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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 321 to 323 of 323, best-graded first.

-

Not graded

Emmanuel Care Center - Travis

Fairfield, CA · Solano County

99 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Emmanuel Care Center - Travis is a for-profit corporation home with 99 certified beds in Fairfield, and its 12 deficiencies on the current record are all below the harm or jeopardy level, no resident was seriously injured by the problems inspectors found, and none of them involved abuse. The last inspection was recent, December 4, 2025, so you're looking at current information rather than a stale snapshot. What the numbers can't tell you from here is staffing: how many nurses and aides are actually on the floor per resident, and how that compares to California and national averages. Ask for the last several months of payroll-based staffing reports and the administrator's turnover before you decide.

-

Not graded

Plumas District Hospital Dp/Snf

Quincy, CA · Plumas County

36 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Plumas District Hospital's skilled nursing unit is small, 36 certified beds, and it's run by the hospital district rather than a for-profit chain, which shapes how it operates. The current record shows four deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, so it's worth asking staff directly what happened and what changed afterward. The most recent inspection came in February 2026, so the picture here is fairly current rather than stale. With a unit this size, staffing often tracks closely to hospital coverage, which can mean steadier nurse presence than a standalone nursing home of similar bed count. One thing to note: ElderGrade doesn't have a computed grade for this home yet, so there's no score to lean on. That means the federal inspection and staffing data are what you have to work with, ask about the abuse-related finding, and ask how many residents are typically on the unit at once.

-

Not graded

Grossmont Gardens Healthcare Center

La Mesa, CA · San Diego County

For-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Grossmont Gardens is a for-profit corporate home in La Mesa with 16 deficiencies on its current record. None of those rose to the level of actual harm or jeopardy, which matters, that's the line between paperwork problems and a resident getting hurt. One is abuse-related, so ask about that specifically when you tour. The most recent inspection was February 12, 2026, so the record is current rather than stale. Sixteen citations is a lot to work through, though, and the count itself suggests the home struggles to stay ahead of federal requirements rather than catching problems before surveyors do. Worth asking staff how they've addressed the abuse citation and what changed since.

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