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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 201 to 220 of 323, best-graded first.

B

77.5/100

Grand Park Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 3/5151 bedsFor-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
n/a
Serious cites
0

Grand Park Convalescent Hospital runs 151 certified beds in Los Angeles under individual for-profit ownership, and its total nurse staffing of 4.45 hours per resident day sits about 15% above the national average of 3.86, a genuinely good number on paper. But look closer and the picture gets uneven: weekends run roughly 9% below its own weekday coverage, so the daily experience depends on when you visit, and CMS's own staffing rating lands at just 2 out of 5. The inspection record shows 37 deficiencies, none at harm or jeopardy level, though four are abuse-related. Quality measures and health inspections both score 4 out of 5, and the most recent inspection came in July 2025, so the record is current.

B

77.5/100

Childrens Hc Org No Ca Saratoga Pediatric Subacute

Saratoga, CA · Santa Clara County

CMS 5/537 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

This 37-bed pediatric subacute home in Saratoga has strong inspection and quality ratings from CMS, but the 17 deficiencies on its current record deserve a closer look. None of those rose to the level of actual harm or immediate jeopardy, which is genuinely meaningful, but three are abuse-related, a category worth asking about directly, since even non-harm citations in that area can point to gaps in how staff screen, supervise, or report. The last inspection was recent, February 2026, so this is a current picture, not a stale one. A limited liability company operating for profit means you'll want to ask who's actually on-site overnight and how often licensed nurses are present, especially in a pediatric setting.

B

77.5/100

Eskaton Village Care Center

Carmichael, CA · Sacramento County

CMS 4/535 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

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.

B

77.5/100

Richmond Post Acute Care

Richmond, CA · Contra Costa County

CMS 4/535 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Richmond Post Acute Care is a 35-bed for-profit in Contra Costa County, and its record splits in an unusual way. Inspectors have been inside recently, January 2025, and found 22 deficiencies across surveys, but none rose to the level of actual harm or jeopardy, and nothing was abuse-related. The quality measures look strong. The problem is staffing: on that measure this home sits at the bottom of the federal scale, and seven fines totaling $31,405 suggest the paperwork and care-process side has been a recurring issue rather than a one-time lapse. For a family weighing a small home with a decent inspection history, the question worth asking on a tour is who's actually on the floor overnight, and how long they've been there.

B

77/100

The Beach Post-Acute

Long Beach, CA · Los Angeles County

CMS 2/598 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
26%
Serious cites
0

The Beach Post-Acute runs about 98 beds in Long Beach under for-profit limited liability ownership. Nurse staffing sits at 3.99 hours per resident day, a bit above the national average, and weekend coverage dips roughly 10% below its own weekday level, worth knowing if your family visits or needs help on Saturdays and Sundays. Turnover is 25.6%, well under the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The trouble is the inspection record: 62 deficiencies, including 2 at harm or jeopardy level and 6 abuse-related, with $139,865 in fines and a February 2026 inspection.

B

77/100

Healthbridge Children's Hospital - Orange D/P Snf

Orange, CA · Orange County

CMS 3/521 bedsFor-profitMedicaid
Nurse hours
10.57 /day
Staff turnover
n/a
Serious cites
0

Healthbridge Children's Hospital in Orange runs a small 21-bed skilled nursing unit under for-profit LLC ownership, and the nurse staffing number stands out: 10.57 hours per resident day, roughly triple the national average of 3.86. That's unusual, though weekend hours drop about 11% below the weekday level, so coverage isn't perfectly even. The bigger concern is the deficiency record, 47 total on the current file, six of them abuse-related, even though none rose to harm or jeopardy level. Inspections are recent, and the staffing and health inspection ratings both land mid-range at three stars. For a small facility with this many findings, ask pointed questions about how those abuse-related deficiencies were resolved before you decide.

B

77/100

Foothill Heights Care Center

Pasadena, CA · Los Angeles County

CMS 3/549 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
51%
Serious cites
0

Foothill Heights runs 4.22 nurse hours per resident day, roughly 9% above the national average, but weekends drop about 10% below its own weekday level, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. That staffing number earned only 2 of 5 stars from CMS, and turnover sits at 50.9% against a national 45.8%, meaning half the nursing staff leaves within a year. The inspection record shows 60 deficiencies, including 4 tied to abuse, though none at the harm or jeopardy level, and $9,390 in fines. A 3/5 inspection rating with a May 2026 survey is reasonably current, but the pattern worth asking about is consistency, not averages.

B

76.5/100

Delano District Skilled Nursing Facility

Delano, CA · Kern County

CMS 1/5141 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
n/a
Serious cites
0

Delano District Skilled Nursing Facility has 141 certified beds and enough nursing hours to beat the national average by roughly 10%, but that staffing edge comes with a catch: weekends run about 12% thinner than weekdays, and the health inspection record is where the real trouble sits. Sixty-eight deficiencies on the current record, two of them at harm or jeopardy level and a dozen tied to abuse, with two fines totaling $17,966. The last inspection was February 2025, so the picture is recent rather than stale. Nonprofit corporate ownership doesn't change what those inspection numbers say. Quality and staffing measures land mid-range, but the enforcement history is the part a family should weigh hardest.

B

76/100

The Californian

Santa Barbara, CA · Santa Barbara County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
60%
Serious cites
0

The Californian carries a five-star health inspection rating and a clean deficiency record, 15 citations on file, none of them causing harm or involving abuse, with the most recent inspection in March 2025. Nurse staffing runs 4.36 hours per resident day, about 13 percent above the national average, though weekends drop roughly 15 percent below the home's own weekday coverage. The bigger question is retention: 60 percent annual turnover against a national 45.8 percent means a large share of the people caring for your family member are new to the building. Good inspection results, shaky consistency underneath.

B

76/100

San Francisco Health Care

San Francisco, CA · San Francisco County

CMS 1/5168 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
40%
Serious cites
0

San Francisco Health Care runs 168 beds as a for-profit corporation, and its staffing sits just under the national average at 3.79 hours per resident day. Weekends dip about 6% below its own weekday coverage, so the hours aren't evenly spread across the week. The current record shows 34 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $152,404. Staff turnover at 40.2% is actually better than the 45.8% national figure, and the most recent inspection was February 2025. What pulls the record down is the inspection history and those harm-level findings, not the day-to-day staffing numbers.

B

76/100

Southern Inyo Hospital D/P Snf

Lone Pine, CA · Inyo County

CMS 4/533 bedsGovernmentMedicaid
Nurse hours
4.64 /day
Staff turnover
n/a
Serious cites
0

Southern Inyo Hospital's skilled nursing unit in Lone Pine runs 33 certified beds under hospital district ownership, and its inspection record is the strongest part of the picture, 14 deficiencies on file with none reaching harm or jeopardy level. That said, one is abuse-related, and the staffing numbers are where this home struggles: its CMS staffing rating sits at the lowest mark, meaning nurse hours per resident fall well below what most California homes report. Quality measures land at 2 out of 5. The practical takeaway: ask specifically how many certified nursing assistants are on the floor during evening and overnight shifts, and who covers when someone calls out.

B

76/100

Simi Healthcare Center

Simi Valley, CA · Ventura County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
39%
Serious cites
0

Simi Healthcare Center sits in Simi Valley with 99 certified beds, run by a for-profit limited liability company. The staffing numbers look strong on paper, 4.58 nurse hours per resident day, about 18% above the national average, but the federal staffing star comes in at 2 out of 5, and weekend coverage drops roughly 8% below its own weekday level. Turnover runs 39.1%, better than the 45.8% national figure. Inspections are another story: 58 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. CMS fined the home $8,446. The last inspection was August 7, 2025. Quality measures score 5 out of 5; health inspections score 2.

B

76/100

The Redwoods, A Community Of Seniors

Mill Valley, CA · Marin County

CMS 2/558 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
40%
Serious cites
0

The Redwoods runs a solid care floor on paper: 4.65 nurse hours per resident day, roughly a fifth more staffing than the national average, and turnover at 40.4% sits better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekdays, which is worth asking about directly. What pulls the record down is inspections, 37 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $103,054 and the last survey in July 2024. A nonprofit with good staffing but a troubled inspection history usually means the problems are specific and fixable, not structural. Ask for the plan of correction.

B

76/100

Bella Vista Health Center

Lemon Grove, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
48%
Serious cites
0

Bella Vista Health Center in Lemon Grove runs 4.87 total nurse hours per resident day, roughly 26% above the national average of 3.86, and its weekend staffing only dips about 7% below weekdays, a smaller drop-off than many homes show. The 22 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was November 2025. Staff turnover sits at 47.6%, slightly above the national 45.8%. With 99 certified beds under for-profit LLC ownership, the numbers describe a home that is adequately staffed and recently inspected, but not one where retention stands out.

B

75.5/100

Bear Valley Community Hospital D/P Snf

Big Bear Lake, CA · San Bernardino County

CMS 4/521 bedsGovernmentMedicaid
Nurse hours
6.62 /day
Staff turnover
63%
Serious cites
0

The staffing numbers at Bear Valley are genuinely unusual, 6.62 nurse hours per resident per day is roughly 71% above what the typical American nursing home provides, and that shows up in the four-out-of-five staffing rating. But weekends drop about 18% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. There's a real tension in the rest of the record. The inspection rating is strong and the most recent visit was in May 2025, yet 29 deficiencies sit on the current record, one of them serious enough to involve harm or jeopardy. Staff turnover is 63%, well above the national 45.8%, with only 21 beds under hospital district ownership, that churn is worth asking about directly.

B

75.5/100

Childrens Hc Org No Ca -Pediatric Hospital D/P Snf

Campbell, CA · Santa Clara County

CMS 5/527 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Childrens Hc Org No Ca is a small pediatric skilled nursing unit in Campbell, 27 beds, run by a for-profit limited liability company. Its last inspection, in July 2024, turned up 16 deficiencies, but none rose to the level of actual harm or jeopardy, and none involved abuse, the kind of paperwork and process findings that show up at plenty of otherwise solid homes. One fine on record, $3,145, is modest. Where this home separates itself is staffing and clinical measures, both of which score at the top of CMS's five-star scale. For a family weighing a pediatric placement, that combination, recent inspection, no harm-level findings, strong quality numbers, is worth a closer look than the deficiency count alone suggests.

B

75.5/100

Southern California Hosp At Culver City D/P Snf

Culver City, CA · Los Angeles County

CMS 2/521 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Southern California Hosp At Culver City D/P SNF runs just 21 certified beds as a for-profit LLC, and its staffing score sits at the bottom of the federal scale, families should expect thin coverage here. The inspection record backs that up: 33 deficiencies, three of them serious enough to cause harm, plus two tied to abuse. That's a lot for a home this small, and it suggests problems aren't isolated. The quality measure score looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. A recent February 2026 inspection means the record is current, not stale.

B

75/100

Garden Crest Rehabilitation Center

Los Angeles, CA · Los Angeles County

CMS 2/572 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
54%
Serious cites
0

Garden Crest runs thin on nursing hours, 3.26 per resident day against a national average of 3.86, and the weekend crew is even leaner, down about 3% from its own weekday staffing. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in a turnover rate of 53.5% versus 45.8% nationally. Meanwhile the home carries 49 deficiencies on its current record, including 2 at the harm level and 5 tied to abuse, though the most recent inspection was in December 2025. Quality measures score well, but good numbers on paper don't change who's actually on the floor each shift.

B

75/100

Bell Convalescent Hospital

Bell, CA · Los Angeles County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
34%
Serious cites
0

Bell Convalescent Hospital runs 99 certified beds as a for-profit corporation, and its staffing sits just above the national average at 3.89 nurse hours per resident day, though weekends drop about 6% below its own weekday level. Turnover is 33.7%, better than the 45.8% national figure, and the staffing and quality ratings both come in at 4 out of 5, which tells you aides and nurses are generally present and clinical measures look reasonable. The problem is the inspection record: 80 deficiencies, three at harm or jeopardy level, three tied to abuse, and $93,980 in fines across three penalties, with a 1/5 health inspection rating. Recent state review was January 2026, so the findings are current, not stale.

B

75/100

Saint Vincent Healthcare

Pasadena, CA · Los Angeles County

CMS 3/578 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
22%
Serious cites
0

Saint Vincent Healthcare runs 78 beds in Pasadena under for-profit limited liability ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That thin margin narrows further on weekends, when coverage drops about 8% below the home's own weekday levels. What stands out is retention: 22.4% annual turnover is less than half the national rate of 45.8%, which suggests a steadier crew than most places manage. The tradeoff shows up in quality measures, which score near the bottom, and a record of 50 deficiencies, none at harm or jeopardy level, none abuse-related. The most recent inspection was in November 2025.

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