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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 101 to 120 of 323, best-graded first.

A

87/100

The Villas At Poway

Poway, CA · San Diego County

CMS 5/5129 bedsGovernmentMedicaid
Nurse hours
6.90 /day
Staff turnover
12%
Serious cites
0

The Villas At Poway runs on unusually deep nurse staffing, 6.90 hours per resident day against a national average of 3.86, and weekend coverage only dips about 12% below its weekday level, so care doesn't thin out as much when families visit. Staff turnover sits at 11.8% while the national figure is 45.8%, which means the people caring for residents tend to stick around. The tradeoff shows up in its inspection history: 40 deficiencies currently on record, including one at the harm level and three tied to abuse, plus ten fines totaling $57,124. Its last inspection was in May 2025, so the picture is recent. Strong staffing and retention, but the survey record is the thing to ask about directly.

A

87/100

Holiday Manor Care Center

Canoga Park, CA · Los Angeles County

CMS 3/594 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
23%
Serious cites
0

Holiday Manor Care Center runs 94 certified beds in Canoga Park under for-profit LLC ownership, and the staffing numbers here are genuinely strong: 4.14 nurse hours per resident day, about 7% above the national average, with a 5/5 CMS staffing rating and turnover at 23.3% against a 45.8% national figure. That stability matters. What pulls the picture down is the inspection record, 63 deficiencies, four at harm or jeopardy level, seven tied to abuse, and a 2/5 health inspection rating. Weekend staffing also drops roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Two fines totaling $18,363 round out the enforcement history.

A

87/100

Chapman Global Medical Center D/P Snf

Orange, CA · Orange County

CMS 3/527 bedsFor-profitMedicaid
Nurse hours
8.45 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at Chapman Global runs 8.45 hours per resident day, more than double the national average of 3.86, and weekend coverage barely dips from weekday levels. Staff turnover sits at 21.2 percent against a national average near 46 percent, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record: 59 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and a single fine of $4,194. This is a small for-profit home, 27 beds, last inspected in April 2026. The staffing is the story here, steady hands, a thin margin for error on compliance.

A

87/100

Meadowbrook Village Christian Retirement Community

Escondido, CA · San Diego County

CMS 5/519 bedsNon-profit
Nurse hours
7.48 /day
Staff turnover
30%
Serious cites
0

Meadowbrook Village runs about 19 beds as a nonprofit, and the staffing numbers stand out right away: 7.48 nurse hours per resident day, roughly double the national average, with weekends dipping only about 7% below weekdays. Turnover sits at 30% against a national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in the quality measures, where CMS scores it 2 out of 5, that's the weak spot. Inspections are another story: a 5/5 health inspection rating, last survey in October 2024, with 11 deficiencies on record but none at the harm level and none abuse-related.

A

86.5/100

Vacaville Convalescent And Rehabilitation Center

Vacaville, CA · Solano County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
5.68 /day
Staff turnover
n/a
Serious cites
0

Vacaville Convalescent runs its nurse staffing at 5.68 hours per resident day, roughly 47% above the national average of 3.86, the kind of margin that matters most during evenings and weekends. That said, weekend coverage dips about 13% below its own weekday level, so the staffing cushion thins out on Saturdays and Sundays. The home sits on 22 deficiencies, with none rising to harm or jeopardy but five flagged as abuse-related, which a family should ask about directly. It carries one fine totaling $7,976, and its last inspection was in early March 2026, so the record is current.

A

86/100

Redwood Grove Post Acute

Santa Cruz, CA · Santa Cruz County

CMS 2/5144 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
56%
Serious cites
0

Redwood Grove Post Acute runs 144 certified beds in Santa Cruz under a for-profit LLC, and its nurse staffing of 4.70 hours per resident day sits roughly 22% above the national average of 3.86, the kind of margin that usually shows up in daily care. Weekend coverage dips about 7% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The concerns are on the record: 39 deficiencies, including one at the harm level and two tied to abuse, with the last inspection in February 2025. Annual turnover hits 56% against a national 45.8%, meaning more than half the staff leaves each year. Strong hours, unsettled history.

A

86/100

Desert Canyon Post Acute, Llc

Lancaster, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
25%
Serious cites
0

Desert Canyon Post Acute runs 4.09 nurse hours per resident day, about six percent above the national average, and its staff turnover of 25.3% is well below the 45.8% national figure, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend staffing dips roughly ten percent below weekday levels, so coverage thins out when families tend to visit. The inspection record is where it gets harder to ignore: 111 deficiencies on file, including two at the harm level and nine tied to abuse, with a one-out-of-five inspection rating and a survey as recent as February 2026. Good staffing numbers don't cancel out that paper trail.

A

86/100

Manning Gardens Care Center, Inc

Fresno, CA · Fresno County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
27%
Serious cites
0

Manning Gardens runs on a relatively lean corporate ownership structure, but the numbers that matter most here are the people on the floor. Nurse staffing sits at 4.61 hours per resident day, about 19% above the national average, and the staff retention is unusually steady, 26.7% turnover against a national 45.8% means caregivers tend to stay. Weekend coverage dips roughly 11% below weekday levels, which is worth asking about if your family visits or needs help on Saturdays and Sundays. The inspection record is the tradeoff: 40 deficiencies on file, two of them serious enough to reach harm or jeopardy level, though none involve abuse. A single $12,000 fine and an inspection as recent as December 2025 suggest the state is watching closely.

A

86/100

Santa Paula Post Acute Center

Santa Paula, CA · Ventura County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.67 /day
Staff turnover
37%
Serious cites
0

Santa Paula Post Acute Center runs 99 certified beds under individual for-profit ownership, and its staffing is the clearest strength: 4.67 nurse hours per resident day, roughly 21% above the national average. Turnover sits at 36.9% against a national 45.8%, though weekend coverage dips about 12% below its own weekday level, so ask how that gap gets filled. The inspection record shows 35 deficiencies, none at the harm level and none abuse-related, with the most recent survey in April 2025. All three CMS ratings, health inspection, quality measures, and staffing, land at 4 out of 5.

A

86/100

Mission Park Healthcare Center

Santa Barbara, CA · Santa Barbara County

CMS 5/5138 bedsFor-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
43%
Serious cites
0

Mission Park runs on 4.77 nurse hours per resident per day, roughly 23% above the national average, though weekends dip about 11% below its own weekday staffing. Turnover sits at 42.5%, slightly better than the 45.8% national figure. The inspection record shows 14 deficiencies, none at harm or jeopardy level, but two are abuse-related, and the most recent inspection was in December 2024, so the record is current. The 5/5 inspection rating and 4/5 quality measures reflect that clean harm-level record, while the 3/5 staffing rating suggests CMS isn't fully crediting the above-average hours. It's a for-profit LLC with 138 beds.

A

86/100

Sequoias San Francisco Convalescent Hospital

San Francisco, CA · San Francisco County

CMS 4/550 bedsNon-profit
Nurse hours
4.60 /day
Staff turnover
33%
Serious cites
0

Sequoias San Francisco runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.7% sits well below the 45.8% national figure. Both matter, because consistent caregivers tend to know residents and catch changes early. Weekend staffing drops about 30% from weekday levels, so coverage isn't even across the week. The current record shows 15 deficiencies, none at the harm level and none abuse-related, with a 3/5 inspection rating and 2/5 on quality measures against 5/5 for staffing. As a nonprofit, it isn't answering to shareholders, which often shows up in exactly this pattern: strong staff numbers, middling clinical quality scores.

A

86/100

We Care Skilled Nursing - Fremont

Fremont, CA · Alameda County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
39%
Serious cites
0

We Care Skilled Nursing in Fremont runs on 4.19 nurse hours per resident day, about 8% above the national average, and its 38.9% turnover is meaningfully better than the 45.8% typical elsewhere. Weekend staffing dips roughly 7% from weekday levels, so coverage is a little thinner on Saturdays and Sundays. Inspectors wrote up 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last visit in December 2024. The for-profit limited liability company behind it earned a 3 out of 5 on health inspections, while quality measures and staffing both came in at 4. Staffing and turnover look like the strengths here; the inspection record, while free of serious findings, is the softer spot.

A

86/100

All Saints Healthcare Subacute

North Hollywood, CA · Los Angeles County

CMS 2/5128 bedsFor-profitMedicaid
Nurse hours
10.93 /day
Staff turnover
28%
Serious cites
0

All Saints runs unusually heavy nurse staffing, nearly 11 hours per resident day, roughly triple the national figure, and its 28% turnover beats the 45.8% national average. Weekend coverage dips about 10% below its own weekday level, but the numbers stay high regardless. The inspection record is where it falls apart. Ninety-six deficiencies are on file, four of them at the harm or jeopardy level and six tied to abuse, with three fines totaling $118,855. The most recent inspection, in January 2026, gave the home a one-star health inspection rating even as its quality and staffing measures scored five. Corporate ownership, 128 beds, and a record showing both strong bedside hours and serious compliance problems, that combination is what the grade reflects.

A

86/100

Downey Community Health Center

Downey, CA · Los Angeles County

CMS 3/5198 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
25%
Serious cites
0

Downey Community Health Center runs about 4.65 nurse hours per resident day, roughly 20% above the national average, and weekend staffing dips only about 9% below its own weekday level, that's a fairly modest drop. Staff turnover sits at 25% against a national average near 46%, so people tend to stay. The catch is the inspection record: 71 deficiencies on file, three tied to abuse, though none rose to the harm or jeopardy level. State surveyors were last in on April 10, 2025. With 198 beds under for-profit partnership ownership, the staffing and retention numbers are genuinely strong; the deficiency count and 2-out-of-5 inspection rating are where the concerns live.

A

86/100

New Bethany Skilled Nursing

Los Banos, CA · Merced County

CMS 2/535 bedsNon-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
22%
Serious cites
0

New Bethany Skilled Nursing runs 35 beds in Los Banos, and its staffing is the clearest strength: 4.45 nurse hours per resident day, roughly 15 percent above the national average, with a 4-out-of-5 staffing star to match. Turnover sits at 22.2 percent, about half the national rate of 45.8 percent, which matters for whether you see the same faces month to month; weekend coverage does drop about 13 percent below weekday levels. The caution is inspections: a 2-out-of-5 health inspection star, 29 deficiencies on record, and one abuse-related citation, though none rose to harm or jeopardy. The last inspection was September 2025, so the record is current.

A

86/100

Chaparral House

Berkeley, CA · Alameda County

CMS 4/549 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
48%
Serious cites
0

Chaparral House is a 49-bed nonprofit in Berkeley, and the numbers behind its grade start with staffing: 4.24 nurse hours per resident day, roughly 10 percent above the national average. Weekend coverage dips about 10 percent below its own weekday levels, and turnover sits at 48 percent, a bit above the national 45.8 percent. The inspection record shows 23 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was September 27, 2024, and CMS gives it 4 of 5 stars for health inspections and 4 for staffing, with a perfect 5 for quality measures. The high quality scores and consistent weekday staffing carry real weight here.

A

86/100

Trinity Hospital Skilled Nursing Facility

Weaverville, CA · Trinity County

CMS 3/513 bedsFor-profitMedicaid
Nurse hours
5.75 /day
Staff turnover
38%
Serious cites
0

Trinity Hospital Skilled Nursing Facility is a 13-bed for-profit home in Weaverville, and the staffing numbers here are unusual in a good way, 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage drops about 15% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 38.1%, better than the 45.8% national figure, which matters in a small building where you want familiar faces. The tradeoff shows up in 14 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025.

A

86/100

Imperial Manor

Imperial, CA · Imperial County

CMS 4/531 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
46%
Serious cites
0

Imperial Manor runs 31 beds in Imperial, and the numbers tell a mixed story. Nurse staffing sits at 3.84 hours per resident day, essentially level with the national average of 3.86, with weekend coverage holding steady rather than dropping off, but the federal staffing rating still comes in at just one star, which suggests the mix and consistency of that coverage isn't reassuring inspectors. The inspection record is the bigger concern: 29 deficiencies, including one at the harm level and two tied to abuse, plus eight fines totaling $45,518. Annual turnover of 45.9% is right at the national norm, so staff are cycling through at a typical rate. Family members should ask directly about those abuse-related findings before deciding.

A

85.5/100

Harvard Creek Post Acute

Covina, CA · Los Angeles County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
n/a
Serious cites
0

Harvard Creek Post Acute runs on 4.85 total nurse hours per resident day, about 26% above the national average, that's the strongest thing in its numbers. Weekend staffing dips only slightly below weekday levels, so coverage stays steady. But the record shows 44 deficiencies, one tied to abuse, even though none reached harm or jeopardy; a February 2026 inspection keeps that picture current. Quality measures score well, though the staffing star sits lower than the raw hours might suggest, and this is a for-profit LLC. If you're weighing it, ask specifically about that abuse-related citation and how the building's care planning has changed since.

A

85/100

Rosecrans Care Center

Gardena, CA · Los Angeles County

CMS 3/5106 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
35%
Serious cites
0

Rosecrans Care Center runs 4.04 nurse hours per resident per day, slightly above the national average, and its staff turnover of 35% is meaningfully better than the 45.8% typical nationwide, that kind of retention usually shows up in more consistent daily care. The catch is the inspection record: 55 deficiencies, including two at the harm or jeopardy level and two abuse-related, with the most recent inspection in April 2025. Weekend staffing also drops about 9% below its own weekday levels, so coverage thins out when families tend to visit. The quality measure score is a bright spot, but the volume of deficiencies and the abuse findings are the parts worth asking about directly before you decide.

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