89 of the 1,165 Medicare-certified nursing homes in California (8%) are hospital-based, and all are listed below. They average 6.8 nursing hours per resident per day, 2.28 hours above the 4.52 for every home in California. 39 of the 88 graded homes earn an A and 0 earn a D or F. Torrance Memorial Med Ctr Snf/Dp in Torrance grades highest at A (99 out of 100).
How hospital-based homes in California compare
This group set against every nursing home in California, from the current CMS release.
Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.
Edgemoor Hospital is county-run, and the staffing shows it: 6.43 nurse hours per resident day, roughly two-thirds more than the national average of 3.86, with turnover at 21% against a national 45.8%. Weekends run about 10% thinner than weekdays, but that's a mild dip for a nursing home. The caution is inspections. The current record holds 25 deficiencies, including five tied to abuse and one at the harm level, with a $41,895 fine, and the most recent inspection dates to December 2025. Strong care measures and staffing don't erase a citation record like that. Ask about those abuse deficiencies directly.
Seneca District Hospital's skilled nursing unit is small, 16 beds, and it's run by the hospital district, not a chain. The staffing numbers genuinely stand out: 6.07 nurse hours per resident day, well above the national average, and weekends only dip about 14% from weekday levels, which is better than many homes manage. Turnover, though, sits at 48.1%, slightly worse than average. And the inspection record is the real concern: 14 deficiencies on file, including 2 at the harm level and 3 tied to abuse, with one $11,408 fine. The last inspection was in December 2025. Strong daily coverage, but a recent survey history that warrants questions before you decide.
Valley of the Moon runs a small house, 27 beds, and staffs it well above average, about 5.05 nurse hours per resident day against a national 3.86. That's real coverage, though weekends thin out roughly 11% below the weekday level, and turnover sits at 47.2%, a touch worse than the national 45.8%.
The problem is the inspection record. Twenty-nine deficiencies, three serious enough to put a resident in harm's way, one tied to abuse, and a $13,065 fine. The state's last look was in October 2024.
So you have a home that's well staffed on paper and scores 5/5 on quality measures, but its last two years of inspections tell a messier story. Ask about staffing on Saturdays and what changed since that October visit.
Oroville Hospital Post-Acute Center runs 126 certified beds as a nonprofit, and its nurse staffing sits at 5.44 hours per resident day, roughly 41% above the national average of 3.86. That's a real strength, and it's why staffing earns a mid-tier rating. But look at what the extra hours are covering for: 46 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. Inspections and quality measures each land at the lowest star rating, and the most recent survey came in December 2024. One fine of $45,500 is on file. Weekend staffing also drops about 11% below its own weekday level, so the coverage thins out when families tend to visit.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.
Coalinga Regional Medical Center's skilled nursing unit runs 99 beds under for-profit LLC ownership, and the federal numbers show strain on multiple fronts. Staffing is the weakest area, CMS gives it one star out of five, well below what you'd want for a resident needing daily help. The inspection record carries 40 deficiencies, including four that caused actual harm or put residents in immediate jeopardy and two tied to abuse. That's a serious pattern, not a paperwork problem. The most recent inspection was April 10, 2025, so the findings are current, not stale. Quality measures also sit at two stars. If you're considering this home, ask directly what changed after those harm-level citations and how they're staffing the floor now.
Adventist Health Delano runs a nonprofit home in Kern County with 51 certified beds, and its staffing is genuinely unusual: 6.42 nurse hours per resident day, roughly 66% above the national average, with weekend coverage only about 6% below weekdays. Turnover sits at 25% against a national average near 46%, so the same caregivers tend to stay. The trouble is everything else. Inspectors cited 62 deficiencies on the current record, three of them at harm or jeopardy level and six abuse-related, with two fines totaling $123,442 and the most recent inspection in April 2025. High staffing can't offset that inspection history, and the federal stars split the difference: three for staffing, two each for health inspections and quality measures.
Plumas District Hospital's skilled nursing unit is small, 36 certified beds, and it's run by the hospital district rather than a for-profit chain, which shapes how it operates. The current record shows four deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, so it's worth asking staff directly what happened and what changed afterward. The most recent inspection came in February 2026, so the picture here is fairly current rather than stale. With a unit this size, staffing often tracks closely to hospital coverage, which can mean steadier nurse presence than a standalone nursing home of similar bed count.
One thing to note: ElderGrade doesn't have a computed grade for this home yet, so there's no score to lean on. That means the federal inspection and staffing data are what you have to work with, ask about the abuse-related finding, and ask how many residents are typically on the unit at once.
Frequently asked questions
How many hospital-based nursing homes are there in California?
There are 89 hospital-based Medicare-certified nursing homes in California, 8% of the 1,165 nursing homes there.
Are hospital-based nursing homes better staffed?
In California they average 6.8 total nursing hours per resident per day, against 4.52 for all nursing homes in California, a difference of +2.28 hours. Staff turnover averages 29.1% against 36.7%.
Which hospital-based nursing home grades best in California?