 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was January 2026. All three CMS star ratings, inspections, quality measures, staffing, come in at 5/5.

A

97/100

Oakview Skilled Nursing

Thousand Oaks, CA · Ventura County

CMS 5/548 bedsFor-profit
Nurse hours
5.73 /day
Staff turnover
21%
Serious cites
0

Oakview Skilled Nursing runs 48 beds in Thousand Oaks under for-profit partnership ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 5.73 hours per resident day, roughly half again the national average of 3.86, and weekend coverage dips only about 12% below its own weekday level, a modest drop rather than the sharp falloff many homes show. Staff turnover is 21.1% against a national 45.8%, so the people caring for residents tend to stay. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection completed January 31, 2025.

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

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

San Francisco Towers

San Francisco, CA · San Francisco County

CMS 5/527 bedsNon-profit
Nurse hours
6.88 /day
Staff turnover
13%
Serious cites
0

San Francisco Towers is a small nonprofit home, 27 certified beds, and its staffing numbers are the story. At 6.88 nurse hours per resident day, it runs about 78% above the national average, and weekend coverage dips only modestly, roughly 12% below its own weekday level. Staff turnover sits at 13%, well under the national 45.8%, which matters for continuity of care. On its current record: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as December 2025. The mix, nonprofit ownership, high staffing, low turnover, no serious deficiencies, is what's actually behind the score.

A

96/100

Orchards Skilled Nursing

Rancho Mission Viejo, CA · Orange County

CMS 5/549 bedsFor-profit
Nurse hours
5.35 /day
Staff turnover
33%
Serious cites
0

Orchards Skilled Nursing runs about 5.35 nurse hours per resident day, roughly 39% above the national average, and the weekend dips only about 11% below its own weekday staffing, a modest drop compared to many homes. Staff turnover sits at 33.3%, below the national 45.8%, so the people caring for residents are more likely to stick around. The tradeoff is paper: 39 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, which suggests recordkeeping and process issues rather than unsafe care. It's a for-profit LLC with 49 beds and a clean inspection in April 2025.

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

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

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

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

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

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.

Frequently asked questions

How many CCRC nursing homes are there in California?
There are 78 CCRC Medicare-certified nursing homes in California, 7% of the 1,165 nursing homes there.
Are CCRC nursing homes better staffed?
In California they average 4.91 total nursing hours per resident per day, against 4.52 for all nursing homes in California, a difference of +0.39 hours. Staff turnover averages 30.9% against 36.7%.
Which CCRC nursing home grades best in California?
Creekview Skilled Nursing in Pleasanton, CA, grade A, 99 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 78 graded CCRC homes in California, 55 grade A and 0 grade D or F.
Do CCRC nursing homes in California accept Medicaid?
50 of the 78 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in California