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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 181 to 200 of 842, best-graded first.

A

86/100

Grass Valley Healthcare Center

Grass Valley, CA · Nevada County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
41%
Serious cites
0

Grass Valley Healthcare Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.37 hours per resident day, about 13% above the national average of 3.86. That's a real margin, though weekends dip roughly 11% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 40.9% is slightly better than the 45.8% national figure. The record isn't clean: 23 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was September 2025, so the picture is current. Staffing and quality measures both rated 4 out of 5; health inspections came in at 3.

A

86/100

Guardian Rehabilitation Hospital

Los Angeles, CA · Los Angeles County

CMS 3/593 bedsFor-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
31%
Serious cites
0

Guardian Rehabilitation Hospital sits in Los Angeles with 93 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 4.87 nurse hours per resident day, roughly a quarter more than the national average, with turnover at 31.2% against a national 45.8%, so people are staying longer than at the typical home. Weekends run about 12% leaner than weekdays, which is worth asking about. Against that, the current inspection record carries 49 deficiencies, four tied to abuse, and one fine of $32,040. None of the deficiencies reached harm or jeopardy level, and the last inspection was in March 2026, so the record is recent.

A

86/100

Escondido Post Acute

Escondido, CA · San Diego County

CMS 5/5180 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
38%
Serious cites
0

Escondido Post Acute runs 180 beds under corporate ownership, and its staffing sits at 3.78 nurse hours per resident day, about 2% under the national average of 3.86. Weekends dip roughly 4% below its own weekday coverage, so the thinnest shifts come when families tend to visit. What stands out is retention: 37.9% annual turnover against a national 45.8%, which means more familiar faces than most places. The record shows 42 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspectors were last on site in May 2025, and the quality measure rating is strong while staffing lands mid-range.

A

86/100

San Luis Post Acute Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5162 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
46%
Serious cites
0

San Luis Post Acute Center sits in San Luis Obispo with 162 certified beds under corporate ownership. Its 4.44 nurse hours per resident day runs about 15% above the national average of 3.86, and weekend staffing dips roughly 8% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record is the stronger story: a recent March 2025 survey, 16 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Turnover lands at 45.5%, essentially matching the national 45.8%. For-profit ownership and a solid survey history together.

A

86/100

Broadway Healthcare Center

San Gabriel, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
21%
Serious cites
0

Broadway Healthcare Center runs 59 beds in San Gabriel under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekends about 3% thinner than weekdays. What stands out is retention: 21.4% annual turnover against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record, 43 deficiencies, including one at the harm level and one abuse-related, with a single $3,145 fine. The most recent inspection was February 2026. Quality measures rate well above average, so the day-to-day care looks steadier than that paper trail suggests.

A

86/100

Palm Springs Healthcare & Rehabilitation Center

Palm Springs, CA · Riverside County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
41%
Serious cites
0

Palm Springs Healthcare & Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.10 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips modestly, about 8% below weekday levels, while annual turnover of 41.2% comes in slightly under the national 45.8%. The current inspection record shows 31 deficiencies but none at the harm or jeopardy level and nothing abuse-related, with the most recent survey completed in December 2024. Its CMS stars line up evenly across health inspections, quality measures, and staffing, each at 4 out of 5.

A

86/100

San Leandro Healthcare Center

San Leandro, CA · Alameda County

CMS 4/562 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

San Leandro Healthcare Center runs 62 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover is 37.5%, noticeably better than the 45.8% national figure, which matters for whether your family sees the same faces. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Inspections, quality measures, and staffing each landed at 4 out of 5 stars.

A

86/100

Lake Merritt Healthcare Center Llc

Oakland, CA · Alameda County

CMS 2/553 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
29%
Serious cites
0

Lake Merritt Healthcare Center runs on a for-profit LLC structure with 53 certified beds, and its staffing is the clearest strength: 4.16 nurse hours per resident day sits about 8% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover at 28.6% is well under the national 45.8%. The inspection record is where the picture darkens, 44 deficiencies on file, three tied to abuse, and a 2/5 health inspection rating, though none reached harm or jeopardy. The most recent inspection was October 2024. A 4/5 staffing rating paired with a 2/5 inspection rating tells you the hands are there but the compliance history has been rougher than average.

A

86/100

Fremont Healthcare Center

Fremont, CA · Alameda County

CMS 4/5115 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
36%
Serious cites
0

Fremont Healthcare Center runs 115 beds under for-profit partnership ownership, and the staffing numbers here are the real story: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 7% below its own weekday level. Turnover sits at 36%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in the inspection record, 30 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus one fine of $12,051. The most recent inspection was November 2025. Quality measures score well and staffing is strong; the survey history is where a family should ask questions.

A

86/100

Willows Post Acute

Willows, CA · Glenn County

CMS 5/579 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
39%
Serious cites
0

Willows Post Acute runs 79 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean for a home this size: 20 deficiencies on the books, but none at the harm or jeopardy level and none tied to abuse, with a survey completed in April 2025. The weaker spot is staffing. At 3.77 nurse hours per resident day, it sits just under the national average, and weekend coverage drops roughly 5% below its own weekday level, a gap families should ask about directly, since needs don't pause on Saturdays. Turnover at 38.6% is better than the 45.8% national figure. Quality measures score strongly; direct-care hours are the number to watch.

A

86/100

Vineyard Hills Health Center

Templeton, CA · San Luis Obispo County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.89 /day
Staff turnover
48%
Serious cites
0

Vineyard Hills runs on more nursing hours than most places, 4.89 per resident per day, roughly a quarter above the national average, and that shows up in its four-out-of-five staffing rating. It's not perfect coverage, though: weekends run about 15% thinner than weekdays, and annual turnover sits at 48.1%, a touch above the national figure, so the faces around a resident change fairly often. On the regulatory side, the record is clean where it matters most. Sixteen deficiencies on the current file, but none at the harm level and none tied to abuse, with a five-star health inspection rating and a survey completed in June 2025. Corporate-owned and Medicare-certified for 99 beds.

A

86/100

Lakeport Post Acute

Lakeport, CA · Lake County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
30%
Serious cites
0

Lakeport Post Acute runs leaner than most homes on nurse staffing, 3.51 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover at 29.8% is notably better than the 45.8% national figure, which suggests less churn among the people actually providing care. The inspection record is the harder read: 49 deficiencies, one at harm or jeopardy level and one abuse-related, with a two-star health inspection rating, though the most recent inspection came in June 2025. Quality measures score well, but that reflects resident outcomes on paper, not how consistently the building is staffed or cited.

A

86/100

Alta Gardens Care Center

Garden Grove, CA · Orange County

CMS 3/5129 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
20%
Serious cites
0

Alta Gardens runs 129 certified beds in Garden Grove under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86. Weekends run about 7% leaner than weekdays, so coverage thins out when families tend to visit. Turnover is where it stands apart: 20.4% annually against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in oversight. Inspectors last visited in February 2026 and logged 58 deficiencies, including one at the harm level and two tied to abuse, with a single $8,278 fine. Quality measures score well; the inspection record is the weaker half.

A

86/100

Stoney Point Healthcare Center

Chatsworth, CA · Los Angeles County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
21%
Serious cites
0

Stoney Point runs 132 beds in Chatsworth under for-profit LLC ownership, and its record is a split picture. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and weekends dip about 5% below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is turnover: 21.2% against a national average of 45.8%, meaning this staff largely stays put. Against that, the current inspection record carries 53 deficiencies, including one at the harm level and three abuse-related, with the most recent inspection in July 2025. State surveyors have cited real problems here, even as the same residents' quality measures score well.

A

86/100

The Shores Post-Acute

San Diego, CA · San Diego County

CMS 3/5305 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
26%
Serious cites
0

The Shores Post-Acute runs 305 beds in San Diego under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage barely dips from weekday levels, and turnover is 26.4%, well below the national 45.8%, so the hands-on care is at least consistent week to week. The inspection record is where it gets messier: 61 deficiencies on file, one serious enough to involve harm or jeopardy, though none tied to abuse. State surveyors last visited in December 2024, so that history is fairly current. Solid marks on quality measures and staffing balance against a long citation list, a mixed picture, not a clear yes or no.

A

86/100

Alameda Care Center

Burbank, CA · Los Angeles County

CMS 1/589 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
35%
Serious cites
0

Alameda Care Center in Burbank runs 89 certified beds under corporate for-profit ownership, and the staffing numbers are genuinely better than average: 4.00 nurse hours per resident day against a national 3.86, with a 35.2% turnover rate that's well below the 45.8% national figure. Weekends dip about 8% below weekday staffing, but that's a modest gap. The real concern sits on the inspection side. A 1-out-of-5 health inspection rating, 88 total deficiencies, and seven abuse-related citations on the current record point to persistent problems with how care is delivered and monitored, even though none rose to harm or jeopardy level. The most recent inspection was July 2025, so that record is current.

A

86/100

Vista Real Post Acute

Beaumont, CA · Riverside County

CMS 4/557 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
29%
Serious cites
0

Vista Real Post Acute sits in Beaumont with 57 beds and a for-profit LLC owner, and the numbers tell a mixed story. Staffing runs 4.24 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.8%, well below the 45.8% national figure, meaning aides and nurses tend to stay. But weekends drop about 12% below the home's own weekday staffing, and the inspection record carries 43 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse. A June 2025 inspection is recent, and the 3/5 health inspection rating reflects that record even as quality measures score 5/5. Ask about weekend coverage and how those abuse-related findings were resolved.

A

86/100

Country Crest Post-Acute

Oroville, CA · Butte County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
54%
Serious cites
0

Country Crest runs 4.70 nurse hours per resident day, about 22% above the national average of 3.86, though weekends dip roughly 13% below its own weekday coverage. Turnover sits at 53.7% against a national 45.8%, so the people providing that above-average care keep changing. The current record shows 41 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was January 2026. Quality measures score at the top of CMS's scale even as health inspection and staffing each land mid-range. It's a for-profit limited liability company, 59 beds, in Oroville.

A

86/100

South Bay Post Acute Care

Chula Vista, CA · San Diego County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
41%
Serious cites
0

South Bay Post Acute Care runs 99 beds in Chula Vista under for-profit LLC ownership, and the numbers behind its record are mostly solid. Nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average, though weekends dip about 13% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 40.6%, better than the 45.8% national figure. The home carries 30 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was in May 2025.

A

85.5/100

The Bradley Gardens

San Jacinto, CA · Riverside County

CMS 3/544 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
n/a
Serious cites
0

The Bradley Gardens runs 44 certified beds under for-profit limited liability ownership in San Jacinto, and its nurse staffing sits at 4.13 hours per resident day, about 7% above the national average. Weekends dip roughly 5% below its own weekday level, so coverage thins slightly when families tend to visit. The bigger thing to weigh is the inspection record: 48 deficiencies on file, two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was August 2025. CMS gives it 3 stars for health inspections and staffing, 4 for quality measures. Nothing here signals danger, but the deficiency count and abuse citations are worth raising directly with the administrator.

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