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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 81 to 100 of 323, best-graded first.

A

89/100

Mission De La Casa

San Jose, CA · Santa Clara County

CMS 2/5163 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

Mission De La Casa runs on a relatively steady workforce: 16.7% annual turnover against a national average of 45.8%, and nurse staffing at 3.95 hours per resident day, slightly above the national figure of 3.86. Weekend coverage dips about 8% below its own weekday level, but the bigger issue sits on the inspection side. The current record carries 35 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $51,753 fine and a one-star health inspection rating from CMS. Quality and staffing measures both score five stars, and the most recent inspection was August 2025. Strong daily care numbers are real, but the enforcement history is what a family should ask about directly.

A

89/100

Whittier Nursing And Wellness Center, Inc

Whittier, CA · Los Angeles County

CMS 5/536 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
20%
Serious cites
0

Whittier Nursing and Wellness Center is a 36-bed for-profit in Whittier, and the staffing numbers are the first thing that stands out: 4.16 nurse hours per resident per day, roughly 8% above the national average, and weekend staffing holds steady rather than dropping off. Staff turnover sits at 20% against a national average near 46%, which matters more than almost anything else for whether care stays consistent. The tradeoff is in the inspection record, 29 deficiencies, one serious enough to involve harm or jeopardy, and a $13,627 fine. Inspectors were last there in December 2025, so the record is current. Small home, steady hands on staff, but a deficiency count worth asking about directly.

A

89/100

O'connor Hospital D/P Snf

San Jose, CA · Santa Clara County

CMS 5/524 bedsGovernmentMedicaid
Nurse hours
8.73 /day
Staff turnover
12%
Serious cites
0

O'Connor Hospital's skilled nursing unit is small, 24 beds, and county-run, which tends to mean steadier staffing than the for-profit average, and the numbers bear that out. Nurse staffing sits at 8.73 hours per resident day, well over twice the national figure, and weekend coverage only dips about 10% below weekdays instead of falling off a cliff. Staff turnover is 11.5% against a national 45.8%, so the people caring for residents largely stay put. The tradeoff is paperwork: 23 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, and the last inspection was recent, in August 2025.

A

89/100

Pih Health Good Samaritan Hospital D/P Snf

Los Angeles, CA · Los Angeles County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
10.60 /day
Staff turnover
29%
Serious cites
0

Pih Health Good Samaritan's skilled nursing unit runs on unusually heavy staffing, 10.60 nurse hours per resident day, roughly two and a half times the national figure. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 29.3%, better than the 45.8% national average, and the last inspection was recent, in December 2025. The inspection record shows 22 deficiencies with none at the harm level, though one is abuse-related, and the quality measure score is weaker than the staffing and inspection scores. Nonprofit ownership, 28 beds.

A

88.5/100

Hazel Hawkins Memorial Hospital D/P Snf

Hollister, CA · San Benito County

CMS 4/5119 bedsGovernmentMedicaid
Nurse hours
4.31 /day
Staff turnover
13%
Serious cites
0

Hazel Hawkins runs on a hospital district's budget, and the numbers show where the money goes: nurse staffing at 4.31 hours per resident per day, about 12% above the national average, with a 5-star staffing rating to match. Turnover sits at 13.3% against a national average of 45.8%, that kind of retention is rare and usually means residents see the same faces. The catch is weekends, when coverage drops roughly 15% below the home's own weekday level. Inspections turned up 28 deficiencies, one abuse-related, though none at the harm or jeopardy level, and the last visit was September 2025.

A

88.5/100

Helen Bernardy Center D/P Snf

San Diego, CA · San Diego County

CMS 5/543 bedsGovernmentMedicaid
Nurse hours
7.89 /day
Staff turnover
n/a
Serious cites
0

Nurse staffing at Helen Bernardy Center runs about 7.89 hours per resident day, roughly double the national average of 3.86. Weekends dip only about 7 percent below its own weekday levels, so coverage stays fairly steady rather than thinning out when families tend to visit. The health inspection record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 2026. It's a government hospital-district home with 43 certified beds, and its quality measure and health inspection ratings both sit at the top of CMS's scale. The staffing rating is one notch lower, which is worth asking about directly if you tour.

A

88.5/100

Surprise Valley Community Hospital D/P Snf

Cedarville, CA · Modoc County

CMS 4/522 bedsGovernmentMedicaid
Nurse hours
4.87 /day
Staff turnover
n/a
Serious cites
0

Surprise Valley Community Hospital's skilled nursing unit is a 22-bed government-run operation in Cedarville, and the staffing numbers here tell an unusual story. Total nursing time runs 4.87 hours per resident day, roughly a quarter above the national average, with weekends barely dipping below weekday coverage, which matters in a small rural home where backup staff aren't easy to call in. Inspections in May 2025 turned up 22 deficiencies, none at the harm or jeopardy level, though four were abuse-related; that's a lot of paperwork findings for a building this size, and worth asking about directly. The hospital district owns it, so there's no corporate parent to chase if something goes wrong.

A

88.5/100

Citrus Heights Health Center

Covina, CA · Los Angeles County

CMS 5/532 bedsFor-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
n/a
Serious cites
0

Citrus Heights Health Center runs on a nonprofit model with just 32 certified beds, and the numbers suggest that small size works in its favor. Nurse staffing sits at 5.12 hours per resident day, about a third higher than the national average of 3.86, though weekend coverage drops roughly 12% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays. The home was inspected recently, in August 2025, and its 16 deficiencies include none at the harm or jeopardy level, plus one abuse-related citation. That staffing consistency, along with a clean recent inspection, is what's actually behind the grade.

A

88/100

Mount San Antonio Gardens

Pomona, CA · Los Angeles County

CMS 5/564 bedsNon-profit
Nurse hours
5.95 /day
Staff turnover
n/a
Serious cites
0

Mount San Antonio Gardens runs 5.95 nurse hours per resident day, roughly 54 percent above the national average of 3.86, and its state inspection record shows 17 deficiencies with none at the harm or jeopardy level and none abuse-related. Families should know the catch: weekend staffing drops about 20 percent below the home's own weekday level, so care may look thinner on Saturdays and Sundays than the weekday numbers suggest. The 2025-05-30 inspection is recent, and as a nonprofit corporation it answers to a board rather than shareholders, which usually means steadier staffing decisions.

A

88/100

Hollenbeck Palms

Los Angeles, CA · Los Angeles County

CMS 4/5106 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
28%
Serious cites
0

Hollenbeck Palms runs on a nonprofit model with 106 certified beds, and the staffing numbers are genuinely strong: 4.59 nurse hours per resident day, roughly 19% above the national average of 3.86. Turnover sits at 28.1% against a national 45.8%, which suggests workers are staying put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where the picture gets more complicated, 39 deficiencies, including one at the harm level and four tied to abuse, though the most recent inspection was in December 2025, so the record is current.

A

88/100

Carmel Hills Care Center

Monterey, CA · Monterey County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
32%
Serious cites
0

Carmel Hills runs on unusually strong staffing, 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 31.6% compared to 45.8% nationally. That consistency matters more than any single number, though weekend coverage dips about 11% below weekday levels, so you'll want to ask who's actually on the floor on Saturdays and Sundays. The inspection record is where the picture darkens: 39 deficiencies on file, including two tied to abuse, and the last inspection was April 2026. No harm-level citations, and the quality measures land mid-range at 3 out of 5. This for-profit corporate home is well-staffed on paper; the open question is what those 39 deficiencies looked like in practice.

A

88/100

Temple City Healthcare

Temple City, CA · Los Angeles County

CMS 2/559 bedsFor-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
34%
Serious cites
0

Temple City Healthcare runs 59 beds under limited-liability, for-profit ownership, and its staffing is the strongest card it holds: 4.85 nurse hours per resident day, roughly a quarter above the national average, with turnover at 33.8% against a national 45.8%. Weekends dip about 12% below weekday coverage, so the care floor is real but thinner on Saturdays and Sundays. The inspection record is where it gets harder to read. Fifty-two deficiencies on the current record with none at harm or jeopardy level, but four tied to abuse, and a 2/5 health inspection rating alongside a 3/5 on quality measures. The last inspection was April 17, 2026, so the picture is current.

A

88/100

The Hills Healthcare Center

Sunland, CA · Los Angeles County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
15%
Serious cites
0

The Hills Healthcare Center runs a 67-bed for-profit operation in Sunland, and its strongest number is staffing: 4.14 nurse hours per resident day, roughly 7% above the national average, with a 5/5 CMS staffing star. Turnover sits at 14.8% against a national average near 46%, which matters more than any single inspection score, stable aides know the residents. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Sunday. The record shows 44 deficiencies, none at harm or jeopardy level, but four are abuse-related, and the last inspection was December 2025.

A

88/100

Kaweah Health Skilled Nursing Center

Visalia, CA · Tulare County

CMS 5/570 bedsGovernmentMedicaid
Nurse hours
7.00 /day
Staff turnover
24%
Serious cites
0

Kaweah Health Skilled Nursing Center is run by the local hospital district, and its staffing reflects that: 7.00 nurse hours per resident day, roughly 81% above the national average. Weekend coverage dips only about 5% below weekday levels, so care doesn't thin out much on Saturdays and Sundays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score because it means the people caring for residents tend to stick around. The inspection record shows 25 deficiencies, one at the harm level, with no abuse citations, and the most recent survey was in January 2026. Quality measures score 5/5, though the staffing star comes in lower at 3/5 despite those hours.

A

88/100

Ashby Care Center

Berkeley, CA · Alameda County

CMS 4/531 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
22%
Serious cites
0

Ashby Care Center is a small, for-profit home in Berkeley with 31 certified beds, and its record is genuinely mixed. The clinical quality measures look strong, but staffing earns just one star out of five, and 38 deficiencies sit on the current record, including two at the harm or jeopardy level and one tied to abuse, with a single $66,134 fine. What stands out in the other direction is turnover: 21.7% annually against a national average near 46%, meaning this home keeps its workers far longer than most. The last inspection was in May 2025. Fewer than three dozen beds also means less margin for error when staffing is thin.

A

88/100

Ararat Post Acute

Glendale, CA · Los Angeles County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
5.36 /day
Staff turnover
20%
Serious cites
0

Ararat Post Acute runs a tight ship on staffing for a 28-bed for-profit home in Glendale. At 5.36 nurse hours per resident day, it beats the national average by roughly 39%, and a 20% turnover rate is less than half the national figure, that kind of stability matters more than any star rating. The catch is in the inspection record: 30 deficiencies, one serious enough to trigger a harm or jeopardy finding, and two fines totaling $49,089. Weekend coverage also dips about 14% below weekday levels, so care can thin out when families visit. The most recent inspection was January 2026, so the record is current. Strong staffing, but the deficiency history is real.

A

88/100

Bellaken Skilled Nursing Center

Oakland, CA · Alameda County

CMS 5/561 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
14%
Serious cites
0

Bellaken Skilled Nursing Center runs on numbers that hold up well against the national picture. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, and the 14% annual turnover is strikingly low next to the 45.8% norm, that kind of retention usually shows up in how consistently residents see the same faces. Weekend staffing dips roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays. The inspection record backs this up: 17 deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and the most recent inspection was November 2024. Corporate for-profit ownership, 61 beds, five stars on both health inspections and quality measures.

A

87.5/100

View Heights Conv Hosp

Los Angeles, CA · Los Angeles County

CMS 2/5163 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
n/a
Serious cites
0

View Heights Conv Hosp runs 163 beds in Los Angeles under for-profit partnership ownership, and its inspection record is the part that should give you pause. Seventy deficiencies on the current record, including four tied to abuse and two serious enough to reach harm or jeopardy, with one fine totaling $31,450. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday coverage, so the hours when families tend to visit are the thinnest. The 5/5 quality measure score stands out against a 1/5 inspection rating, which is worth asking about directly.

A

87/100

A Grace Sub Acute & Skilled Care

San Jose, CA · Santa Clara County

CMS 4/5166 bedsFor-profitMedicaid
Nurse hours
5.35 /day
Staff turnover
20%
Serious cites
0

A Grace Sub Acute & Skilled Care runs 166 certified beds in San Jose under corporate for-profit ownership, and the numbers here are mostly working in residents' favor. Nurse staffing sits at 5.35 hours per resident day, roughly 38% above the national average of 3.86, and weekend coverage barely dips, about 5% below weekday levels, which matters because that's where a lot of homes quietly thin out. Staff turnover is 19.6%, well under half the national rate of 45.8%, so the people caring for residents tend to stick around. The tradeoff is inspection history: 47 deficiencies on record, including one abuse-related finding, though none rose to harm or jeopardy level, and the last inspection was October 2024.

A

87/100

Lotus Care Center

Los Angeles, CA · Los Angeles County

CMS 4/540 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
36%
Serious cites
0

Lotus Care Center is a 40-bed for-profit in Los Angeles, and the staffing numbers are the real story here. At 4.16 nurse hours per resident day, it runs about 8% above the national average, and the weekend hours hold steady against weekdays rather than dropping off. That consistency matters more than the raw total. Staff turnover sits at 35.7%, well under the 45.8% national figure, which suggests people are staying. Twenty-four deficiencies on record sounds like a lot until you see none reached harm or jeopardy level and none were abuse-related. Its last inspection was in February 2026, so the picture is current. Inspection, quality, and staffing each came in at 4 of 5 stars.

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