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.
Sequoia Vista reports 4.91 nurse hours per resident per day, roughly 27% above the national average of 3.86, which sounds like a lot until you notice weekends run about 10% thinner than weekdays and turnover sits at 51.6% against a national 45.8%. The 1-out-of-5 health inspection rating is the part I'd weigh heaviest: 88 deficiencies on the current record, including 2 at harm or jeopardy level and 5 tied to abuse, plus $46,078 in fines across two penalties. The quality measure score of 4 out of 5 and a staffing rating of 2 out of 5 don't offset that inspection history. This for-profit LLC's last inspection was December 5, 2024.
Temple Park Convalescent Hospital runs on a for-profit limited liability setup in Los Angeles, and its nurses put in 4.81 hours per resident day, roughly a quarter above the national average, with weekend coverage dipping about 17% below weekdays. Staff turnover sits at 32.7%, noticeably lower than the 45.8% national figure, which suggests people stick around. The trouble shows up in its inspection record: 61 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $144,964 fine. The most recent inspection came in April 2025. Strong staffing and quality marks don't erase that enforcement history, and families should weigh both.
Manchester Healthcare Center has more nursing hours than the typical American home, 4.22 per resident day against a national average of 3.86, but that's roughly where the good news ends. The inspection record is the real problem: 73 deficiencies, including two that put residents in immediate harm and three tied to abuse, along with two fines totaling $30,487. Weekend coverage drops about 11% below what the home staffs on weekdays, so the hours that look adequate on paper thin out when families are most likely to visit. A for-profit limited liability company runs the 49-bed building. Whatever the staffing number suggests, the survey history is what a family should be asking about directly.
Culver West runs 4.09 nurse hours per resident day, roughly 6% above the national average of 3.86, that part looks fine on its own. But weekends drop about 8% below its own weekday coverage, and 53.6% of staff left over the past year against a national rate of 45.8%, which matters more for a 91-bed home where you know fewer faces. The current record holds 60 deficiencies, including one at the harm level and five tied to abuse, plus a $117,037 fine. This for-profit LLC was last inspected in May 2025, so the record is recent, not stale.
Colonial Gardens runs 4.25 nurse hours per resident day, about 10% above the national average, and its 36.6% turnover beats the 45.8% national figure. That's the good news, and it's real. The rest is harder: a 1/5 inspection rating and 107 deficiencies on the current record, including 12 tied to abuse and two serious enough to put residents in harm's way. Weekend coverage slips roughly 10% below weekday levels, so the hours thin out exactly when families tend to visit. One fine of $36,700 is on file, but the last inspection was May 2025, so the record is current. Staffing looks adequate on paper. The inspection history is the part to weigh.
San Mateo Medical Center's skilled nursing unit runs on county money and county rules, and the staffing numbers show it: 3.94 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating from CMS. Weekend coverage drops about 8% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The trouble sits elsewhere. Fifty-six deficiencies on the current record, ten of them serious enough to cite harm or jeopardy, ten tied to abuse, against a 1-out-of-5 inspection rating, two fines totaling $104,000, and a survey completed in July 2025. Good staffing can't offset that inspection history.
Mountain Manor is a 47-bed for-profit in Carmichael, and the number that stands out is staffing: the federal data puts it at one star, the lowest tier, well below what CMS considers adequate for a building this size. That shortfall sits behind a C grade, and it's the piece families should weigh hardest, since daily care depends on who's actually on the floor. The inspection record shows 53 deficiencies, none of them at harm or jeopardy level and none abuse-related, though three fines totaling $38,855 have been issued. State surveyors were last in on April 24, 2025, so the record is recent, and quality measures land at three stars, middle of the pack. Ask about direct-care hours per resident before you visit.
Vacaville Ranch Post Acute runs a for-profit corporation with 87 certified beds, and its staffing numbers land above the national average, 4.51 nurse hours per resident day against 3.86. That cushion thins on weekends, though, when coverage drops roughly 12% below its own weekday pace, and turnover sits at 57.1% versus a national 45.8%, meaning a lot of the people providing that care are new to the building. The current record shows 19 deficiencies, none at harm or jeopardy level but one tied to abuse, plus seven fines totaling $127,689. Its last inspection was August 2025, and inspection history earns 4 of 5 stars. Strong survey results, but the churn and weekend gaps are worth asking about directly.
Villa Mesa runs 3.61 nurse hours per resident day, about 6 percent under the national average, and weekends drop roughly 7 percent below its own weekday numbers. Staff turnover sits at 53.4 percent, well above the 45.8 percent national figure, so whoever is on the floor is fairly likely to be new. The health inspection side looks strong at 4 out of 5 stars, and its last inspection was recent, in January 2026. But the record carries 20 deficiencies, one of them at the harm level, and the staffing rating comes in at just 1 out of 5. The state inspected this one recently, so the findings are current.
Mayers Memorial Hospital sits in Fall River Mills and runs 99 certified beds as a hospital-district operation. Nurse staffing averages 4.97 hours per resident day, roughly 29% above the national figure of 3.86, but weekend coverage drops about 15% below its own weekday level, and annual turnover hits 64.2% against a national 45.8%, that much churn undercuts the staffing advantage over time. The inspection record is where the real weight sits: 36 deficiencies on file, including one at the harm level and 10 tied to abuse, plus a $62,258 fine. The most recent inspection was August 2025.
Valley Healthcare Center runs 87 beds in Bakersfield under for-profit LLC ownership, and its staffing sits just under the national average, 3.78 nurse hours per resident day, with weekends about 9% thinner than weekdays. That modest shortfall isn't the real story. The inspection record is: a 1-out-of-5 health inspection rating, 78 deficiencies on file, including 3 at harm or jeopardy level and 4 tied to abuse. Five fines total $99,934. One thing cuts the other way, 28% annual turnover is well below the 45.8% national figure, so workers tend to stay. But stable staff haven't translated into safe care here, and the last inspection was January 2026. Ask about those abuse deficiencies specifically before you visit.
Newport Subacute runs 139 beds in Costa Mesa under corporate for-profit ownership, and its staffing numbers look strong on paper: 5.07 nurse hours per resident day, roughly 31% above the national average. But that same CMS data gives it a one-star staffing rating, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the harder read, 120 deficiencies, two at harm or jeopardy level, 13 abuse-related, and a one-star health inspection rating, with the last survey in August 2025. Weekend coverage also dips about 6% below its weekday level. High hours can coexist with thin stability, and the abuse-related findings are the part 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.
Skyline Healthcare Center, La has 4.37 nurse hours per resident per day, about 13% above the national average, and weekends dip roughly 10% below its own weekday staffing. The inspection record is where the real trouble sits: 120 deficiencies, seven at harm or jeopardy level, eight abuse-related, five fines totaling $251,090, and a spot in CMS's Special Focus Facility program, a designation reserved for the small share of homes with a persistent pattern of serious problems. That combination, solid staffing layered over a failing inspection history and a 2025 revisit, is why the numbers behind this for-profit, individually owned home come out where they do.
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.
Maple Healthcare Center is a for-profit, LLC-owned home with 59 beds in Los Angeles. Its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average, but weekends run roughly 10% thinner than weekdays, and annual turnover hits 51.9% against a national 45.8%. The inspection record is where the real weight sits: 77 deficiencies on file, including 8 at the harm or jeopardy level and 8 tied to abuse, plus five fines totaling $164,264, with the most recent inspection in July 2025. A 4-out-of-5 quality measure score doesn't offset a 1-out-of-5 inspection rating when the harm-level and abuse findings are this numerous.
Infinity Care of East Los Angeles runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.63 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends dipping about 5% below its own weekday levels. That thin coverage shows up in the government's own ratings: one star for staffing and one star for health inspections, even as its quality measures score five stars. The inspection record is the harder read: 76 deficiencies, four serious enough to involve harm or jeopardy, 11 tied to abuse, and $65,817 in fines. The most recent inspection was June 12, 2025, so the record is current, not stale. For a family weighing this one, the staffing numbers and the abuse-related findings are what matter most.
Blue Oak Post-Acute runs 181 certified beds in Santa Rosa under corporate ownership, and its inspection record is the thing to look at first. Sixty-six deficiencies are on file, two of them at the harm or jeopardy level and thirteen tied to abuse, a count that heavy usually reflects a building where problems recur between surveys rather than a single bad week, and the most recent inspection was November 2025. The staffing picture is genuinely mixed: 3.44 nurse hours per resident day sits about 11% under the national average, and weekends run roughly 11% below its own weekday coverage. What holds up better is retention, 18.5% turnover against a 45.8% national average means the people who do show up tend to stay.
North Bay Post Acute is a for-profit LLC operation with 98 certified beds in Petaluma, and its staffing numbers are actually a point in its favor: 4.02 nurse hours per resident day, roughly 4% above the national average. Weekend coverage dips about 7% below weekdays, which is common but worth knowing if your family visits then. The bigger concern sits in its inspection record, 91 deficiencies, including 4 at the harm or jeopardy level and 8 tied to abuse, with two fines totaling $142,877. A 1-out-of-5 health inspection rating alongside those numbers is what's really driving the low overall picture here, despite decent quality and staffing scores.
Chestnut Ridge runs on 4.29 nurse hours per resident day, about 11% above the national average, and its staff turnover of 21.8% is roughly half the national rate, that kind of consistency usually shows up in daily care. But the inspection record is where the problems sit: 69 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus three fines totaling $105,201. Weekend staffing also drops about 14% below weekday levels, so coverage thins out when families tend to visit. The most recent inspection was November 2025, so the record is current. Good staffing numbers and a bad survey history can both be true at once.
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?