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.
La Brea Rehabilitation Center runs 141 beds in Los Angeles under corporate ownership, and its staffing is the strongest card it holds, 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 30.6% against a national 45.8%. Weekend coverage dips roughly 6% below its own weekday level, so care thins out a bit on Saturdays and Sundays. The inspection record is where the concern sits: a 1-out-of-5 health inspection rating, 98 deficiencies on the current record, including 6 at the harm or jeopardy level and 7 tied to abuse. One fine totaling $33,091 has been levied, and the last inspection was June 19, 2025.
University Park Healthcare Center has real staffing strengths: 4.05 nurse hours per resident day, about 5% above the national average, with turnover at 41.3%, lower than the typical 45.8%. Weekends dip roughly 7% below weekday coverage, but that's a modest gap. The problem isn't the floor staff, it's the record. Seventy-seven deficiencies, 8 involving actual harm or jeopardy, 13 tied to abuse, and $230,606 in fines across four actions. A 1-out-of-5 inspection rating against a 4-out-of-5 on quality measures tells you the clinical metrics look fine on paper while the survey history says otherwise. This for-profit, LLC-owned home was inspected as recently as April 2026.
Golden Haven Care Center runs 99 certified beds in Glendale under corporate for-profit ownership, and its staffing sits at 3.98 nurse hours per resident day, a bit above the national average, though weekends run about 7% thinner than weekdays. The bigger problem is what inspectors have found: 73 deficiencies on the current record, including 8 at the harm or jeopardy level and 5 tied to abuse, with three fines totaling $74,602. That record produced a one-star health inspection rating, and staff turnover at 47.2% runs slightly above the national rate, so the people providing care keep changing. The most recent inspection was January 16, 2026.
Olympia Convalescent Hospital in Los Angeles runs 135 certified beds under for-profit LLC ownership, and its staffing is genuinely above average: 4.10 nurse hours per resident day against a national 3.86. Weekend coverage dips about 6% below its own weekday level, though, and turnover sits at 23.5%, well below the 45.8% national figure, which suggests a relatively steady crew.
The trouble is on the inspection side. Forty-two deficiencies are on the current record, including two at the harm or jeopardy level and two tied to abuse. Two of three CMS star ratings land at 2 out of 5, and a $8,278 fine is on file. The last inspection was May 2025. Good staffing alone doesn't offset that record.
Sierra Vista runs 116 beds in Highland under for-profit LLC ownership, and its nurse staffing sits at 2.46 hours per resident day, roughly 36% under the national average of 3.86. Weekends dip about 5% below its own weekday numbers, so coverage thins right when families tend to visit. Staff turnover is 29.5%, meaningfully better than the 45.8% national figure, which suggests the people who work here tend to stay. The inspection record shows 30 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was February 2026. Quality measures score well; the health inspection side of the record is where the friction sits.
Landmark Medical Center runs 95 beds in Pomona under corporate for-profit ownership, and its record splits in two directions. Nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, and weekends run about 9 percent thinner than weekdays. What stands out is staff retention: 26 percent turnover against a national average near 46 percent, which suggests people stay here. The trouble is inspection history. CMS gives it 1 out of 5 stars, with 54 deficiencies on the current record, including 3 at harm or jeopardy level and 12 tied to abuse. The most recent inspection was August 2025. Low turnover is real, but it hasn't kept the care problems out of the building.
Meadowbrook runs on thin nursing coverage: 2.47 hours per resident per day, about a third below the national average, and weekends drop another 13% below its own weekday pace. Turnover sits at 31.9%, better than the national 45.8%, so the staff who are there tend to stay, but there are fewer of them. The inspection record is where the real concern lives: 42 deficiencies, including four at the harm or jeopardy level and eight tied to abuse. That's a lot of serious findings for a 77-bed home, and it lines up with the 2/5 inspection rating despite strong quality measures and a recent April 2026 visit.
La Paz Geropsychiatric Center runs on 2.82 nursing hours per resident day, roughly 27% under the national average, and weekends dip about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the harder number: 69 deficiencies, one of them serious enough to put residents in harm's way, and 11 tied to abuse. Staff turnover at 18.6% is well below the national 45.8%, which suggests a steadier workforce than most. A 5/5 quality measure score sits alongside a 1/5 inspection score, a split worth asking about directly.
Crestwood runs on thin staffing: 2.47 nurse hours per resident day, roughly a third below the national average, and weekends drop about 24% below its own weekday levels. Turnover at 31.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hours are budgeted per resident in the first place. The inspection record shows 14 deficiencies with no harm-level findings, but 5 are abuse-related, which is worth asking about directly. Inspectors were last out in June 2025. The 5/5 quality measure score sits oddly against a 2/5 staffing rating, quality measures can look strong while daily coverage stays lean.
Garfield Neurobehavioral Center runs on unusually steady staffing for a for-profit home: 4.58 nurse hours per resident day, roughly 19% above the national average, with a 5/5 CMS staffing rating. Turnover sits at 13.2% against a national 45.8%, which means the people caring for residents mostly stay. The friction shows up in inspections. Seventeen deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse, pulled the health inspection rating down to 2/5 despite a recent August 2025 survey. Weekend coverage also dips about 9% below weekday levels. Solid, consistent staffing paired with a troubled inspection history is the tradeoff here.
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.
Miracle Mile Healthcare Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average of 3.86. But weekends drop about 10% below its own weekday levels, and annual turnover hits 53.4% against a national 45.8%, so that headline number doesn't hold steady across the week.
The inspection record is where the real weight sits: 110 deficiencies, including 6 at harm or jeopardy level and 9 tied to abuse. Four fines total $295,952. The most recent inspection was March 2026, so the record is current. CMS rates health inspections 1 out of 5, staffing 2 out of 5, quality measures 3 out of 5.
St. Pauls Health Care Center sits in San Diego with 59 certified beds and a nonprofit corporation behind it. The nurse staffing number is genuinely strong, 4.78 hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below what the home staffs on weekdays. That staffing strength is offset by a 62.5% annual turnover rate, well above the 45.8% national figure, and by 58 deficiencies on the current record, including one at the harm level and three tied to abuse. The most recent inspection was in June 2025. High direct-care hours and a troubling inspection history are both true here at once.
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.
Desert Springs Post Acute runs 178 beds in Palm Desert under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 49% against a national 45.8%. The health inspection record is where things get serious: 128 deficiencies on file, including 3 at harm or jeopardy level and 13 tied to abuse, with two fines totaling $74,424. Quality measures score well, but staffing and inspection ratings don't match. If you're considering this one, ask pointed questions about weekend coverage and how the abuse-related findings were resolved.
Alameda Hospital D/P SNF runs 5.11 nursing hours per resident day, roughly a third more than the national average, and its quality measure score sits at the top of CMS's scale. That part of the picture looks strong. What pulls it back is stability: annual staff turnover of 86.5% is nearly double the national rate, weekend coverage dips about 9% below weekdays, and the inspection history shows 17 deficiencies, including two tied to abuse, with a 2-out-of-5 inspection rating. County ownership means public accountability, but it doesn't fix a workforce that keeps cycling through. If you're considering this one, ask how they hold staffing steady on weekends and what's changed since September 2024.
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.
River Walk Care Center reports 4.14 total nurse hours per resident day, about 7% above the national average of 3.86, but that staffing advantage thins on weekends, when hours drop roughly 10% below the home's own weekday levels. Turnover sits at 47.8%, slightly above the 45.8% national figure, and the limited liability company that owns the 99-bed home carries 51 deficiencies on its current record, including three at the harm or jeopardy level and two tied to abuse, plus $164,778 in fines across three penalties. The last inspection was February 26, 2026, so the record is recent. A 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.
Lawndale Healthcare & Wellness Centre runs 59 certified beds under for-profit, limited-liability ownership, and its nurse staffing sits at 4.73 hours per resident day, roughly 22 percent above the national average of 3.86. That's real coverage on paper. But weekends drop about 14 percent below the home's own weekday level, so the weekday numbers don't tell the whole story. The bigger problem is the inspection record: 68 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse, plus two fines totaling $62,004. A 1-out-of-5 health inspection rating against 4-out-of-5 marks for staffing and quality measures is a wide gap, and with the last inspection dated January 2026, the record is recent. Ask about those 14 abuse-related deficiencies directly before you visit.
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?