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842 Chain-Owned Nursing Homes in California

842 of the 1,165 Medicare-certified nursing homes in California (72%) are chain-owned, and all are listed below. 254 of the 840 graded homes earn an A and 26 earn a D or F. They average 4.38 nursing hours per resident per day, 0.14 hours below the 4.52 for every home in California. Creekview Skilled Nursing in Pleasanton grades highest at A (99 out of 100).

How chain-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

4.38

All homes in California: 4.52

Worse than the local average

Nurse staff turnover

37.6%

All homes in California: 36.7%

Worse than the local average

Average ElderGrade score

78.6/100

All homes in California: 79/100

Worse than the local average

Grade spread

A
B
C

254 grade A, 439 grade B, 121 grade C, 26 grade D,

The best-graded chain-owned home in California is Creekview Skilled Nursing in Pleasanton, CA, grade A, 99/100.

Every chain-owned nursing home in California

Showing 1 to 20 of 842, best-graded first.

A

99/100

Canterbury Woods

Pacific Grove, CA · Monterey County

CMS 5/524 bedsNon-profit
Nurse hours
6.71 /day
Staff turnover
19%
Serious cites
0

Canterbury Woods runs 24 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 19.2% against a national 45.8%, so the people caring for residents tend to stay. Inspections in February 2026 produced 26 deficiencies, none at the harm or jeopardy level and none abuse-related, alongside top marks on health inspection, quality measures, and staffing.

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.

A

99/100

Spring Lake Village

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsNon-profit
Nurse hours
5.54 /day
Staff turnover
22%
Serious cites
0

Spring Lake Village runs a genuine nonprofit operation in Santa Rosa with 70 certified beds, and the staffing numbers show it: 5.54 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% from weekday levels. Annual turnover sits at 22.1%, roughly half the national rate of 45.8%, which suggests caregivers are staying long enough to know the residents. The health inspection record holds 26 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Inspectors were last on site January 22, 2026, and the federal ratings land at 4 out of 5 for health inspections and 5 out of 5 on both quality measures and staffing.

A

99/100

Health Care Ctr At The Forum At Rancho San Antonio

Cupertino, CA · Santa Clara County

CMS 4/548 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
29%
Serious cites
0

The Health Care Center at The Forum at Rancho San Antonio runs on unusually heavy staffing for a 48-bed nonprofit home, 5.75 nurse hours per resident day, roughly half again the national figure. Weekend coverage dips about 8% below weekday levels, but turnover sits at 28.8% against a national average near 46%, so the people caring for residents tend to stay. The tradeoff shows up in inspections: 36 deficiencies on the current record, one tied to abuse, though none reached harm or jeopardy. The last survey was in January 2026. Strong quality and staffing marks sit alongside middling inspection results, worth asking about that abuse citation directly.

A

99/100

Vi At La Jolla Village

San Diego, CA · San Diego County

CMS 5/560 bedsFor-profit
Nurse hours
5.24 /day
Staff turnover
26%
Serious cites
0

Vi At La Jolla Village runs a 60-bed for-profit operation in San Diego, and its staffing is the standout: 5.24 nurse hours per resident day, roughly 36% above the national average, with weekends dipping only about 8% below its own weekday level. Turnover sits at 25.6% against a national 45.8%, and the home holds 5-star marks on health inspections, quality measures, and staffing alike. The record isn't spotless, 15 deficiencies, two tied to abuse, but none rose to harm or jeopardy, and the most recent inspection closed in August 2025. For families weighing a smaller home with unusually steady nursing coverage, the numbers here are worth a closer look.

A

99/100

Glenbrook

Carlsbad, CA · San Diego County

CMS 5/594 bedsFor-profit
Nurse hours
5.23 /day
Staff turnover
31%
Serious cites
0

Glenbrook runs 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 30.9% against a national 45.8%, a meaningful difference when you consider how much continuity affects daily care. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record isn't clean: 24 deficiencies, one at the harm or jeopardy level, one abuse-related, and a $9,311 fine. Inspectors were last in during September 2025, so the picture is current. For-profit, LLC-owned, 94 beds.

A

99/100

Vi At Palo Alto

Palo Alto, CA · Santa Clara County

CMS 5/544 bedsFor-profit
Nurse hours
6.10 /day
Staff turnover
20%
Serious cites
0

Vi At Palo Alto runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, about 58% above the national average, and its staff tend to stay, with turnover at 20.3% against a national 45.8%. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The tradeoff shows up in its inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and the most recent inspection was January 2026. Ownership is for-profit through a limited liability company. The staffing and quality numbers are strong; the deficiency count is the piece to press them on.

A

99/100

Creekview Skilled Nursing

Pleasanton, CA · Alameda County

CMS 5/573 bedsFor-profit
Nurse hours
5.05 /day
Staff turnover
31%
Serious cites
0

Creekview runs about 5.05 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its staff turnover of 31.3% is well below the 45.8% national figure, a combination that usually shows up as consistent care rather than revolving faces. State inspectors visited in February 2025 and logged 12 deficiencies, none at the level of actual harm and none related to abuse, so what's on the record reads as paperwork and process issues rather than resident safety. Weekend coverage dips about 9% below weekdays, worth asking about if your family tends to visit Saturday or Sunday.

A

97/100

Valle Verde Health Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
26%
Serious cites
0

Valle Verde runs on a nonprofit model with 80 certified beds in Santa Barbara, and the staffing numbers are the first thing that stands out: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 25.7%, well under the national 45.8%. The home carries 22 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was January 2026. All three CMS star ratings, inspections, quality measures, staffing, come in at 5/5.

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.

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.

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.

A

97/100

San Luis Transitional Care

San Luis Obispo, CA · San Luis Obispo County

CMS 5/523 bedsFor-profit
Nurse hours
6.98 /day
Staff turnover
44%
Serious cites
0

San Luis Transitional Care is a small for-profit home, 23 beds, with a recent inspection and a clean record on serious problems: seven deficiencies total, none causing harm or jeopardy, none tied to abuse. Its inspection and quality measure ratings both come in at the top of CMS's scale, and staff turnover runs slightly below the national average. The catch is staffing. CMS rates that dimension at the bottom of its scale, which matters more in a 23-bed home, where there's less slack to absorb a callout or a heavy shift. Families weighing this one should ask directly how many aides are on the floor at night and on weekends, because the paperwork looks strong and the coverage is the open question.

A

97/100

Oakview Skilled Nursing

Thousand Oaks, CA · Ventura County

CMS 5/548 bedsFor-profit
Nurse hours
5.73 /day
Staff turnover
21%
Serious cites
0

Oakview Skilled Nursing runs 48 beds in Thousand Oaks under for-profit partnership ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 5.73 hours per resident day, roughly half again the national average of 3.86, and weekend coverage dips only about 12% below its own weekday level, a modest drop rather than the sharp falloff many homes show. Staff turnover is 21.1% against a national 45.8%, so the people caring for residents tend to stay. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection completed January 31, 2025.

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.

A

96/100

Manzanita Healthcare Center

Carmichael, CA · Sacramento County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
31%
Serious cites
0

Manzanita Healthcare Center runs on 4.75 nurse hours per resident day, roughly a quarter more than the national average, and its staff tends to stay, turnover of 30.6% is well below the 45.8% typical elsewhere. Weekend coverage dips about 9% from weekday levels, worth asking about if your family visits on Saturdays. The tradeoff shows up in its record: 46 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in April 2026. Sacramento County families weighing this one should read those inspection reports directly rather than rely on the staffing numbers alone.

A

96/100

Webster House

Palo Alto, CA · Santa Clara County

CMS 5/5145 bedsNon-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
21%
Serious cites
0

Webster House runs on 5.05 nurse hours per resident per day, which is about a third more staffing than the typical California nursing home manages. The tradeoff is weekends, when hours drop roughly a quarter below the weekday pace, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 20.6%, less than half the national rate, so the people caring for residents tend to stay. Twenty-three deficiencies on the current record sounds like a lot until you see none involved harm or jeopardy, and none were abuse-related. The last inspection was in January 2025, so the picture is recent.

A

96/100

Marian Regional Medical Center D/P Snf

Santa Maria, CA · Santa Barbara County

CMS 5/595 bedsNon-profitMedicaid
Nurse hours
6.18 /day
Staff turnover
16%
Serious cites
0

Nurse staffing here runs about 6.18 hours per resident day, roughly 60% above the national average, and the aide and nurse turnover rate of 16% is well under the national figure of about 46%. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The home is church-affiliated and nonprofit, holds a five-star CMS inspection rating, and its last inspection in April 2026 left 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related. Quality measures score four stars. That combination of high staffing, low turnover, and no harm-level findings is what's behind the grade.

A

96/100

San Francisco Towers

San Francisco, CA · San Francisco County

CMS 5/527 bedsNon-profit
Nurse hours
6.88 /day
Staff turnover
13%
Serious cites
0

San Francisco Towers is a small nonprofit home, 27 certified beds, and its staffing numbers are the story. At 6.88 nurse hours per resident day, it runs about 78% above the national average, and weekend coverage dips only modestly, roughly 12% below its own weekday level. Staff turnover sits at 13%, well under the national 45.8%, which matters for continuity of care. On its current record: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as December 2025. The mix, nonprofit ownership, high staffing, low turnover, no serious deficiencies, is what's actually behind the score.

A

96/100

Glendale Adventist Medical Center Dp/Snf

Glendale, CA · Los Angeles County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
6.51 /day
Staff turnover
18%
Serious cites
0

Glendale Adventist runs about 6.51 nurse hours per resident per day, roughly 69% above the national average of 3.86, and weekend staffing dips only around 12% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 18.3% against a national average of 45.8%, which matters because unstable staffing often shows up in care quality before it shows up on paper. The current record lists 14 deficiencies, none at the harm level and none abuse-related, with the last inspection in August 2025. It's a for-profit partnership with 40 certified beds, so it's small, and small homes can be uneven, but the numbers here are steady rather than strained.

Frequently asked questions

How many chain-owned nursing homes are there in California?
There are 842 chain-owned Medicare-certified nursing homes in California, 72% of the 1,165 nursing homes there.
Are chain-owned nursing homes better staffed?
In California they average 4.38 total nursing hours per resident per day, against 4.52 for all nursing homes in California, a difference of -0.14 hours. Staff turnover averages 37.6% against 36.7%.
Which chain-owned nursing home grades best in California?
Creekview Skilled Nursing in Pleasanton, CA, grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 840 graded chain-owned homes in California, 254 grade A and 26 grade D or F.
Do chain-owned nursing homes in California accept Medicaid?
809 of the 842 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in California