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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 41 to 60 of 78, best-graded first.

A

90/100

Villa Marin

San Rafael, CA · Marin County

CMS 5/531 bedsNon-profit
Nurse hours
7.15 /day
Staff turnover
n/a
Serious cites
0

Villa Marin sits in San Rafael with just 31 certified beds and nonprofit ownership, and the staffing number is the first thing that stands out: 7.15 nurse hours per resident day, roughly 85% above the national average. That's an unusual amount of hands-on care, though weekend coverage drops about 21% below its own weekday level, so the daily experience may depend on when you visit. The record isn't spotless, 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $7,443 fine. The last inspection was November 2025, so the picture is current. Strong quality measures and recent oversight offset a fair amount of that history.

A

89/100

Pilgrim Place Health Services Center

Claremont, CA · Los Angeles County

CMS 3/562 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Pilgrim Place runs a non-profit home with 62 beds in Claremont, and the staffing numbers are its strongest story: 4.41 nurse hours per resident day, about 14 percent above the national average, with turnover at 39.7 percent versus the 45.8 percent norm. The catch is consistency, weekend coverage drops roughly 12 percent below what the home staffs on weekdays. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 52 deficiencies on the current record, including three tied to abuse, though none rose to the harm or jeopardy level. The last survey was December 5, 2025. Ask about those abuse-related findings and how weekend shifts get covered before you decide.

A

89/100

The Sequoias

Portola Valley, CA · San Mateo County

CMS 5/543 bedsNon-profit
Nurse hours
4.28 /day
Staff turnover
6%
Serious cites
0

The Sequoias runs a tight ship on staffing, averaging 4.28 nurse hours per resident day, about 11% above the national average, and its turnover sits at 6.3% against a national rate of 45.8%, which tells you caregivers tend to stay put. Weekend coverage drops roughly 30% below weekday levels, so if you're visiting on a Saturday, that's worth asking about directly. The home carries 20 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related; one fine totaling $12,703 appears on file. Its last inspection was August 2025, and both its health inspection and quality measure ratings come in at five stars.

A

89/100

Plymouth Village

Redlands, CA · San Bernardino County

CMS 4/548 bedsNon-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
27%
Serious cites
0

Plymouth Village runs 4.53 nursing hours per resident per day, about 17% above the national average, and its staff turnover of 26.5% is well under the national 45.8%. Weekend coverage dips roughly 11% from weekday levels, which is common but worth asking about if your family visits on Saturdays or Sundays. The 23 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in June 2025, so the picture is fairly current. This is a nonprofit operation with 48 beds, and smaller nonprofits often hold onto staff longer than the for-profit chains do.

A

89/100

Rosewood Health Facility

Bakersfield, CA · Kern County

CMS 4/579 bedsNon-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
24%
Serious cites
0

Rosewood Health Facility runs on unusually strong staffing for a 79-bed nonprofit home in Bakersfield, 4.82 nurse hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 9% below weekdays. Turnover sits at 24.1%, well under the national 45.8%, which matters because consistent caregivers know the residents. The catch is the inspection record: 47 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. That mix, excellent staffing and quality scores against a long, sometimes serious deficiency history, is why this lands at a solid B rather than higher.

A

89/100

Royal Oaks Manor-Bradbury Oaks

Duarte, CA · Los Angeles County

CMS 4/548 bedsNon-profitMedicaid
Nurse hours
4.81 /day
Staff turnover
31%
Serious cites
0

Royal Oaks Manor-Bradbury Oaks runs on a small 48-bed nonprofit campus, and its staffing is the headline: 4.81 nurse hours per resident day, roughly a quarter more than the national average, with a 5/5 staffing rating to match. Turnover sits at 30.8% against a 45.8% national figure, which suggests people stay. Weekends dip about 8% below weekday coverage, so ask how that plays out on a Sunday. The caution is inspection history: 42 deficiencies on record, two of them at harm or jeopardy level, and a 3/5 inspection rating despite a January 2026 survey.

A

89/100

Arroyo Grande Care Center

Arroyo Grande, CA · San Luis Obispo County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
21%
Serious cites
0

Arroyo Grande Care Center sits in a county with plenty of options, and its numbers hold up well against them. Nurse staffing runs 4.48 hours per resident day, comfortably above the national mark, and the weekend dip is modest enough that care doesn't appear to fall off a cliff every Saturday. Ten deficiencies on record with none at harm or jeopardy level and nothing abuse-related, plus a clean five-star inspection rating and a survey from July 2025, suggest a home that stays on top of its obligations. Staff turnover of 21% is less than half the national rate, which matters more than any single score when you're thinking about who will actually be there month to month.

A

89/100

Bayshire Yorba Linda Post-Acute

Yorba Linda, CA · Orange County

CMS 3/545 bedsFor-profit
Nurse hours
4.89 /day
Staff turnover
26%
Serious cites
0

Bayshire Yorba Linda runs on 4.89 nurse hours per resident day, about 27% more than the national average, and its staff stick around, 26% turnover against a national rate near 46%. Weekend coverage holds steady rather than thinning out. The trade-off sits in its inspection history: 62 deficiencies on the current record, one tied to abuse, though none reached the level of actual harm or jeopardy, and fines total just $4,368. Its last inspection was in April 2026. With 45 beds and individual for-profit ownership, this is a small house where the care hours and the record don't tell the same story. Ask about that abuse citation directly.

A

88.5/100

Citrus Heights Health Center

Covina, CA · Los Angeles County

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

Citrus Heights Health Center runs on a nonprofit model with just 32 certified beds, and the numbers suggest that small size works in its favor. Nurse staffing sits at 5.12 hours per resident day, about a third higher than the national average of 3.86, though weekend coverage drops roughly 12% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays. The home was inspected recently, in August 2025, and its 16 deficiencies include none at the harm or jeopardy level, plus one abuse-related citation. That staffing consistency, along with a clean recent inspection, is what's actually behind the grade.

A

88/100

Mount San Antonio Gardens

Pomona, CA · Los Angeles County

CMS 5/564 bedsNon-profit
Nurse hours
5.95 /day
Staff turnover
n/a
Serious cites
0

Mount San Antonio Gardens runs 5.95 nurse hours per resident day, roughly 54 percent above the national average of 3.86, and its state inspection record shows 17 deficiencies with none at the harm or jeopardy level and none abuse-related. Families should know the catch: weekend staffing drops about 20 percent below the home's own weekday level, so care may look thinner on Saturdays and Sundays than the weekday numbers suggest. The 2025-05-30 inspection is recent, and as a nonprofit corporation it answers to a board rather than shareholders, which usually means steadier staffing decisions.

A

88/100

Hollenbeck Palms

Los Angeles, CA · Los Angeles County

CMS 4/5106 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
28%
Serious cites
0

Hollenbeck Palms runs on a nonprofit model with 106 certified beds, and the staffing numbers are genuinely strong: 4.59 nurse hours per resident day, roughly 19% above the national average of 3.86. Turnover sits at 28.1% against a national 45.8%, which suggests workers are staying put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where the picture gets more complicated, 39 deficiencies, including one at the harm level and four tied to abuse, though the most recent inspection was in December 2025, so the record is current.

A

88/100

Ararat Post Acute

Glendale, CA · Los Angeles County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
5.36 /day
Staff turnover
20%
Serious cites
0

Ararat Post Acute runs a tight ship on staffing for a 28-bed for-profit home in Glendale. At 5.36 nurse hours per resident day, it beats the national average by roughly 39%, and a 20% turnover rate is less than half the national figure, that kind of stability matters more than any star rating. The catch is in the inspection record: 30 deficiencies, one serious enough to trigger a harm or jeopardy finding, and two fines totaling $49,089. Weekend coverage also dips about 14% below weekday levels, so care can thin out when families visit. The most recent inspection was January 2026, so the record is current. Strong staffing, but the deficiency history is real.

A

87/100

Park Vista At Morningside

Fullerton, CA · Orange County

CMS 4/599 bedsFor-profit
Nurse hours
5.52 /day
Staff turnover
38%
Serious cites
0

Park Vista At Morningside runs a for-profit operation with 99 certified beds, and its nurse staffing sits at 5.52 hours per resident day, roughly 43% above the national average, though weekends dip about 10% below its own weekday levels. Turnover lands at 38.2%, better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The caution is in the inspection record: 45 deficiencies, including one at the harm level and one abuse-related, with a single fine of $8,278 and a December 2025 inspection. That's a meaningful gap between how the place is staffed day to day and how it has performed when regulators show up.

A

87/100

Meadowbrook Village Christian Retirement Community

Escondido, CA · San Diego County

CMS 5/519 bedsNon-profit
Nurse hours
7.48 /day
Staff turnover
30%
Serious cites
0

Meadowbrook Village runs about 19 beds as a nonprofit, and the staffing numbers stand out right away: 7.48 nurse hours per resident day, roughly double the national average, with weekends dipping only about 7% below weekdays. Turnover sits at 30% against a national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in the quality measures, where CMS scores it 2 out of 5, that's the weak spot. Inspections are another story: a 5/5 health inspection rating, last survey in October 2024, with 11 deficiencies on record but none at the harm level and none abuse-related.

A

86/100

Sequoias San Francisco Convalescent Hospital

San Francisco, CA · San Francisco County

CMS 4/550 bedsNon-profit
Nurse hours
4.60 /day
Staff turnover
33%
Serious cites
0

Sequoias San Francisco runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.7% sits well below the 45.8% national figure. Both matter, because consistent caregivers tend to know residents and catch changes early. Weekend staffing drops about 30% from weekday levels, so coverage isn't even across the week. The current record shows 15 deficiencies, none at the harm level and none abuse-related, with a 3/5 inspection rating and 2/5 on quality measures against 5/5 for staffing. As a nonprofit, it isn't answering to shareholders, which often shows up in exactly this pattern: strong staff numbers, middling clinical quality scores.

B

84/100

The Tamalpais

Greenbrae, CA · Marin County

CMS 5/552 bedsNon-profit
Nurse hours
4.51 /day
Staff turnover
40%
Serious cites
0

The Tamalpais runs on a nonprofit model with 52 certified beds in Greenbrae, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average. That's the number that drives its staffing star rating to the top of the scale. Turnover lands at 40%, a bit better than the national 45.8%, so caregivers are staying longer than is typical. The record isn't spotless: 14 deficiencies, though none at harm or jeopardy level and none abuse-related. The most recent inspection was September 2025. One thing worth asking about directly, weekend staffing drops about a third below weekday levels, so coverage on Saturdays and Sundays looks meaningfully thinner than during the week.

B

84/100

San Juan Hills Healthcare Center

San Juan Capistrano, CA · Orange County

CMS 4/545 bedsFor-profit
Nurse hours
5.08 /day
Staff turnover
37%
Serious cites
0

San Juan Hills Healthcare Center runs 45 certified beds in San Juan Capistrano under for-profit LLC ownership, and its staffing is the strongest thing it has going: 5.08 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, and staff turnover sits at 36.8%, better than the 45.8% national figure, though still meaning more than a third of the workforce leaving each year. The current record shows 64 deficiencies, one of them serious enough to involve harm or jeopardy, with no abuse citations. Inspectors were last on site January 22, 2026, so the picture is recent.

B

83/100

Inland Christian Home

Ontario, CA · San Bernardino County

CMS 4/559 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
49%
Serious cites
0

Inland Christian Home runs a tight ship on the numbers that tend to matter most. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, though weekends dip about 11% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night coverage. The inspection record is clean where it counts: 25 deficiencies on file but none at the harm or jeopardy level and nothing abuse-related, with the most recent state visit in June 2025. Turnover is the soft spot at 49.3%, just above the national 45.8%, which isn't alarming for this industry but does mean some churn among the people providing care.

B

83/100

Solheim Senior Community

Los Angeles, CA · Los Angeles County

CMS 2/576 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
41%
Serious cites
0

Solheim Senior Community runs on a nonprofit model with 76 certified beds in Los Angeles, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and staff turnover lands at 41%, a bit better than the 45.8% national figure. The trouble is inspections: 37 deficiencies on record, one serious enough to reach harm or jeopardy level, though none abuse-related, and a 2/5 health inspection star. That lopsided pattern, solid staffing, weaker inspection history, is what shapes the picture here. The most recent inspection was December 18, 2025, so the record is current.

B

83/100

Masonic Home

Union City, CA · Alameda County

CMS 4/5125 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
28%
Serious cites
0

The numbers here tell two different stories. Nurse staffing runs 4.38 hours per resident day, well above the 3.86 national average, and the 27.8% turnover rate is far below the typical 45.8%, which matters because consistent caregivers tend to know residents' routines. Weekend coverage dips only slightly, about 6% under weekday levels. On the other side, the quality measure rating sits at 1 out of 5, and the home carries 15 deficiencies on its current record, though none at the harm level and none abuse-related. Its last inspection was recent, February 2025, and it scored 5 out of 5 on that inspection. Nonprofit ownership, strong staffing, weak quality metrics, worth asking what's driving that gap.

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