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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 141 to 160 of 323, best-graded first.

B

84/100

Fulton Gardens Post Acute, Llc

Stockton, CA · San Joaquin County

CMS 3/5116 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
37%
Serious cites
0

Fulton Gardens runs 116 beds under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, slightly above the national average, though weekends dip about 8% below what the home provides on weekdays. Staff turnover comes in at 36.6%, noticeably lower than the 45.8% national figure, which suggests less churn than many homes manage. What stands out on the record is the 50 deficiencies, a high count, including 3 tied to abuse; none rose to the harm or jeopardy level, and the most recent inspection is recent, dated May 2026.

B

84/100

The Tamalpais

Greenbrae, CA · Marin County

CMS 5/552 bedsNon-profit
Nurse hours
4.51 /day
Staff turnover
40%
Serious cites
0

The Tamalpais runs on a nonprofit model with 52 certified beds in Greenbrae, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average. That's the number that drives its staffing star rating to the top of the scale. Turnover lands at 40%, a bit better than the national 45.8%, so caregivers are staying longer than is typical. The record isn't spotless: 14 deficiencies, though none at harm or jeopardy level and none abuse-related. The most recent inspection was September 2025. One thing worth asking about directly, weekend staffing drops about a third below weekday levels, so coverage on Saturdays and Sundays looks meaningfully thinner than during the week.

B

84/100

Oakdale Nursing And Rehabilitation Center

Oakdale, CA · Stanislaus County

CMS 4/5115 bedsGovernmentMedicaid
Nurse hours
4.19 /day
Staff turnover
51%
Serious cites
0

Oakdale Nursing and Rehabilitation Center runs on a hospital-district license with 115 certified beds, and its staffing is the strongest card it holds, 4.19 nurse hours per resident day, roughly 9% above the national figure. That headcount comes with a catch: weekends run about 12% leaner than weekdays, and turnover sits at 51.4%, higher than the 45.8% national average, so the faces around a resident change fairly often. The inspection record shows 33 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent state visit was in March 2025. Nothing here suggests danger; it reads more like a home getting the basics right while working through a long list of smaller problems.

B

84/100

George L Mee Memorial Hospital D/P Snf

King City, CA · Monterey County

CMS 2/548 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
n/a
Serious cites
0

The staffing numbers at George L Mee Memorial Hospital D/P SNF are the strongest part of the picture: 5.37 nurse hours per resident day, about 39% above the national average, which supports the four-star staffing rating. Weekend coverage drops roughly 16% below its own weekday level, so care may feel thinner on Saturdays and Sundays. The inspection record is where the home gets harder to read. Thirty deficiencies on file, none at the harm or jeopardy level, but one abuse-related citation, and the two-star health inspection rating reflects that pattern. Ownership is nonprofit, and the last inspection was recent. Plenty of hands on staff; the regulatory history is the part to ask about directly.

B

84/100

Emmanuel Post Acute Care - Hayward

Hayward, CA · Alameda County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
50%
Serious cites
0

Emmanuel Post Acute Care in Hayward runs 99 certified beds under individual for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, just above the national average of 3.86, though weekends drop about 10% below its own weekday level. Staff turnover is 49.5%, higher than the 45.8% national average, and the inspection record shows 39 deficiencies, including one at the harm level and one abuse-related. CMS gave it 2 out of 5 stars for health inspections but 5 out of 5 for quality measures, with the most recent inspection in August 2025. The pattern here is strong clinical scores offset by a thinner margin on safety and consistency.

B

84/100

East Los Angeles Doctors Hosp

Los Angeles, CA · Los Angeles County

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

East Los Angeles Doctors Hosp runs just 25 certified beds, which is small even by California standards, and the staffing number jumps out first: 8.37 nurse hours per resident day against a national average of 3.86. That's more than double the typical home, though weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 14.6% while the national average is 45.8%, so the people caring for residents tend to stay. The inspection record shows 13 deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent visit was January 8, 2026. Corporate for-profit ownership, with quality and staffing marks a step below its inspection result.

B

84/100

Chinese Hospital D/P Snf

San Francisco, CA · San Francisco County

CMS 4/523 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
n/a
Serious cites
0

Chinese Hospital's skilled nursing unit runs a tight 23-bed operation, and the staffing numbers show it: 5.30 nurse hours per resident day, roughly 37 percent above the national average. Weekends dip about 9 percent from weekday coverage, which is worth asking about if your family visits then. The current record carries 19 deficiencies, none at the harm or jeopardy level, though two are abuse-related, enough to warrant a direct question about what happened and what changed. Inspectors were last in on February 26, 2026, and the health inspection rating sits at 4 out of 5. As a nonprofit, this home answers to a mission rather than shareholders, which tends to show in how it staffs.

B

83.5/100

Mercy Retirement & Care Center

Oakland, CA · Alameda County

CMS 4/559 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
n/a
Serious cites
0

Mercy Retirement & Care Center runs on more nursing hours than most homes in the country, 4.68 per resident day against a national average of 3.86. That staffing edge is real, though it thins out on weekends, dropping about 11% below the home's own weekday level. The inspection record is where things get more complicated: 29 deficiencies on file, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $16,675. Inspectors were last in the building in February 2025. For a 59-bed nonprofit in Oakland, the care hours are a genuine strength; the deficiency history is what a family should ask about directly.

B

83/100

Motion Picture And T.v. Hosp D/P Snf

Woodland Hills, CA · Los Angeles County

CMS 3/5195 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
37%
Serious cites
0

Motion Picture And T.V. Hosp D/P Snf runs on unusually strong nurse coverage for a 195-bed nonprofit, 4.88 hours per resident day, roughly a quarter more than the national figure, though weekends dip about 11% below its own weekday level, a gap worth asking about. Staff turnover of 36.8% sits well under the national 45.8%, which suggests people stay. The caution signs are elsewhere: a 2-star health inspection rating, 50 deficiencies on record including 3 tied to abuse, and a survey completed in April 2025. None of those deficiencies reached harm or jeopardy level, but the count and the abuse findings are the part of this file a family should read closely.

B

83/100

Bethany Home Society San Joaquin County

Ripon, CA · San Joaquin County

CMS 4/592 bedsNon-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
46%
Serious cites
0

Bethany Home Society in Ripon runs on a nonprofit model with 92 certified beds, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, so care can feel thinner on Saturdays and Sundays. Staff turnover is 46.4%, essentially matching the national 45.8%. The current inspection record lists 29 deficiencies, none at the harm or jeopardy level, with one tied to abuse. Its last inspection was in March 2025, and CMS gave it 4 out of 5 stars for both health inspections and quality measures, 3 for staffing.

B

83/100

Berkeley Pines Skilled Nursing Center

Berkeley, CA · Alameda County

CMS 2/536 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Berkeley Pines runs 3.93 nurse hours per resident day, just above the national average, and weekend staffing holds steady rather than dropping off. Staff turnover sits at 43.6%, a bit better than the 45.8% national figure. The catch is inspections: 21 deficiencies on the current record, none at harm or jeopardy level, with the last inspection in March 2024. A 2/5 health inspection rating against 4/5 for staffing and quality measures tells you the care delivery looks solid on paper while the survey history is the weaker spot. For a 36-bed for-profit home, that split is worth asking about directly.

B

83/100

Inspire Behavioral Health

San Jose, CA · Santa Clara County

CMS 2/5116 bedsFor-profitMedicaid
Nurse hours
2.43 /day
Staff turnover
32%
Serious cites
0

Inspire Behavioral Health runs 116 certified beds in San Jose under for-profit LLC ownership, and its inspection record is the hard part: 40 deficiencies on file, three of them serious enough to involve harm or jeopardy, plus one abuse-related citation. CMS gave it a single star for health inspections, though the quality measure score came back at five. Staffing sits at 2.43 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends dip about 9% below its own weekday levels. Turnover is the one bright spot at 31.6%, better than the 45.8% national figure. The most recent inspection was November 5, 2025.

B

83/100

Penn Mar Healthcare Center

El Monte, CA · Los Angeles County

CMS 2/545 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
57%
Serious cites
0

Penn Mar Healthcare Center runs 45 beds in El Monte under for-profit LLC ownership, and its staffing is the first thing that stands out. At 3.35 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 56.9% against a national 45.8%, meaning the aides and nurses cycling through are often new to the building. The inspection record shows 71 deficiencies, including one at harm level and eight tied to abuse. Quality measures score well, but that's a narrow slice of the picture. --- **Word count:** ~112 words. If you'd like it closer to the 110-140 range with a bit more air, here's a slightly fuller version: Penn Mar Healthcare Center is a 45-bed for-profit LLC home in El Monte, and staffing is where the numbers get uncomfortable. At 3.35 nurse hours per resident day, it runs about 13% below the national average of 3.86, with weekends dropping roughly 12% below its own weekday level, the thinnest coverage arrives when families tend to visit. Annual turnover of 56.9% against a national 45.8% means many caregivers are still new to the building. Its inspection record carries 71 deficiencies, one at harm level and eight abuse-related, alongside a single $4,893 fine. Quality measures look strong, but that's one

B

83/100

Villa Siena

Mountain View, CA · Santa Clara County

CMS 1/530 bedsNon-profitMedicaid
Nurse hours
6.04 /day
Staff turnover
15%
Serious cites
0

Villa Siena runs 30 certified beds as a nonprofit corporation, and its nurse staffing sits at 6.04 hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips only about 4% below its own weekday level, and annual staff turnover is 15.2% against a national average of 45.8%. Those are unusually steady numbers for a home this size. The inspection record is where it gets mixed. The last visit was July 28, 2025, and the current file carries 34 deficiencies, none at the harm or jeopardy level but three tied to abuse. CMS scored quality measures and staffing at 1 out of 5 stars each, with a 3 out of 5 on health inspections, worth asking about directly before you decide.

B

83/100

Inland Christian Home

Ontario, CA · San Bernardino County

CMS 4/559 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
49%
Serious cites
0

Inland Christian Home runs a tight ship on the numbers that tend to matter most. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, though weekends dip about 11% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night coverage. The inspection record is clean where it counts: 25 deficiencies on file but none at the harm or jeopardy level and nothing abuse-related, with the most recent state visit in June 2025. Turnover is the soft spot at 49.3%, just above the national 45.8%, which isn't alarming for this industry but does mean some churn among the people providing care.

B

83/100

Solheim Senior Community

Los Angeles, CA · Los Angeles County

CMS 2/576 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
41%
Serious cites
0

Solheim Senior Community runs on a nonprofit model with 76 certified beds in Los Angeles, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and staff turnover lands at 41%, a bit better than the 45.8% national figure. The trouble is inspections: 37 deficiencies on record, one serious enough to reach harm or jeopardy level, though none abuse-related, and a 2/5 health inspection star. That lopsided pattern, solid staffing, weaker inspection history, is what shapes the picture here. The most recent inspection was December 18, 2025, so the record is current.

B

83/100

The Care Center On Hazeltine, Llc

Van Nuys, CA · Los Angeles County

CMS 4/558 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
24%
Serious cites
0

The Care Center on Hazeltine has some real strengths in its numbers. Nurse staffing runs about 10% above the national average, and weekend coverage only dips about 5% below weekdays, a smaller drop-off than many homes. Annual turnover sits at 23.7%, roughly half the national rate of 45.8%, which suggests a stable crew. But the inspection record is where it gets concerning: 35 deficiencies, including 2 at the harm or jeopardy level and 4 abuse-related, along with two fines totaling $72,521. The most recent inspection was in December 2025. Strong staffing and stable turnover matter, but the count of serious deficiencies is the piece I'd ask about directly before deciding.

B

83/100

Masonic Home

Union City, CA · Alameda County

CMS 4/5125 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
28%
Serious cites
0

The numbers here tell two different stories. Nurse staffing runs 4.38 hours per resident day, well above the 3.86 national average, and the 27.8% turnover rate is far below the typical 45.8%, which matters because consistent caregivers tend to know residents' routines. Weekend coverage dips only slightly, about 6% under weekday levels. On the other side, the quality measure rating sits at 1 out of 5, and the home carries 15 deficiencies on its current record, though none at the harm level and none abuse-related. Its last inspection was recent, February 2025, and it scored 5 out of 5 on that inspection. Nonprofit ownership, strong staffing, weak quality metrics, worth asking what's driving that gap.

B

83/100

Hillcrest Nursing Home

San Bernardino, CA · San Bernardino County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
61%
Serious cites
0

Hillcrest runs a tight ship on the clinical side. Twenty deficiencies on record with zero at the harm level and nothing abuse-related, plus a recent inspection and top marks from CMS on both health inspections and quality measures, that's a home that gets the basics right. Where it gives ground is staffing. At 3.68 nurse hours per resident day it sits about 5% under the national average, weekend coverage dips roughly 3% below its own weekday level, and turnover at 60.6% runs well above the 45.8% national figure. Corporate-owned and small at 59 beds, Hillcrest looks like a place where care quality holds up but consistent hands on deck is the open question.

B

82.5/100

Laguna Honda Hospital & Rehabilitation Ctr D/P Snf

San Francisco, CA · San Francisco County

CMS 3/5769 bedsFor-profitMedicaid
Nurse hours
5.83 /day
Staff turnover
17%
Serious cites
0

Laguna Honda runs 769 certified beds in San Francisco, and its nurse staffing sits at 5.83 hours per resident day, roughly half again the national average, while annual turnover of 17.3% is far below the 45.8% typical elsewhere. That combination is unusual and worth noting, though weekend coverage drops about 22% from weekday levels. The inspection record is where the picture darkens: 40 deficiencies on file, six of them involving harm or jeopardy and seven tied to abuse, plus eight fines totaling $55,499. The most recent inspection was May 2, 2025, so the findings are current. Ownership is for-profit and individual. Strong staffing hasn't kept the regulatory record clean.

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