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California Best Medicaid Nursing Homes 2026

1,120 of California's 1,165 nursing homes are certified to accept Medi-Cal and 1,096 of them also accept Medicare.

Medi-Cal homes against the rest of California

45 California homes are not certified for Medi-Cal. 0 of the 1,120 certified homes carry a harm-level citation on their current record, and 359 grade A while 37 grade D or F. The most certified homes sit in Los Angeles (77), Long Beach (25) and Sacramento (22).

Nursing hours per resident per day

4.48

Homes not certified: 5.31

Nurse staff turnover

36.8%

Homes not certified: 34.6%

Average ElderGrade score

78.7/100

Homes not certified: 87.5/100

Best-graded Medicaid homes in California

#1
A

99/100

Veterans Home Of California - Fresno

Fresno, CA · Fresno County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
6.03 /day
Staff turnover
28%
Serious cites
0

The Fresno Veterans Home is state-run and staffed at 6.03 nurse hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 28.3% against a national average near 46%, which matters for whether you see the same faces month to month. The record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.

#2
A

99/100

Baywood Court Health Center

Castro Valley, CA · Alameda County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
31%
Serious cites
0

Baywood Court runs about 4.88 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 30.8%, well under the national 45.8%, that kind of retention usually means caregivers who know the residents. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the last visit in October 2024. As a nonprofit with top marks across inspection, quality, and staffing, this is a consistently strong home.

#3
A

99/100

Torrance Memorial Med Ctr Snf/Dp

Torrance, CA · Los Angeles County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
8.46 /day
Staff turnover
22%
Serious cites
0

Torrance Memorial Med Ctr Snf/Dp runs on unusually heavy staffing: 8.46 nurse hours per resident per day, more than double the national average of 3.86. That number holds up on weekends too, dipping only about 7% below its own weekday level, and staff turnover sits at 21.9% against a national average of 45.8%, people tend to stay. The home carries 28 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2026. As a nonprofit with 40 certified beds, it pairs a clean federal record with staffing most homes can't match.

#4
A

99/100

Crestwood Treatment Center

Fremont, CA · Alameda County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
12%
Serious cites
0

Crestwood Treatment Center runs on numbers that mostly hold up. Nurse staffing sits at 5.05 hours per resident day, roughly a third above the national average, and the 12.3% turnover rate is far below the typical 45.8%, that kind of stability usually means consistent caregivers who know the residents. Weekend coverage dips about 14% against weekdays, worth asking about. The current record shows 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A February 2025 inspection means the findings are recent rather than stale. With a 4/5 on health inspections and 5/5 on quality measures, the picture is of a corporate-owned home in Fremont that performs well above average on most measures, with a single abuse citation to look into directly.

#5
A

99/100

Alameda County Medical Center D/P Snf

San Leandro, CA · Alameda County

CMS 5/5109 bedsGovernmentMedicaid
Nurse hours
6.40 /day
Staff turnover
7%
Serious cites
0

Alameda County Medical Center D/P SNF runs on a government hospital district license with 109 certified beds, and the numbers behind its record are unusually steady. Nurse staffing sits at 6.40 hours per resident day, roughly two-thirds above the national average, and weekend coverage dips only about 7% from weekday levels, a gap that's small compared to what most homes show. Staff turnover is 6.9% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The 18 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was in August 2024. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

#6
A

99/100

Community Memorial Continuing Care Center

Ojai, CA · Ventura County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
27%
Serious cites
0

Community Memorial Continuing Care Center in Ojai runs on about 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 26.7% turnover against a national rate near 46%. The current record shows 15 deficiencies, none of them involving harm or jeopardy and none abuse-related, with the most recent inspection in January 2026. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your family member needs more help on Saturdays and Sundays. This is a nonprofit corporation with 75 certified beds, and the staffing, inspection, and quality measure ratings all sit at the top of CMS's scale.

#7
A

99/100

The Terraces At San Joaquin Gardens Village

Fresno, CA · Fresno County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
30%
Serious cites
0

The Terraces at San Joaquin Gardens Village runs a strong staffing operation, 5.13 nurse hours per resident day, about a third above the national average, with a 5/5 CMS staffing star. Weekend coverage dips roughly 13% below weekday levels, and turnover sits at 30.3%, well under the 45.8% national figure. Quality measures score 5/5, though the 3/5 health inspection rating reflects 31 deficiencies on record, one serious enough to reach harm or jeopardy level; no abuse citations appear. This nonprofit's last inspection was March 21, 2025, so the record is current. The staffing and quality numbers are the real story here.

#8
A

97.5/100

Community Subacute And Transitional Care Center

Fresno, CA · Fresno County

CMS 5/5106 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
22%
Serious cites
0

Community Subacute and Transitional Care Center runs on 9.19 nurse hours per resident day, roughly two and a half times the national figure, and its weekend coverage dips only about 17% below weekdays, a smaller drop than many homes see. Staff turnover sits at 21.7%, less than half the national rate, which matters because consistent caregivers know their residents. The 13 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in February 2026. For a 106-bed nonprofit in Fresno, the numbers describe steady, well-attended care rather than any single standout statistic.

#9
A

97/100

Lakeside Special Care Center

Lakeside, CA · San Diego County

CMS 5/594 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
32%
Serious cites
0

Lakeside Special Care Center runs 4.20 nurse hours per resident per day, roughly 9% above the national average, and its staff turnover of 31.7% is well below the 45.8% national figure, a sign people tend to stay. Weekend staffing drops about 13% from weekday levels, so ask how that plays out on Saturdays. The 12 deficiencies on record include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspectors were last in on February 13, 2025, and the home holds top marks in all three CMS categories. It's a for-profit limited liability company with 94 certified beds.

#10
A

97/100

Veterans Home Of California - Barstow

Barstow, CA · San Bernardino County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.67 /day
Staff turnover
23%
Serious cites
0

The state-run veterans home in Barstow runs on 5.67 nurse hours per resident per day, roughly half again what the typical American nursing home provides, and its staff tends to stay: turnover sits near 23 percent against a national average close to 46. Weekend coverage does dip about 11 percent below weekday levels, worth asking about. Inspectors have cited 12 deficiencies, none at the level of actual harm or jeopardy, though two involve abuse, which is a category families should ask about directly. The last full inspection was April 23, 2026, so the record is recent, and the home holds top federal marks across health inspections, quality measures, and staffing alike.

#11
A

97/100

Morton Bakar Center

Hayward, CA · Alameda County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
15%
Serious cites
0

Morton Bakar Center in Hayward holds 97 certified beds and is run by a for-profit corporation. Its most striking number is staff retention: turnover sits at 14.9%, well under the 45.8% national average, which matters because consistent caregivers know their residents. Total nurse staffing comes in at 3.73 hours per resident day, just under the national figure of 3.86, and weekends run roughly 14% lighter than weekdays, a dip worth asking about. The inspection record is clean where it counts: four deficiencies total, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2024.

#12
A

97/100

The Dorothy & Joseph Goldberg Healthcare Center

Encinitas, CA · San Diego County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
5.59 /day
Staff turnover
23%
Serious cites
0

The Dorothy & Joseph Goldberg Healthcare Center runs on 5.59 nurse hours per resident day, roughly 45% above the national figure of 3.86, and it holds that staffing with a 23.3% turnover rate, about half the national average of 45.8%. Weekend coverage dips only about 9% below its own weekday level, which is a modest gap by industry standards. Thirty deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related; the most recent inspection was July 24, 2025. This is a nonprofit corporation with 58 certified beds in Encinitas, and the numbers point to steady, well-funded care rather than a building skating by on minimums.

#13
A

97/100

La Palma Nursing Center

Anaheim, CA · Orange County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
5.68 /day
Staff turnover
27%
Serious cites
0

La Palma Nursing Center runs on unusually heavy staffing for a 72-bed for-profit home in Anaheim, 5.68 nurse hours per resident day, roughly 47% above the national average, and turnover at 27.3% sits well under the 45.8% national figure. Weekend coverage does dip about 12% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The 62 deficiencies on record look alarming until you notice none reached harm or jeopardy, though two are abuse-related and worth asking about directly. A September 2025 inspection is recent, and the 5/5 quality measure rating suggests clinical outcomes are holding up.

#14
A

97/100

Bradley Court

El Cajon, CA · San Diego County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
14%
Serious cites
0

Bradley Court runs lean on nurse hours, 3.16 per resident per day, roughly 18% under the national average, and weekends get about 10% less attention than weekdays. What offsets that is unusual stability: staff turnover sits at 13.5% against a national average near 46%, meaning the people who are there tend to stay. The 20 deficiencies on file include none at the harm level and none tied to abuse, and the most recent inspection was in March 2025. It's a for-profit LLC with 56 beds. Fewer hands, but consistent ones, and a clean recent record.

#15
A

97/100

Petaluma Post-Acute Rehabilitation

Petaluma, CA · Sonoma County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
31%
Serious cites
0

Petaluma Post-Acute Rehabilitation runs 90 certified beds as a for-profit LLC, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.22 hours per resident day, roughly 9% above the national average, and weekend coverage dips only about 4% below its own weekday level, a small gap compared with what many homes show. Staff turnover is 31.4%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The home carries 16 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated December 19, 2025.