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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 61 to 80 of 323, best-graded first.

A

91/100

Laurel Heights Community Care

San Francisco, CA · San Francisco County

CMS 5/532 bedsFor-profit
Nurse hours
4.09 /day
Staff turnover
14%
Serious cites
0

Laurel Heights runs 4.09 nurse hours per resident day, roughly 6% above the national average, and its weekend staffing only dips about 3% below weekday levels, a small gap that matters when families visit on Saturdays and Sundays. Staff turnover sits at 14.3%, well under the national 45.8%, meaning the people caring for residents are more likely to still be there next year. The tradeoff is a longer deficiency record: 24 findings, one at the harm level, though none abuse-related, and a single $8,018 fine. Its last inspection was July 2025, and the 4/5 health inspection and 5/5 quality ratings suggest those issues aren't the whole story.

A

90.5/100

Desert Regional Medical Center D/P Snf

Palm Springs, CA · Riverside County

CMS 5/532 bedsFor-profitMedicaid
Nurse hours
8.10 /day
Staff turnover
16%
Serious cites
0

Desert Regional Medical Center's skilled nursing unit runs on unusually heavy staffing, 8.10 nurse hours per resident day, roughly double the national figure, and its 15.8% turnover is remarkably low next to the 45.8% typical elsewhere. Weekends dip about 18% below weekday coverage, though even that reduced level stays well above average. What pulls the record down is the inspection side: 27 deficiencies, including one at the harm level and one abuse-related, with a $14,043 fine and a two-out-of-five inspection rating. The most recent survey was August 2025. So you're looking at a small, for-profit unit that staffs generously and keeps its workers, but has a documented history of serious problems a family should ask about directly.

A

90/100

Brookside Skilled Nursing Hospital

San Mateo, CA · San Mateo County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Brookside runs 4.16 hours per resident day, about 8 percent above the national average, and the 5/5 staffing star reflects that. Turnover is the standout number: 28.2 percent against a national average near 46 percent, which matters because consistent caregivers know the residents. Two dozen deficiencies sit on the current record, but none rose to harm or jeopardy, only one is abuse-related, and the most recent inspection closed in April 2026. Weekend coverage dips roughly 10 percent below weekday levels, a common pattern worth asking about if your family visits mainly on Saturdays or Sundays. As a nonprofit, this San Mateo home has the staffing depth and inspection record that most facilities don't.

A

90/100

Vista Pacifica Convalescent Hospital

Jurupa Valley, CA · Riverside County

CMS 4/549 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
33%
Serious cites
0

Vista Pacifica runs on 4.55 nurse hours per resident day, roughly 18% above the national average, and its staff turnover of 32.8% is well below the national 45.8%, two numbers that suggest people actually stay and there are enough of them. Weekends thin out by about 11% against its own weekday level, which matters if your family visits on a Saturday. The record isn't clean: 29 deficiencies, one serious enough to reach harm or jeopardy level, and a $52,611 fine. No abuse findings, and the last inspection was recent, in February 2025. A for-profit corporation owns its 49 beds. Good staffing and low turnover, but that one high-level deficiency and the fine are why it doesn't score higher.

A

90/100

Woods Health Services

La Verne, CA · Los Angeles County

CMS 3/574 bedsNon-profitMedicaid
Nurse hours
4.74 /day
Staff turnover
40%
Serious cites
0

Woods Health Services runs a nonprofit operation with 74 beds in La Verne, and the staffing numbers are genuinely above average: 4.74 nurse hours per resident day, roughly 23% over the national figure. Staff turnover sits at 39.7%, better than the 45.8% national rate, which suggests people stick around longer here than at many places. The trouble is the inspection record. Sixty-four deficiencies, three of them at harm or jeopardy level and one abuse-related, with a two-out-of-five health inspection rating and a May 2026 inspection date. Quality measures score five out of five, but that's self-reported data, and it doesn't cancel out what surveyors actually found in the building.

A

90/100

Westlake Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 4/5114 bedsFor-profitMedicaid
Nurse hours
6.74 /day
Staff turnover
23%
Serious cites
0

Westlake Convalescent Hospital runs 6.74 total nurse hours per resident day, roughly 75% above the national average of 3.86, and its staff turnover sits at 23% against a national figure near 46%. Those numbers matter more than the 3/5 inspection rating, since the 40 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was in July 2025. Weekend staffing dips only about 5% below the home's own weekday level, which is a smaller drop than many places show. This is a 114-bed for-profit in Los Angeles where the care hours and retention are doing the heavy lifting.

A

90/100

Villa Marin

San Rafael, CA · Marin County

CMS 5/531 bedsNon-profit
Nurse hours
7.15 /day
Staff turnover
n/a
Serious cites
0

Villa Marin sits in San Rafael with just 31 certified beds and nonprofit ownership, and the staffing number is the first thing that stands out: 7.15 nurse hours per resident day, roughly 85% above the national average. That's an unusual amount of hands-on care, though weekend coverage drops about 21% below its own weekday level, so the daily experience may depend on when you visit. The record isn't spotless, 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $7,443 fine. The last inspection was November 2025, so the picture is current. Strong quality measures and recent oversight offset a fair amount of that history.

A

90/100

Mountains Community Hosp Dp/Snf

Lake Arrowhead, CA · San Bernardino County

CMS 4/519 bedsGovernmentMedicaid
Nurse hours
7.12 /day
Staff turnover
38%
Serious cites
0

Mountains Community Hospital's skilled nursing unit runs on a hospital district's license with just 19 certified beds, and its inspection record is clean where it counts: ten deficiencies on file, none at the harm level, none tied to abuse, and a survey completed in June 2025. The staffing picture cuts against expectations, though. Reported nurse hours come to 7.12 per resident day, roughly 84 percent above the national figure, yet CMS scores staffing 1 out of 5 and weekend coverage drops about 10 percent below weekdays. Turnover sits at 37.5 percent, better than the 45.8 percent national rate. Quality measures land mid-range at 3 out of 5.

A

90/100

Devonshire Oaks Nursing Center

Redwood City, CA · San Mateo County

CMS 5/538 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
n/a
Serious cites
0

Devonshire Oaks runs about 4.64 nurse hours per resident day, roughly 20% above the national average, which is the kind of staffing number that matters most on evenings and weekends. Weekend coverage does dip about 16% below its own weekday level, so the weekday-to-weekend gap is real even if the floor stays relatively high. The home has 28 deficiencies on its current record, including one at the harm level, with no abuse citations. Its last inspection was January 2025, so the picture is fairly current. The ownership is corporate for-profit. Nothing here reads as a red flag on staffing or quality measures; the deficiency count is the piece worth asking about directly.

A

90/100

Arbol Healthcare Center Of Santa Rosa

Santa Rosa, CA · Sonoma County

CMS 5/545 bedsFor-profit
Nurse hours
5.62 /day
Staff turnover
50%
Serious cites
0

Arbol Healthcare Center of Santa Rosa runs 45 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.62 hours per resident day, roughly 46% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and annual turnover is 50%, a bit higher than the 45.8% national figure. The current record shows 36 deficiencies with none at the harm or jeopardy level, though one is abuse-related. A 4/5 health inspection rating, a 5/5 quality measure rating, and a recent November 2025 inspection round out the picture, strong staffing and quality numbers, with the abuse citation and turnover worth asking about directly.

A

89.5/100

Good Samaritan Rehab And Care Center

Stockton, CA · San Joaquin County

CMS 4/598 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
24%
Serious cites
0

Good Samaritan Rehab And Care Center in Stockton runs on 4.28 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 23.7% is about half the national rate, a real advantage in a field where aides cycling out the door is the norm. The catch is inspections: 45 deficiencies on the current record, and a two-star health inspection rating, even though none of those rose to harm or jeopardy and there's no abuse history. Weekend staffing also drops about 15% below its own weekday level, so coverage isn't evenly spread. Ownership is for-profit corporate, and the last inspection was February 2025. Strong staffing, weak survey history.

A

89/100

Pilgrim Place Health Services Center

Claremont, CA · Los Angeles County

CMS 3/562 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Pilgrim Place runs a non-profit home with 62 beds in Claremont, and the staffing numbers are its strongest story: 4.41 nurse hours per resident day, about 14 percent above the national average, with turnover at 39.7 percent versus the 45.8 percent norm. The catch is consistency, weekend coverage drops roughly 12 percent below what the home staffs on weekdays. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 52 deficiencies on the current record, including three tied to abuse, though none rose to the harm or jeopardy level. The last survey was December 5, 2025. Ask about those abuse-related findings and how weekend shifts get covered before you decide.

A

89/100

The Sequoias

Portola Valley, CA · San Mateo County

CMS 5/543 bedsNon-profit
Nurse hours
4.28 /day
Staff turnover
6%
Serious cites
0

The Sequoias runs a tight ship on staffing, averaging 4.28 nurse hours per resident day, about 11% above the national average, and its turnover sits at 6.3% against a national rate of 45.8%, which tells you caregivers tend to stay put. Weekend coverage drops roughly 30% below weekday levels, so if you're visiting on a Saturday, that's worth asking about directly. The home carries 20 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related; one fine totaling $12,703 appears on file. Its last inspection was August 2025, and both its health inspection and quality measure ratings come in at five stars.

A

89/100

Maywood Acres Healthcare

Oxnard, CA · Ventura County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
29%
Serious cites
0

Maywood Acres runs 3.57 nurse hours per resident day, roughly 7% under the national average, so staffing is the weakest number here, weekends dip another 5% below its own weekday level. What offsets that is consistency: 29.3% annual turnover is well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. The inspection record backs it up, with 30 deficiencies logged but none at the harm level and none abuse-related, and the most recent survey dates to August 2025. This is a for-profit LLC with 98 beds, and the health and quality ratings both sit at the top of CMS's scale.

A

89/100

Santa Clara Post Acute

Santa Clara, CA · Santa Clara County

CMS 3/5201 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Santa Clara Post Acute is a 201-bed corporate-owned home in Santa Clara County, and its numbers tell a mixed story. Nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86, with weekends running about 5 percent lighter than weekdays, worth asking about if your family visits on Saturdays. Turnover is genuinely low at 28 percent against a national 45.8, and the quality measure rating is strong, but the inspection record is the real concern: 57 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, from a September 2025 survey. Low turnover doesn't cancel out an inspection history like that, so read the actual reports before deciding.

A

89/100

Crestwood Manor

Modesto, CA · Stanislaus County

CMS 5/5194 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
31%
Serious cites
0

Crestwood Manor runs about 4.44 nurse hours per resident per day, roughly 15% above the national average, and its staff turnover of 30.8% sits well under the 45.8% national figure, that combination usually means care is steadier than at most homes. But recent inspections turned up 19 deficiencies, three of them serious enough to put residents at risk of harm, plus one tied to abuse. Weekend staffing also drops about 13% below weekday levels, so coverage thins exactly when families tend to visit. The inspection history, not the staffing, is what pulls this Modesto home down to a middle-of-the-pack result.

A

89/100

Riverside Behavioral Healthcare Center

Riverside, CA · Riverside County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
2.51 /day
Staff turnover
37%
Serious cites
0

Riverside Behavioral Healthcare Center runs on noticeably thin nursing coverage, 2.51 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday levels. The trade-off shows up in consistency: staff turnover sits at 36.7%, better than the 45.8% national figure, so the people who are there tend to stay. Its inspection record is current, with the most recent visit in November 2025 and 23 deficiencies logged, none at the harm level, though two are abuse-related. State surveyors rate it well above average on health inspections and quality measures. Families should weigh the lean daily staffing against a relatively stable, recently reviewed operation.

A

89/100

Crestwood Manor - Fremont

Fremont, CA · Alameda County

CMS 5/5126 bedsFor-profitMedicaid
Nurse hours
4.99 /day
Staff turnover
24%
Serious cites
0

Crestwood Manor runs on unusually deep staffing for a for-profit chain home, 4.99 nurse hours per resident day against a national average of 3.86. Turnover sits at 23.5%, roughly half the national rate, which matters more than any single inspection score because it means the people caring for your relative tend to stick around. Weekend coverage dips about 12% below weekdays, so ask how that plays out on Sundays. The inspection record is the part to press on: 17 deficiencies, including one at the harm level and three tied to abuse. A recent April 2025 inspection and strong staffing don't erase those three. Ask the administrator directly what changed.

A

89/100

Veterans Home Of California - Yountville - Snf

Yountville, CA · Napa County

CMS 5/5274 bedsGovernmentMedicaid
Nurse hours
7.02 /day
Staff turnover
26%
Serious cites
0

Nurse staffing at this state-run veterans home runs about 7.02 hours per resident day, roughly 82% above the national average, and it earns the top CMS staffing rating. Turnover sits at 26.2%, well under the national 45.8%. Those are real strengths. The inspection side is where it gets complicated: 41 deficiencies on record, including 3 at the harm or jeopardy level and 2 tied to abuse. The last inspection was March 2026. Weekend staffing dips about 15% below its own weekday levels, so the strong average thins out on Saturdays and Sundays. CMS rates the health inspection 3 out of 5 stars and quality measures 2 out of 5. Plenty of hands on weekdays, but a documented history worth asking about directly.

A

89/100

Ararat Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 4/542 bedsNon-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
27%
Serious cites
0

Ararat Convalescent Hospital runs a tight, well-staffed ship for a 42-bed nonprofit home in Los Angeles. Nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average, and only about 27% of staff turned over last year against a national rate near 46%, which matters because consistent caregivers know their residents. The catch is the inspection record: 36 deficiencies, including one at the harm level and one tied to abuse, with a single $10,039 fine. Weekend staffing also dips about 11% below weekday levels, so care can thin out when families visit. Strong bedside numbers, uneven oversight history.

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