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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 41 to 60 of 323, best-graded first.

A

92/100

High Valley Lodge

Sunland, CA · Los Angeles County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
14%
Serious cites
0

High Valley Lodge runs on a lean but steady staff. At 4.20 nurse hours per resident day, it sits about 9% above the national average of 3.86, and its 13.6% turnover is a fraction of the 45.8% national figure, a sign people tend to stay. Weekend coverage dips roughly 10% below weekdays, which is common but still worth asking about. The record isn't spotless: 43 deficiencies, three tied to abuse, though none at the harm or jeopardy level. Inspectors were last in on August 7, 2025, and the home scored 4/5 on health inspections, 5/5 on quality measures, and 4/5 on staffing. For-profit corporate ownership is worth noting. Ask about those abuse-related citations directly.

A

92/100

Atterdag Care Center

Solvang, CA · Santa Barbara County

CMS 3/550 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
20%
Serious cites
0

The staffing situation at Atterdag is unusual in two directions at once. Total nurse hours run 4.85 per resident day, roughly a quarter above the national average, and the 19.6% turnover is less than half the national figure, people tend to stay. But that same staffing rates only 1 star from CMS, likely because those hours aren't distributed the way the formula expects, and weekends drop about 12% below the home's own weekday level. The inspection record is heavier than you'd want: 32 deficiencies, one abuse-related, though none rose to harm or jeopardy. The most recent survey was January 2026, so the picture is current. As a nonprofit with 50 beds, it's small and locally run, worth visiting on a weekend.

A

92/100

Vista Pacifica Center

Jurupa Valley, CA · Riverside County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
26%
Serious cites
0

Vista Pacifica Center runs lean on nurses: 3.05 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday staffing. What offsets that is continuity, turnover of 25.6% sits well under the 45.8% national figure, so the aides and nurses your family member sees are more likely to be the same faces month to month. The current record shows 29 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was in May 2025. A for-profit corporate owner, 108 beds, and strong marks on inspections and quality measures round out a picture of a home that's well-run on paper but staffed thinner than average.

A

92/100

El Rancho Vista Health Care Center

Pico Rivera, CA · Los Angeles County

CMS 4/586 bedsFor-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
25%
Serious cites
0

El Rancho Vista runs a lean, well-staffed operation for its size. At 4.66 nurse hours per resident day, it sits roughly a fifth above the national average, and a 25.3% turnover rate is well below the 45.8% norm, that kind of stability usually means residents see familiar faces rather than a rotating cast. Weekend coverage dips about 13% from weekday levels, which is worth asking about directly. The trade-off shows in its inspection history: 45 deficiencies on record, though none at harm or jeopardy level and none abuse-related. The most recent inspection was April 2026, so the picture is current. Corporate-owned and for-profit, this is a home that staffs generously but has accumulated paperwork and process problems over time.

A

92/100

Extended Care Hospital Of Westminster

Westminster, CA · Orange County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
24%
Serious cites
0

Extended Care Hospital Of Westminster runs on a 99-bed for-profit partnership model in Orange County, and the numbers show a home that's mostly steady. Nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86, with weekends running about 9% lighter than weekdays, a dip worth asking about if your family visits on Saturdays or Sundays. What stands out is the turnover: 23.5% against a national average of 45.8%, meaning the people caring for residents tend to stick around. The inspection record shows 47 deficiencies total, none at harm or jeopardy level, but one abuse-related finding, and the most recent inspection was July 2025.

A

92/100

Palm Village Retirement Comm.

Reedley, CA · Fresno County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
33%
Serious cites
0

Palm Village is church-affiliated and nonprofit, and its 120 beds are staffed at 4.05 nurse hours per resident day, roughly 5% above the national average. Weekend coverage slips about 6% below its own weekday level, and turnover sits at 32.6%, well under the 45.8% national figure. The catch is the inspection record: 33 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 2/5 health inspection star. That's a lot of citations for a home this size. Quality measures score 5/5, but those come largely from resident assessments the home reports itself. The most recent inspection was July 2025, so the record is current.

A

92/100

Barton Hospital D/P Snf

South Lake Tahoe, CA · El Dorado County

CMS 4/548 bedsNon-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
32%
Serious cites
0

Barton Hospital's skilled nursing unit sits at 48 beds in South Lake Tahoe, run by a nonprofit corporation. Nurse staffing averages 4.34 hours per resident day, roughly 12% above the national figure, and the 32% annual turnover is meaningfully lower than the 45.8% national average, people tend to stay here. Weekends thin out about 11% from weekday levels, so ask how that plays out on a Saturday. The current inspection record carries 17 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $9,110. The most recent inspection was April 2026. Strong staffing and steady retention are doing real work here; the deficiency history is what a family should ask about directly.

A

92/100

Rowntree Gardens

Stanton, CA · Orange County

CMS 4/558 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
35%
Serious cites
0

Rowntree Gardens sits in Stanton with 58 certified beds and church-related nonprofit ownership. Nurse staffing runs 5.60 hours per resident day, roughly 45% above the national average of 3.86, though weekends come in about 12% lighter than weekdays, so coverage isn't perfectly even. Staff turnover sits at 35% against a national 45.8%, meaning fewer caregivers are cycling out the door than is typical. The tradeoff shows up in the inspection record: 55 deficiencies, one tied to abuse, none reaching harm or jeopardy, and a mid-tier three stars on health inspections despite five stars on quality measures.

A

92/100

Totally Kids Specialty Healthcare - Sun Valley

Sun Valley, CA · Los Angeles County

CMS 3/545 bedsFor-profitMedicaid
Nurse hours
10.42 /day
Staff turnover
31%
Serious cites
0

Totally Kids Specialty Healthcare in Sun Valley runs a pediatric-focused operation, and the staffing numbers show it: 10.42 nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 7% below weekdays, and turnover sits at 31%, well under the 45.8% national figure, so the people caring for these kids tend to stay. The tradeoff is a long inspection record, 41 deficiencies, though none at harm or jeopardy level and none abuse-related, with the most recent survey dated February 2026. Quality measures score 5/5; health inspections land at 3/5. For a small 45-bed corporate-owned home, the care delivery side looks stronger than the paperwork side.

A

92/100

Joyce Eisenberg Keefer Medical Center D/P Snf

Reseda, CA · Los Angeles County

CMS 4/5344 bedsNon-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
12%
Serious cites
0

Joyce Eisenberg Keefer Medical Center runs on 4.93 nurse hours per resident day, roughly 28% above the national average, and its weekend staffing only dips about 6% below weekday levels, a smaller drop than many homes show. Staff turnover sits at 11.8% against a national average near 46%, which matters more than almost anything else for consistency of care. The trade-off shows up in its inspection record: 44 deficiencies on file, three tied to abuse, though none at the harm or jeopardy level. The last inspection was March 2026. For a 344-bed nonprofit, the staffing numbers are the strongest signal here; the inspection history is the one to ask about directly.

A

92/100

Bay Area Healthcare Center

Oakland, CA · Alameda County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
6.73 /day
Staff turnover
13%
Serious cites
0

Bay Area Healthcare Center sits in Oakland with 99 certified beds and for-profit partnership ownership. The staffing numbers are genuinely unusual: 6.73 nurse hours per resident day, roughly 74% above the national average, with weekend coverage dipping about 11% below its own weekday level. That's a real drop, though from a high starting point. Annual turnover of 12.5% is far below the national 45.8%, meaning the people caring for residents tend to stay. Inspections in February 2025 produced 10 deficiencies, none at harm or jeopardy level, one abuse-related. All three CMS star ratings, health inspection, quality measures, staffing, come in at 5 out of 5. The record isn't spotless, but nothing in it suggests danger.

A

92/100

Clear View Convalescent Center

Gardena, CA · Los Angeles County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
22%
Serious cites
0

Clear View Convalescent Center runs 99 certified beds in Gardena under corporate for-profit ownership, and the staffing numbers are its strongest card: 4.03 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 6% below its own weekday level. Turnover sits at 22%, less than half the national rate of 45.8%, a real signal that workers tend to stay. The tradeoff shows up in its record: 13 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the most recent inspection came March 27, 2026.

A

92/100

Clear View Sanitarium

Gardena, CA · Los Angeles County

CMS 5/573 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
32%
Serious cites
0

Clear View Sanitarium runs on 4.29 nurse hours per resident per day, roughly 11% above the national average, and its staff turnover of 31.5% sits well below the 45.8% national figure, a sign people tend to stay. Weekends thin out about 10% against its own weekday coverage, worth asking about if your family visits then. The inspection record shows 15 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was February 2026. Corporate for-profit ownership, 73 beds, in Gardena.

A

91.5/100

Emanate Health Inter-Community Hospital- D/P Snf

Covina, CA · Los Angeles County

CMS 5/525 bedsNon-profitMedicaid
Nurse hours
6.10 /day
Staff turnover
15%
Serious cites
0

Emanate Health Inter-Community Hospital runs a small 25-bed skilled nursing unit in Covina, and its staffing numbers stand out: 6.10 nurse hours per resident day, roughly 58% above the national average. Weekend coverage does dip about 16% below its own weekday level, so ask how that plays out on Saturdays. Annual turnover of 15.4% is well below the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies with none at the harm level, though one is abuse-related, worth asking about directly. A May 2025 inspection means the record is current.

A

91.5/100

Zuckerberg San Francisco General Hosp & Trauma Snf

San Francisco, CA · San Francisco County

CMS 5/530 bedsGovernmentMedicaid
Nurse hours
8.33 /day
Staff turnover
n/a
Serious cites
0

Zuckerberg San Francisco General's skilled nursing unit is run by the city and county, and it shows in the numbers: 8.33 nurse hours per resident day, roughly double the national average. Weekend staffing dips about 14 percent below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The current record carries 12 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. With 30 beds, it's small enough that staffing and oversight stay close to the residents.

A

91/100

Idylwood Care Center

Sunnyvale, CA · Santa Clara County

CMS 5/5185 bedsFor-profitMedicaid
Nurse hours
6.07 /day
Staff turnover
31%
Serious cites
0

Idylwood Care Center runs on unusually heavy nurse staffing for a 185-bed for-profit home, 6.07 hours per resident day, well above the 3.86 national figure, and its staff tends to stay, with turnover at 30.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home was inspected in April 2025 and carries 30 deficiencies, none at the harm level but one tied to abuse, so ask directly how that was resolved. Ownership is a limited liability company, meaning financial accountability can be harder to trace than with a nonprofit or public operator.

A

91/100

California Home For The Aged

Fresno, CA · Fresno County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
34%
Serious cites
0

California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.

A

91/100

Westland House

Monterey, CA · Monterey County

CMS 3/528 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
44%
Serious cites
0

Westland House is a small nonprofit home in Monterey, 28 beds, and the raw staffing number looks strong at 5.17 nurse hours per resident day, well above the national average of 3.86. Weekend coverage dips only slightly below weekdays, and turnover at 44.4% is basically in line with the national figure. Where it gets interesting: the federal staffing star comes in at just 1 out of 5, which suggests the mix of RN versus aide hours matters more than the total. The inspection record is solid, 13 deficiencies, none causing harm and none abuse-related, with the most recent survey in September 2025.

A

91/100

Freedom Village Healthcare Center

Lake Forest, CA · Orange County

CMS 5/552 bedsFor-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
36%
Serious cites
0

Freedom Village Healthcare Center runs on 5.03 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 35.8% beats the 45.8% national figure, two numbers that usually don't travel together. Weekend staffing dips about 15% below its own weekday level, so coverage isn't perfectly even, but the floor stays high. The catch is the inspection record: 55 deficiencies on file, including 2 tied to abuse, though none at the harm or jeopardy level, and the most recent inspection came in late 2025. A 3/5 health inspection rating against 5/5 for staffing and quality measures sums up the split, strong day-to-day care, a paper trail that needs watching.

A

91/100

Laurel Creek Health Center

Fairfield, CA · Solano County

CMS 4/560 bedsNon-profit
Nurse hours
5.12 /day
Staff turnover
29%
Serious cites
0

Laurel Creek runs a leaner ship than most. At 5.12 nurse hours per resident day, it sits about a third above the national average, and its staff retention is unusually strong, 28.6% turnover against a national 45.8%, which usually means residents see the same faces instead of a rotating cast. Inspectors were last in on April 17, 2026, and the home carries 27 deficiencies, one of them serious enough to reach harm or jeopardy level; there's also a single fine of $35,493. Weekend coverage dips roughly 13% below weekday levels, worth asking about if your family visits Saturdays. This nonprofit's numbers point to solid care with a few real dents.

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