46 of the 78 Medicare-certified nursing homes in Los Angeles, CA (59%) are chain-owned, and all are listed below. 7 of the 46 graded homes earn an A and 2 earn a D or F. They average 4.31 nursing hours per resident per day, 0.21 hours below the 4.52 for every home in Los Angeles, CA. St Andrews in Los Angeles grades highest at A (94 out of 100).
How chain-owned homes in Los Angeles, CA compare
This group set against every nursing home in Los Angeles, CA, from the current CMS release.
Nursing hours per resident per day
4.31
All homes in Los Angeles, CA: 4.52
Worse than the local average
Nurse staff turnover
36.7%
All homes in Los Angeles, CA: 35.8%
Worse than the local average
Average ElderGrade score
74.5/100
All homes in Los Angeles, CA: 74.6/100
Worse than the local average
Grade spread
A
B
C
7 grade A, 26 grade B, 11 grade C, 2 grade D,
The best-graded chain-owned home in Los Angeles, CA is
St Andrews
in Los Angeles, CA, grade A, 94/100.
Staffing at Hollywood Premier is genuinely better than most: 4.11 nurse hours per resident day, roughly 6% above the national average, and turnover of 19.8% is less than half the national rate. Weekend coverage dips about 10% below weekdays, but that's a modest gap. The problem sits on the inspection side. The current record carries 81 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $17,342. The last inspection was in August 2025, so this is a recent picture, not old history. Good staffing can't offset that many serious findings, tour it, but ask hard questions about the abuse citations.
Kei-Ai Los Angeles Healthcare Center runs 300 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.45 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 40.1%, under the national figure. The inspection record tells a different story. There are 122 deficiencies on file, including six at the harm or jeopardy level and eight tied to abuse, plus two fines totaling $184,989. A recent inspection in February 2026 hasn't wiped that history clean. Plenty of hands on deck, but a documented pattern of serious problems those hands haven't solved.
Windsor Gardens runs 98 beds in Los Angeles under for-profit LLC ownership, and the inspection record is where families should focus first. Ninety deficiencies sit on the current record, including three at the harm or jeopardy level and five tied to abuse, that's a pattern, not a one-time slip. The 1-out-of-5 health inspection rating reflects it, and the last inspection in April 2026 was recent enough that this picture is current. Staffing is thin in a quieter way: 3.84 nurse hours per resident day, just under the national average, with weekends running about 5% below weekdays. Annual turnover of 51.9% means more than half the nursing staff leaves each year, well above the national 45.8%.
East Terrace is a for-profit LLC with 99 beds in Los Angeles, and its record is a hard one to read. State inspectors have cited 85 deficiencies, five of them at harm or jeopardy level and 13 tied to abuse, with six fines totaling $176,430. The federal inspection rating sits at one star out of five, and the last survey was recent, December 2025, so the findings aren't old history. Total nurse staffing of 4.04 hours per resident day edges just past the 3.86 national average, but weekends run about 7% thinner than weekdays, so coverage isn't steady across the week. If you're weighing this one, ask what those abuse citations involved and how the home has changed since December.
California Post Acute sits in a tough spot for a family trying to decide. The raw staffing number, 4.03 hours per resident day, actually edges past the national average, but that average hides a lot, weekends run about 5% thinner than weekdays, and nearly half the nursing staff turns over each year, so the people providing care keep changing. What the record shows is harder to look past: 131 deficiencies, 13 of them serious enough to put residents in harm's way, 12 tied to abuse, and four fines totaling more than $215,000. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes. The most recent inspection was in July 2025.
Sunray Healthcare Center has enough hands on deck, 5.05 nurse hours per resident day, roughly a third above the national average, but that staffing cushion is doing a lot of work against a rough record elsewhere. The home carries 80 deficiencies, including 6 at the harm or jeopardy level and 9 tied to abuse, plus $147,893 in CMS fines across four penalties, and it currently sits in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. Staff turnover, at 41.4%, is actually a bit better than the 45.8% national figure, so the trouble isn't retention alone. Ownership is for-profit, through a limited liability company, and the last inspection was April 19, 2026.
Frequently asked questions
How many chain-owned nursing homes are there in Los Angeles, CA?
There are 46 chain-owned Medicare-certified nursing homes in Los Angeles, CA, 59% of the 78 nursing homes there.
Are chain-owned nursing homes better staffed?
In Los Angeles, CA they average 4.31 total nursing hours per resident per day, against 4.52 for all nursing homes in Los Angeles, CA, a difference of -0.21 hours. Staff turnover averages 36.7% against 35.8%.
Which chain-owned nursing home grades best in Los Angeles, CA?
St Andrews in Los Angeles, CA, grade A, 94 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 46 graded chain-owned homes in Los Angeles, CA, 7 grade A and 2 grade D or F.
Do chain-owned nursing homes in Los Angeles, CA accept Medicaid?