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.
The Village Healthcare Center runs 5.40 nurse hours per resident day, roughly 40% above the national average of 3.86, and that shows up in its five-star staffing rating. Turnover sits at 40.3%, a bit better than the 45.8% national figure. But staffing is only part of the picture. Its current record carries 39 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $20,046 fine. Inspections and quality measures both land at three stars, and the last state visit was June 13, 2025. Strong hands on deck, but the compliance history is where the concern lies.
Casa De Las Campanas runs on 4.91 nurse hours per resident day, about 27% above the national average, which is the kind of staffing cushion families often can't find. Weekend coverage dips roughly 8% below its own weekday levels, and turnover sits at 55.3% against a national 45.8%, so the people providing that care change more often than average. The record shows 39 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was August 2025, so the picture is reasonably current. Its nonprofit ownership and above-average staffing are real strengths; the turnover and that one abuse citation are the things worth asking about directly.
Bayshire San Dimas runs a 45-bed for-profit home in LA County, and the staffing numbers are the strongest thing it has going. At 4.42 nurse hours per resident day, it beats the national average of 3.86 by roughly 15%, and its 32.7% turnover sits well under the 45.8% national figure, both meaningful, since consistent caregivers matter more than almost anything else. The catch is the inspection record: 50 deficiencies, two of them serious enough to put residents in harm's way, and eight fines totaling $85,083. Quality measures score well and the last inspection is recent, but that many citations points to a building where care planning and safety practices slip, even with enough staff on hand.
Corona Health Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, so care is thinner on Saturdays and Sundays. Staff turnover is 39.1%, better than the 45.8% national figure, which suggests some stability in the workforce.
The inspection record is the weaker part. CMS gives it 2 of 5 stars for health inspections, with 37 deficiencies on file, one at the harm or jeopardy level and one abuse-related. The most recent inspection was July 2025. Quality measures and staffing each earn 3 of 5 stars.
Artesia Christian Home runs a genuinely strong staffing operation for a 66-bed nonprofit, 5.37 nurse hours per resident day, roughly 39% above the national average, with turnover at 35.6% versus 45.8% nationally. Weekend coverage dips about 14% below its own weekday level, so the care you'd see on a Saturday isn't quite what you'd see midweek.
The problem sits on the inspection side. The current record carries 47 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, plus a $98,079 fine, and the most recent inspection was January 2026. Good staffing numbers can't offset that kind of regulatory history, ask pointed questions about those abuse citations before considering this one.
Alta Healthcare Center of Camarillo runs 45 certified beds under a for-profit limited liability company, and the staffing picture is genuinely strong: 5.32 total nurse hours per resident day, roughly 38% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, and turnover sits at 42.9%, slightly better than the 45.8% national figure. The concerning part is the inspection record, 22 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $43,407 fine. The most recent inspection was May 2025, so that record is current, not stale. Strong daily staffing and a recent serious deficiency can both be true at once; ask what that harm-level finding involved.
The Reutlinger Community runs high on direct care: 4.83 nurse hours per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But the weekend dips about 16% below its own weekday staffing, and turnover sits at 55.4%, nearly ten points above the national figure, so consistency is the weak spot. Inspections from November 2024 produced 19 deficiencies, none at the harm or jeopardy level, though one was abuse-related. For a 60-bed nonprofit in Contra Costa County, that reads as a well-staffed home on weekdays with a thinner weekend crew and steady churn to watch.
Paradise Valley runs 4.93 nursing hours per resident day, roughly 28 percent above the national average, and weekend staffing dips only about 10 percent below its own weekday level. That steadiness matters, and so does a turnover rate of 21.3 percent in a field where the typical home loses closer to 46 percent of its staff each year. The tradeoffs show up elsewhere: 21 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, plus one fine of $10,036. Inspectors last visited in November 2024, and the federal ratings split sharply, full marks on quality measures, four stars on inspections, middle of the pack on staffing.
The numbers here tell two different stories. Eskaton Village Care Center keeps residents safe in the ways inspections measure: 41 deficiencies on record but none rising to actual harm or jeopardy, and the most recent inspection was in March 2026. Quality measures earn top marks, meaning low rates of things like pressure ulcers and falls. Where it falls down is staffing, the lowest possible rating, well below what CMS expects for 35 beds. Three abuse-related deficiencies also appear on the record. A nonprofit corporation runs the place, so there's no profit motive pushing the margin. The gap between good outcomes and thin staffing is the thing to ask about directly.
Riverside Village Healthcare Center runs 59 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.93 hours per resident day, slightly above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 9% below the home's own weekday level, and staff turnover comes in at 42.6%, a touch better than the 45.8% national figure.
The bigger issue is the inspection record: 60 deficiencies, though none at the harm or jeopardy level and none abuse-related. The most recent inspection was May 2025, so the picture is current. Quality measures score well; inspection and staffing stars sit at 2 out of 5 each.
Bayshire Torrey Pines runs a small 45-bed building in San Diego with notably high nurse staffing, 4.84 hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 6% below weekdays, which matters because shortfalls usually show up on Saturdays and Sundays. Turnover sits at 44.4%, essentially tracking the national rate, so the staffing isn't being propped up by a stable core so much as steady replacement. The record is where it gets more complicated: 50 deficiencies, one at the harm or jeopardy level and one abuse-related, with 20 fines totaling $103,033, even though the last inspection was recent and the health inspection rating came in at 4 out of 5.
Bayshire Carlsbad runs 45 beds in San Diego County under for-profit LLC ownership, and its nurse staffing sits at 5.34 hours per resident day, roughly 38% above the national average of 3.86. That's a real margin, though weekends dip about 16% below the home's own weekday level, so coverage isn't perfectly even across the week. Turnover lands at 45.1%, essentially tracking the national figure of 45.8%. Inspections in February 2025 produced 24 deficiencies, none at the harm or jeopardy level, with one flagged as abuse-related. The health inspection and quality measure ratings each came in at 4 out of 5 stars, while staffing rated 3, a home that scores better on outcomes than on the consistency of its caregiver hours.
Ridgeview runs on a lean 45 beds in San Diego, and the staffing numbers are the real story here: 5.33 nurse hours per resident day, roughly 38% above the national average. That's a meaningful cushion, though weekends dip about 16% below the home's own weekday coverage, so ask how that gap gets filled. Turnover sits at 55.1%, nearly ten points above the national rate, which matters because consistent caregivers know residents. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with six fines totaling $33,238 and a recent June 2025 survey. For-profit individual ownership is worth asking about directly.
Mount Miguel Covenant Village runs lean on nursing hours, 2.69 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main reason its CMS staffing rating sits at the bottom of the scale, even though the home is church-affiliated and nonprofit. Where it looks steadier: staff turnover of 19.7% is well under half the national rate, inspections are recent and produced no deficiencies at the harm level, and its health inspection and quality measure ratings both land at 4 out of 5. Twenty-eight deficiencies total and one abuse-related finding are on the record, so ask about that directly before deciding.
Casa Dorinda runs on 2.15 nurse hours per resident day, roughly 44% under the national average of 3.86, and weekend coverage drops about 15% below its own weekday level. That thin staffing is the main thing pulling its profile down, even though the quality measure rating is a perfect 5 and inspections came in at 4 out of 5, most recently in March 2026. The record shows 31 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse, and there's a single fine of $8,278. For a nonprofit with strong clinical scores, the daily staffing numbers are the piece worth asking about directly.
Sierra View Homes in Reedley is a 59-bed nonprofit, and its last state inspection was in February 2026, so the record is current. What that record shows is 29 deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The bigger issue is staffing: 0.59 nurse hours per resident day against a national average of 3.86, with weekends running about 15% below its own weekday numbers. That's the thinnest coverage in the building when families tend to visit and when problems often surface. Inspection and quality measures both land mid-range, but the staffing figure is the one to press on before deciding.
La Brea Rehabilitation Center runs 141 beds in Los Angeles under corporate ownership, and its staffing is the strongest card it holds, 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 30.6% against a national 45.8%. Weekend coverage dips roughly 6% below its own weekday level, so care thins out a bit on Saturdays and Sundays. The inspection record is where the concern sits: a 1-out-of-5 health inspection rating, 98 deficiencies on the current record, including 6 at the harm or jeopardy level and 7 tied to abuse. One fine totaling $33,091 has been levied, and the last inspection was June 19, 2025.
Bayshire Riverwalk runs on a for-profit corporate model with 120 beds, and its staffing numbers are the strongest thing it has going: 4.51 nurse hours per resident day, roughly 17% above the national average, though weekend coverage drops about 9% below its own weekday level and annual turnover sits at 49%, a bit worse than the 45.8% national figure. The trouble is everything on the inspection side. Sixty-six deficiencies are on the current record, including three at the harm or jeopardy level and five tied to abuse. Two fines total $80,668, and the most recent inspection was December 4, 2025. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you where the risk sits.
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?