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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 241 to 260 of 323, best-graded first.

B

72/100

Alvarado Care Center

Los Angeles, CA · Los Angeles County

CMS 2/572 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
24%
Serious cites
0

Alvarado Care Center runs on lean but consistent staffing, 3.98 nurse hours per resident day, a bit above the national average, with weekend coverage dipping only about 7% from weekdays. Turnover sits at 24.2%, well below the national 45.8%, so the people caring for residents tend to stick around. The trouble is elsewhere: 63 deficiencies on the current record, including one at the harm level and two tied to abuse, plus $90,600 in fines. A 2/5 inspection rating against a 4/5 staffing rating tells you the problems aren't about how many hands are on deck. They're about what those hands are being directed to do.

B

71/100

Millbrae Care Center

Millbrae, CA · San Mateo County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.20 /day
Staff turnover
32%
Serious cites
0

Millbrae Care Center runs about 3.20 nurse hours per resident per day, which is roughly 17% under the national average of 3.86, and weekends drop another 13% below its own weekday staffing. Turnover sits at 31.7%, noticeably better than the 45.8% national figure, so the people who stay tend to stay. What stands out more is the inspection record: 59 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, with a $7,045 fine and a May 2026 inspection. Two stars each on health inspections and quality measures, three on staffing.

B

71/100

Sherwood Oaks Post Acute Care, Llc

Fort Bragg, CA · Mendocino County

CMS 1/579 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
36%
Serious cites
0

Sherwood Oaks sits at 3.85 nurse hours per resident day, essentially dead even with the national average, and its staffing rating reflects that consistency. Weekend coverage dips about 5% below weekday levels, which is common but worth knowing if your family visits on Saturdays. Staff turnover is a genuine bright spot at 36.4%, well under the national 45.8%, meaning the people caring for residents tend to stay. The trouble is the inspection record: 47 deficiencies, including two at harm or jeopardy level and six tied to abuse, plus $130,250 in fines. A March 2026 inspection is recent, so the picture is current. Solid staffing, but a serious compliance history.

B

71/100

Hi-Desert Medical Center D/P Snf

Joshua Tree, CA · San Bernardino County

CMS 1/592 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
66%
Serious cites
0

Hi-Desert Medical Center's skilled nursing unit in Joshua Tree runs 3.76 nurse hours per resident day, a bit under the national average, and weekend coverage drops about 13% from its own weekday level. Turnover is the harder number: 65.7% of staff leave each year, well above the 45.8% national rate. On inspections, the record shows 41 deficiencies, including one at the harm level and five tied to abuse. The staffing star sits at 2 out of 5, and the health inspection star at 1 out of 5, so the quality measure star of 4 is doing most of the lifting here. The last inspection was March 19, 2026.

B

70/100

Sage Post Acute

Hayward, CA · Alameda County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
55%
Serious cites
0

Sage Post Acute runs 99 certified beds in Hayward, and the staffing numbers are the clearest thing to look at here. At 3.30 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends dip a further 3% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 55% against a national 45.8%, which means aides and nurses are cycling through steadily. The inspection record shows 42 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a single fine of $4,938. The most recent inspection was August 2025, so the picture is current. Individual, for-profit ownership.

B

70/100

Pittsburg Skilled Nursing Center

Pittsburg, CA · Contra Costa County

CMS 1/549 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
38%
Serious cites
0

Pittsburg Skilled Nursing Center runs 49 beds in Contra Costa County under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.97 nurse hours per resident day. Turnover is better than most too, at 37.5% against a national 45.8%. But the inspection record tells a harder story: 39 deficiencies on file, three tied to abuse, plus a $10,793 fine. CMS rated its quality measures 1 out of 5 and its health inspections 2 out of 5, with the last visit in August 2024. Weekend staffing also dips about 7% below its own weekday level. The care numbers are mediocre even where the staffing looks solid.

B

70/100

St. Anne's Home

San Francisco, CA · San Francisco County

CMS 3/546 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

St. Anne's Home in San Francisco is a small nonprofit operation, 46 beds, and its state inspections have generally gone well enough to earn four out of five stars. On paper, that's the strongest thing going for it. The problem shows up in the staffing numbers, where CMS gives it just one star out of five, meaning it runs leaner on direct care than most homes in the country. Its inspection record lists 17 deficiencies, none of which involved actual harm or abuse, so nothing here suggests danger, just a home that passes its checkups while operating with fewer hands on deck than you'd probably want for a family member who needs daily help.

B

70/100

Catalina Island Health

Avalon, CA · Los Angeles County

CMS 3/58 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Catalina Island Health is an eight-bed nonprofit on Avalon, and its inspection record is the strong part: a four-star health inspection score, 19 deficiencies on file but none at the harm or jeopardy level and none tied to abuse. Staffing is the weak side, rated one star, which matters more in a facility this small, where there's little slack if someone calls out. The most recent inspection was May 8, 2025, so the picture is current. With eight residents, care is personal by necessity, but ask directly how many nurses and aides are on site overnight and what happens when someone needs care the island can't provide.

B

70/100

Brighton Care Center

Pasadena, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
51%
Serious cites
0

Brighton Care Center runs 99 beds in Pasadena under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, about 8% above the national average of 3.86. That's the good news. Weekends drop roughly 14% below the home's own weekday level, and annual turnover is 50.5% against a national 45.8%, so the coverage you see on paper isn't always the coverage your family member gets. The inspection record is the bigger concern: 73 deficiencies, including one at the harm level and four abuse-related. All three CMS star ratings land at 2 out of 5. A recent inspection date doesn't erase that history, ask directly what changed.

B

70/100

Memorial Hospital Of Gardena D/P Snf

Gardena, CA · Los Angeles County

CMS 4/569 bedsNon-profitMedicaid
Nurse hours
9.05 /day
Staff turnover
57%
Serious cites
0

Memorial Hospital Of Gardena's skilled nursing unit runs on unusually heavy staffing, 9.05 nurse hours per resident day, more than double the national figure of 3.86. That number deserves context, though: weekends run about 9% thinner than weekdays, and 57.1% of staff turned over in the past year, well above the 45.8% national rate. The current record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $12,831. Federal ratings put inspections and quality measures at 4 out of 5 stars each, with staffing at 3 despite the raw hours. A nonprofit corporation operates the 69-bed home, and its last inspection was April 2026.

B

70/100

Foothill Regional Medical Center D/P Snf

Tustin, CA · Orange County

CMS 4/542 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Foothill Regional's most recent inspection, in February 2026, turned up no deficiencies serious enough to harm a resident, that's a real point in its favor. But the 54 deficiencies on the current record, including three tied to abuse, add up over time, and for a small 42-bed unit, that's a lot of paperwork to accumulate. The ownership is a for-profit corporation, which tends to mean tighter staffing margins, so it's worth asking what the direct-care hours actually look like per resident. A four-star inspection rating tells you the last survey went reasonably well; the long record tells you the home has had plenty of chances to get written up. Ask about turnover and who's on the floor at night.

B

70/100

Villa Del Rio Gardens

Bell Gardens, CA · Los Angeles County

CMS 2/584 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Villa Del Rio Gardens is a for-profit, corporate-owned home with 84 certified beds in Bell Gardens. The staffing number is the one to pay attention to: CMS rates it 1 out of 5 stars for staffing, and that's the weakest area by far, since the average California home tends to run closer to 3. Inspections land at 3 out of 5, with 28 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse. The last inspection was February 2022, so the record you're reading is more than three years old and may not reflect who's working there now. Ask about current direct-care hours per resident before you visit.

B

70/100

Intercommunity Care Center

Long Beach, CA · Los Angeles County

CMS 1/5147 bedsNon-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
33%
Serious cites
0

Intercommunity Care Center is a 147-bed nonprofit home in Long Beach where the numbers pull in two directions. Staffing sits just under the national average, 3.72 nurse hours per resident day against 3.86, but that same workforce stays put far longer than most, with turnover of 33% compared to 45.8% nationally, and weekends shed only a little more coverage than weekdays. What should give you pause is the inspection record: 79 deficiencies, six serious enough to put residents in harm's way, 13 tied to abuse, and four fines totaling $156,035, with the most recent inspection in May 2025. Federal quality and inspection ratings both sit at the bottom of the scale.

B

70/100

Colusa Medical Center - Snf

Colusa, CA · Colusa County

CMS 4/56 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
n/a
Serious cites
0

Colusa Medical Center's skilled nursing unit is tiny, just six certified beds, and it runs on a for-profit limited liability company structure. The staffing picture is unusual: total nurse hours come in at 4.03 per resident day, slightly above the national average, and weekends hold steady rather than dropping off, which is rare. But federal inspectors rate the staffing level itself at just one star, meaning the hours, while present, don't satisfy CMS benchmarks for what this resident population needs. The tradeoff shows up in inspections, where the home holds a five-star rating with 14 deficiencies on record, none at harm or jeopardy level, none abuse-related, and one fine of $4,558. Its most recent inspection was in April 2025.

B

70/100

Bethel Lutheran Home

Selma, CA · Fresno County

CMS 3/559 bedsNon-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
53%
Serious cites
0

Bethel Lutheran Home runs 3.81 nurse hours per resident day, just under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin margin matters more when turnover sits at 52.5% against a national 45.8%, more than half the nursing staff turning over in a year makes consistent weekend coverage hard to hold. The 41 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was December 2025, so the record is current. This is a small nonprofit home with no serious safety findings, but staffing and quality measures both score low, and the turnover number is the one to ask about directly.

C

69.5/100

Camellia Gardens Care Center

Pasadena, CA · Los Angeles County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
n/a
Serious cites
0

Staffing at Camellia Gardens looks strong on paper, 5.14 nurse hours per resident day, roughly a third more than the national average, but the numbers behind that figure are mixed. Weekends run about 7% thinner than weekdays, and CMS gives the home just one star for staffing, which suggests the hours aren't reaching residents the way the total implies. The inspection record is heavier than you'd want: 59 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy, and the single fine on file is small at $1,747. This for-profit LLC was last inspected in April 2026, which is recent. Ask about weekend coverage and those abuse-related citations before deciding.

C

69.5/100

Pacifica Hospital Of The Valley Dp Snf

Sun Valley, CA · Los Angeles County

CMS 1/598 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Pacifica Hospital of the Valley's skilled nursing unit has a staffing problem you should weigh heavily. Its CMS staffing rating sits at 1 out of 5, and the health inspection rating is also 1, the lowest possible, despite the quality measure score of 4, which reflects clinical data like hospitalizations and medication management rather than day-to-day care on the floor. The inspection record shows 51 deficiencies, one serious enough to reach harm or jeopardy level, and a $60,373 fine, all from a February 2026 survey. This is an individual for-profit operator, which in California often means thinner staffing budgets. Ask directly how many CNAs are on the floor at night before you decide.

C

69/100

Capistrano Beach Care Center

Dana Point, CA · Orange County

CMS 1/593 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
45%
Serious cites
0

Capistrano Beach Care Center sits on 93 certified beds in Dana Point, run by a for-profit limited liability company. Its total nurse staffing of 4.10 hours per resident day runs about 6% above the national average, and weekend coverage dips roughly 10% below its own weekday level, but CMS still scores staffing at just 1 out of 5 stars, with annual turnover at 45.4%, essentially matching the national rate of 45.8%. The 83 deficiencies on the current record include three tied to abuse, though none reached harm or jeopardy level; the most recent inspection was November 19, 2025. Quality measures earn 4 stars, inspections only 2.

C

69/100

Palos Verdes Health Care Center

Lomita, CA · Los Angeles County

CMS 2/548 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
59%
Serious cites
0

Palos Verdes Health Care Center has 48 certified beds in Lomita, run by an individual for-profit owner. The staffing numbers look decent on paper, 4.42 nurse hours per resident day, about 14% above the national average, but that average hides real gaps. Weekend coverage drops roughly 6% below the home's own weekday level, and annual turnover sits at 58.6%, well above the 45.8% national figure, meaning the people providing that care keep changing. The inspection record is the harder problem. Fifty-three deficiencies are on file, including five at the harm or jeopardy level and five tied to abuse. Three fines total $97,006. The most recent inspection was February 12, 2026, so the record is current, not stale.

C

68/100

Riviera Healthcare Center

Pico Rivera, CA · Los Angeles County

CMS 1/5154 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
32%
Serious cites
0

Riviera Healthcare Center runs 154 certified beds in Pico Rivera under individual for-profit ownership, and the staffing picture is more mixed than one number suggests. Nurses provide 4.09 hours per resident day, about 6% above the national average of 3.86, and annual turnover sits at 31.7% against a national 45.8%, a comparatively stable workforce on paper. Weekend coverage, though, drops roughly 7% below the home's own weekday level. The inspection record is where the concern concentrates: 74 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse, against a 2/5 health inspection rating and 1/5 on quality measures. Fines total just $9,110 across a single penalty. The most recent inspection was March 12, 2026.

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