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323 Independent Nursing Homes in California

323 of the 1,165 Medicare-certified nursing homes in California (28%) are independently owned, and all are listed below. 133 of the 319 graded homes earn an A and 11 earn a D or F. They average 4.89 nursing hours per resident per day, 0.37 hours above the 4.52 for every home in California. Veterans Home Of California - Fresno in Fresno grades highest at A (99 out of 100).

How independently owned homes in California compare

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

Nursing hours per resident per day

4.89

All homes in California: 4.52

Better than the local average

Nurse staff turnover

34.1%

All homes in California: 36.7%

Better than the local average

Average ElderGrade score

80.1/100

All homes in California: 79/100

Better than the local average

Grade spread

A
B
C

133 grade A, 122 grade B, 53 grade C, 11 grade D,

The best-graded independently owned home in California is Veterans Home Of California - Fresno in Fresno, CA, grade A, 99/100.

Every independently owned nursing home in California

Showing 181 to 200 of 323, best-graded first.

B

80/100

Thousand Oaks Post Acute, Llc

Thousand Oaks, CA · Ventura County

CMS 3/5123 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
40%
Serious cites
0

Thousand Oaks Post Acute runs on more nursing hours than most homes nationally, 4.10 per resident day against a 3.86 average, and its weekend coverage only dips about 10% below weekdays, which matters when families visit and needs don't pause for the calendar. Staff turnover sits at 39.6%, better than the 45.8% national figure, though still meaning roughly two in five caregivers changed over the year. The record isn't spotless: 37 deficiencies, including one at the harm level and one tied to abuse, plus a $20,703 fine. Its last inspection was April 2025, so the picture is recent. A for-profit LLC with solid staffing and mid-tier compliance issues is what you're weighing.

B

80/100

The Rowland

Covina, CA · Los Angeles County

CMS 2/5126 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
14%
Serious cites
0

The Rowland runs on thin nursing coverage, 3.60 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Turnover is strikingly low at 14% compared with the 45.8% national figure, so the people who are there tend to stay, though the inspection record is where the problems pile up: 69 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $30,421 fine. The most recent inspection was May 2025, so the record is current, and the quality measure score of 4 out of 5 stands in sharp contrast to the health inspection score of 1.

B

80/100

Guardian Care And Rehabilitation Center

Manteca, CA · San Joaquin County

CMS 2/5176 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
32%
Serious cites
0

Guardian Care runs 176 beds in Manteca under corporate ownership, and its staffing is the one clear strength here: 3.96 nurse hours per resident day, slightly above the national average, with turnover at 31.7% against a national figure near 46%. Retention like that matters, though weekend coverage drops about 7% below weekday levels, so timing affects what you get. The inspection record is where the picture darkens, 64 deficiencies on file, including one at the harm level and five tied to abuse, with a 2-star health inspection rating. A recent August 2025 inspection means the record is current, not stale. Ask about those abuse deficiencies specifically before you decide.

B

79/100

St. John Of God Retirement

Los Angeles, CA · Los Angeles County

CMS 1/5156 bedsNon-profitMedicaid
Nurse hours
4.90 /day
Staff turnover
31%
Serious cites
0

St. John Of God Retirement sits in Los Angeles with 156 certified beds and a nonprofit owner. Nurse staffing runs 4.90 hours per resident day, about 27% above the national average, and weekend coverage dips only modestly below weekdays. Turnover is 31.3%, well under the national 45.8%. So the day-to-day caregiving picture is strong. The problem is the inspection record: 77 deficiencies, four at harm or jeopardy level, five abuse-related, and $124,440 in fines across three penalties. That's a lot of citations for a single home. A December 2025 inspection is recent, and the two-star health inspection rating reflects what surveyors found. Good staffing can't offset 77 deficiencies.

B

79/100

Corona Health Care Center

Corona, CA · Riverside County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
39%
Serious cites
0

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.

B

79/100

Artesia Christian Home Inc.

Artesia, CA · Los Angeles County

CMS 1/566 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
36%
Serious cites
0

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.

B

79/100

The Grove Post-Acute Care Center

Sylmar, CA · Los Angeles County

CMS 2/575 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
23%
Serious cites
0

The Grove runs lean on nurse staffing, 3.52 hours per resident day, roughly 9% under the national average, with weekends about 10% thinner than weekdays. What stands out is 92 deficiencies on the current record, including one causing harm or jeopardy and six tied to abuse, against just $17,345 in fines. Staff turnover of 23.1% is actually well below the national 45.8%, so the same caregivers tend to stay; the problem isn't retention, it's how many of them there are. The five-star quality measure score reflects reported clinical outcomes, but it sits alongside a one-star inspection rating, and the most recent survey closed in December 2025. If you're considering this Sylmar home, ask specifically about weekend coverage and how that abuse history was resolved.

B

79/100

Granada Post Acute

Lynwood, CA · Los Angeles County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
45%
Serious cites
0

Granada Post Acute runs on 4.25 nurse hours per resident day, roughly a tenth more than the national average, which matters most on weekends, staffing there dips about 8% below its own weekday level, so coverage tightens when families tend to visit. Staff turnover sits at 44.8%, essentially the national rate, so this isn't a home bleeding caregivers faster than everyone else. The current record shows 41 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. For a 98-bed for-profit partnership in Lynwood, the picture is a home that's adequately staffed and inspected recently, carrying a long but not dangerous paper trail.

B

79/100

Hemet Valley Healthcare Center

Hemet, CA · Riverside County

CMS 4/5113 bedsFor-profitMedicaid
Nurse hours
10.96 /day
Staff turnover
51%
Serious cites
0

Hemet Valley Healthcare Center sits in Riverside County with 113 certified beds and corporate for-profit ownership. The nurse staffing number is genuinely unusual, 10.96 hours per resident day, roughly triple the national average of 3.86, though weekend coverage drops about 13% below the home's own weekday level, so the generous figure isn't evenly spread. Turnover runs 51.2% against a national 45.8%, meaning the people delivering that care keep changing. Inspections in November 2025 produced a 4-out-of-5 star rating and a recent inspection date, but the current record carries 23 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $51,489 fine. Strong staffing and a clean inspection cycle don't erase what's documented.

B

79/100

Dreier's Nursing Care Center

Glendale, CA · Los Angeles County

CMS 2/553 bedsFor-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
35%
Serious cites
0

Dreier's Nursing Care Center runs on a 52-bed for-profit operation in Glendale, and the staffing numbers are the strongest thing it has going: 4.45 nurse hours per resident day, about 15% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover sits at 34.5%, better than the 45.8% national figure. The inspection record is where it gets harder to defend, 63 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, plus two fines totaling $48,700 and a two-star health inspection rating. The last survey was June 18, 2025, so that record is recent. Good staffing, but a lot of documented problems to weigh against it.

B

79/100

South Pasadena Care Center

South Pasadena, CA · Los Angeles County

CMS 1/5156 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
38%
Serious cites
0

South Pasadena Care Center runs 156 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national average of 3.86. That's a real margin, though weekend coverage drops about 9% below the home's own weekday level, so the weekday numbers flatter the picture. Turnover lands at 38.4%, better than the 45.8% national figure, which matters for continuity of care. Where the home gives ground is inspections: 72 deficiencies on the current record, three tied to abuse, none at harm or jeopardy level, with the most recent visit in July 2025 and a 2/5 inspection star. Adequate hands, thin regulatory record.

B

78.5/100

The Reutlinger Community

Danville, CA · Contra Costa County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
55%
Serious cites
0

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.

B

78.5/100

Shasta Healthcare

Weed, CA · Siskiyou County

CMS 1/559 bedsFor-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
32%
Serious cites
0

The staffing numbers here look strong on paper, 4.71 nurse hours per resident day, well above the national average, and turnover at 31.9% beats the typical 45.8%. That's a real edge in a rural county where hiring is hard. But the inspection side tells a different story: 31 deficiencies on the current record, three serious enough to involve harm or jeopardy, and four tied to abuse. Medicare has fined this for-profit corporation $84,526 across two penalties. The most recent inspection was April 24, 2026. Good staffing can coexist with poor oversight, the hours tell you who's present, not whether care is actually safe.

B

78.5/100

Mesa Verde Post Acute Care Center

Costa Mesa, CA · Orange County

CMS 4/580 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
n/a
Serious cites
0

Mesa Verde Post Acute Care Center runs 80 certified beds in Costa Mesa under for-profit LLC ownership. Its overall nurse staffing of 4.23 hours per resident day sits roughly 10% above the national average, but weekends drop about 11% below its own weekday level, and CMS rates staffing at just 2 out of 5 stars. That tension between respectable average hours and a thin weekend floor is worth asking about directly. The inspection record shows 68 deficiencies, none at harm or jeopardy level, though two are abuse-related. One fine totaling $4,558 has been levied, and the last inspection was recent, September 2025, so this reflects current conditions. Quality measures score 5 out of 5, a genuine strength. Ask how the abuse-related findings were resolved.

B

78/100

Orchards At Tulare

Tulare, CA · Tulare County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.96 /day
Staff turnover
50%
Serious cites
0

Orchards At Tulare runs a for-profit operation with 99 certified beds. Staffing looks solid on paper, 4.96 nurse hours per resident day, well above the national average, but weekends dip about 11% below weekday coverage, and half the nursing staff turns over each year, a bit worse than the 45.8% national figure. The inspection record is the real concern: 88 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $68,938 fine. Inspectors were last on site in May 2025. The quality measure rating (4/5) and staffing rating (3/5) sit far above the health inspection rating (1/5), that gap tells you most of the story here.

B

78/100

Hollywood Presbyterian Medical Center D/P Snf

Los Angeles, CA · Los Angeles County

CMS 3/589 bedsFor-profitMedicaid
Nurse hours
7.41 /day
Staff turnover
16%
Serious cites
0

Nurse staffing here runs 7.41 hours per resident day, roughly double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 16.3% against a national figure of 45.8%, so the people caring for residents tend to stay. What keeps the record from matching those numbers is the inspection side: 53 deficiencies on file, three tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was in December 2025. For-profit corporate ownership, 89 certified beds, and a survey history that's active enough to ask about directly before you visit.

B

78/100

Grace Healthcare Center

Fresno, CA · Fresno County

CMS 1/5101 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
46%
Serious cites
0

Grace Healthcare Center runs a hundred and one beds in Fresno under a for-profit limited liability owner, and the staffing numbers are the strongest thing it has going: 4.39 nurse hours per resident day, roughly 14 percent above the national average. That edge thins on weekends, when hours drop about 12 percent below the home's own weekday level, and turnover sits at 45.7 percent, essentially the national rate, neither better nor worse. The trouble is everything else. Seventy deficiencies sit on the current record, including four tied to abuse and one serious enough to reach harm or jeopardy, with five fines totaling $32,110. Inspectors last visited in March 2026.

B

78/100

Marina Garden Nursing Center

Alameda, CA · Alameda County

CMS 5/532 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
27%
Serious cites
0

Marina Garden is a small for-profit home in Alameda, 32 beds, and its inspection record is the standout: a five-star health inspection rating, ten deficiencies on the current record with none at the harm or jeopardy level and none involving abuse. Staffing is where it thins out. At 3.74 nurse hours per resident day, it runs about 3% under the national average, and weekends dip slightly below its own weekday numbers. The tradeoff is retention: 26.7% turnover is well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Quality measures land mid-range.

B

78/100

Height Street Skilled Care

Bakersfield, CA · Kern County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
30%
Serious cites
0

Height Street Skilled Care runs on a for-profit LLC model with 99 certified beds, and the staffing numbers are the bright spot: 4.24 nurse hours per resident day, about 10% above the national average, with turnover at 29.5% against a national 45.8%. That stability matters, though weekend coverage dips about 10% below its own weekday level. The inspection record is where the picture darkens, 70 deficiencies on file, including four at the harm or jeopardy level and four tied to abuse, with a 1-out-of-5 health inspection rating and a single $12,735 fine. The most recent inspection was April 2026. Staffing can carry a building only so far when the care environment draws that kind of scrutiny.

B

77.5/100

Meadowbrook Post Acute

Hemet, CA · Riverside County

CMS 2/564 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
n/a
Serious cites
0

Meadowbrook Post Acute runs 4.39 total nurse hours per resident day, roughly 14% above the national average, but weekends dip about 11% below its own weekday coverage. The staffing star rating sits at 2 out of 5, and the health inspection rating matches it. The current record carries 52 deficiencies, including four at the harm or jeopardy level and three tied to abuse. Quality measures score 4 out of 5, so the clinical metrics look better than the inspection side. A for-profit limited liability company operates the 64-bed home, and the last inspection was November 18, 2025. The staffing hours look strong on paper, but the deficiency history and weekend drop-off are what a family should ask about directly.

Frequently asked questions

How many independently owned nursing homes are there in California?
There are 323 independently owned Medicare-certified nursing homes in California, 28% of the 1,165 nursing homes there.
Are independently owned nursing homes better staffed?
In California they average 4.89 total nursing hours per resident per day, against 4.52 for all nursing homes in California, a difference of +0.37 hours. Staff turnover averages 34.1% against 36.7%.
Which independently owned nursing home grades best in California?
Veterans Home Of California - Fresno in Fresno, CA, grade A, 99 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 319 graded independently owned homes in California, 133 grade A and 11 grade D or F.
Do independently owned nursing homes in California accept Medicaid?
311 of the 323 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in California