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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 201 to 220 of 842, best-graded first.

A

85.5/100

Lake Balboa Care Center

Van Nuys, CA · Los Angeles County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.95 /day
Staff turnover
27%
Serious cites
0

Lake Balboa Care Center runs about 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and its staff turnover of 26.7% sits well under the national 45.8%. Weekend coverage, though, drops about 17% below its own weekday level, so care can thin out when families visit. The current record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in April 2026. State survey results land at 3 out of 5 stars, while the quality measures score 5 out of 5. For-profit corporate ownership, 50 beds.

A

85.5/100

Canyon Creek Post-Acute

Castro Valley, CA · Alameda County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
n/a
Serious cites
0

Canyon Creek Post-Acute runs 4.54 nursing hours per resident per day, roughly 18% above the national average, though weekends drop about 12% below its own weekday levels. Inspectors have been in recently, the last visit was November 2024, and the record shows 26 deficiencies, including one at the harm level and one abuse-related, which is worth asking about directly. The 70-bed home is owned by a for-profit limited liability company. Its staffing, inspection, and quality measure ratings all sit at 4 out of 5 stars, so the numbers are solid without being spotless.

A

85/100

Pleasant Hill Post Acute

Pleasant Hill, CA · Contra Costa County

CMS 4/551 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
30%
Serious cites
0

Pleasant Hill Post Acute runs about 51 beds under for-profit ownership, and its nurse staffing sits roughly 9% above the national average, which is the main reason its numbers hold up. Weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. The 30% annual turnover is notably lower than the 45.8% national figure, meaning the staff you meet are more likely to still be there next year. Its inspection record shows 21 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025.

A

85/100

Parkway Hills Nursing & Rehabilitation

La Mesa, CA · San Diego County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
35%
Serious cites
0

Parkway Hills runs 60 beds in La Mesa under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly ahead of the national 3.86 average. Weekends drop about 9% below weekday coverage, so if your family visits on a Sunday, expect a thinner floor than midweek. Turnover lands at 34.9%, well under the 45.8% national figure, which suggests aides and nurses are staying put longer than at the typical home. The state inspected most recently in September 2025 and found 51 deficiencies on the current record, none rising to harm or jeopardy, though two are abuse-related and worth asking about directly.

A

85/100

Garden View Post Acute Rehabilitation

Baldwin Park, CA · Los Angeles County

CMS 4/597 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
40%
Serious cites
0

Garden View Post Acute Rehabilitation runs 97 certified beds in Baldwin Park under for-profit LLC ownership, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That edge narrows on weekends, which run roughly 12% below the home's own weekday level. Staff turnover lands at 39.6%, better than the 45.8% national figure, and the last inspection was recent, February 2026. The record shows 45 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. Federal stars split: 5/5 on quality measures, 3/5 on both health inspections and staffing. What you're weighing is a home with real clinical quality marks and decent retention against a lengthy deficiency list and thinner weekend coverage.

A

85/100

The Vineyards Healthcare Center

Livermore, CA · Alameda County

CMS 5/583 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
41%
Serious cites
0

The Vineyards Healthcare Center runs 83 certified beds in Livermore under corporate for-profit ownership, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average. Weekend coverage dips about 10% below its own weekday level, which is worth knowing if you'll be visiting on Saturdays and Sundays. Turnover lands at 41.1%, a bit better than the 45.8% national figure, so the crew here is somewhat more stable than most. Inspections in December 2024 produced 26 deficiencies, none at harm or jeopardy level and none abuse-related, and the quality measure rating came back strong at 5/5.

A

85/100

Fairmont Rehabilitation Hospital

Lodi, CA · San Joaquin County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
35%
Serious cites
0

Fairmont Rehabilitation Hospital in Lodi runs 4.55 nurse hours per resident day, about 18% above the national average, and its weekend staffing dips roughly 12% below its own weekday level, a gap worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover sits at 34.7%, noticeably better than the 45.8% national figure, which matters for continuity. The tradeoff shows up in inspections: 25 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in January 2025.

A

85/100

Monrovia Post Acute

Duarte, CA · Los Angeles County

CMS 3/582 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
40%
Serious cites
0

Monrovia Post Acute sits in Duarte with 82 certified beds, run by a for-profit limited liability company. The staffing numbers are the bright spot: 4.36 nurse hours per resident day, roughly 13% above the national average, and turnover at 39.5% is better than the 45.8% national figure. Weekends run about 12% leaner than weekdays, so coverage isn't perfectly even. The inspection record is where the picture darkens, 59 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. A 2/5 health inspection rating against a 5/5 quality measure score is a strange split. The last inspection was April 2026, so that record is current.

A

85/100

Lomita Post-Acute Care Center

Lomita, CA · Los Angeles County

CMS 3/571 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
35%
Serious cites
0

Lomita Post-Acute runs 71 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average. Weekends dip about 13% below its own weekday coverage, so the weekday number is the better one. Annual turnover of 35.3% is meaningfully lower than the 45.8% national figure, which suggests less churn than most homes manage. Where it gets complicated is inspection history: 51 deficiencies on the current record, including one abuse-related citation, with no harm or jeopardy findings. The health inspection rating lands at 2 out of 5, while quality measures come in at 5 out of 5. That split is worth understanding before you visit, ask about the abuse citation and what changed after it.

A

85/100

Mission Valley Post Acute

Fremont, CA · Alameda County

CMS 4/585 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
33%
Serious cites
0

Mission Valley Post Acute runs about 4.06 nurse hours per resident day, roughly 5% above the national average, though weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 33.3%, well under the national 45.8%, which matters for continuity of care. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was October 2024. It's a for-profit limited liability company with 85 certified beds in Fremont, holding 5 out of 5 stars on both health inspections and quality measures, with staffing at 4. The weaker point is weekend consistency, not safety or clinical quality.

A

85/100

La Paloma Healthcare Center

Oceanside, CA · San Diego County

CMS 5/593 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
40%
Serious cites
0

La Paloma Healthcare Center sits in Oceanside with 93 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.95 hours per resident day, a bit above the national average of 3.86, though weekends dip about 6% below its own weekday levels. Staff turnover is 40.2%, better than the national 45.8%. The inspection history is the part worth pausing on: 30 deficiencies on record, including one at the harm or jeopardy level and three tied to abuse. The last inspection was April 17, 2025, so that record is recent. Strong marks on health inspections and quality measures sit alongside those deficiencies, and the staffing rating lands in the middle. Read the inspection detail before deciding.

A

85/100

Huntington Drive Health And Rehabilitation Center

Arcadia, CA · Los Angeles County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
32%
Serious cites
0

Huntington Drive runs a for-profit operation under an LLC, and the numbers pull in two directions. Nurse staffing sits at 4.02 hours per resident day, a bit above the national figure, and weekend coverage only dips about 9% below weekdays, but that staff turns over at 31.9%, better than the national 45.8%, so people tend to stay. The trouble is the inspection record: 82 deficiencies, six tied to abuse, and a one-star health inspection rating, though nothing on the current record rises to actual harm or jeopardy. Quality measures score four stars, and the last inspection was February 2026, so it's recent.

A

85/100

Claremont Care Center

Pomona, CA · Los Angeles County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
38%
Serious cites
0

Claremont Care Center runs 99 beds in Pomona under for-profit LLC ownership, and its staffing numbers are the strongest part of the story: 4.24 nurse hours per resident day, about 10% above the national average. Weekend coverage dips roughly 12% below its own weekday level, so ask how that plays out on Saturdays. Turnover sits at 37.6%, better than the 45.8% national figure, which matters for whether you see the same faces. The current record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection in February 2026. Quality measures score well; inspections are middling.

A

85/100

Hayward Gardens Post Acute

Hayward, CA · Alameda County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
31%
Serious cites
0

Hayward Gardens runs on 4.27 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 30.6% is well below the 45.8% national figure, that combination is harder to find than the bed count suggests. The trade-off sits in the inspection record: 32 deficiencies on file, one serious enough to reach harm or jeopardy level, though none involve abuse. Weekend coverage dips about 12% below weekday levels, which matters for a 75-bed for-profit home where families often visit on Saturdays and Sundays. The last inspection was in May 2026, so the record is current rather than stale.

A

85/100

Niles Canyon Post Acute

Fremont, CA · Alameda County

CMS 5/573 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
21%
Serious cites
0

Niles Canyon Post Acute sits in Fremont with 73 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing runs 4.25 hours per resident day, roughly 10% above the national average, though weekend coverage dips about 9% below its own weekday level, so ask how that gap gets covered. Staff turnover is 21%, less than half the national rate of 45.8%, which matters for whether you see the same faces each visit. Its inspection record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. The quality measure rating is 4 out of 5.

A

85/100

Kingsburg Center

Kingsburg, CA · Fresno County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
25%
Serious cites
0

Kingsburg Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.86 hours per resident day, with weekends about 6% thinner than weekdays. What stands out is retention: 24.7% annual turnover against a 45.8% national average, meaning aides and nurses here tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 47 deficiencies on the current record, two serious enough to involve harm or jeopardy, though none abuse-related. The last survey was October 2024. Quality measures score well at 4/5, so day-to-day care metrics look better than the paper trail from regulators.

A

85/100

Bonita Hills Post Acute

La Habra, CA · Orange County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
39%
Serious cites
0

Bonita Hills Post Acute runs 86 certified beds in La Habra under for-profit LLC ownership, and the staffing picture is genuinely mixed. Total nursing hours sit at 4.28 per resident day, about 11% above the national average of 3.86, and annual turnover of 39.2% is better than the 45.8% national figure. Weekends are the soft spot: coverage drops roughly 10% below the home's own weekday level. The inspection record is where families should slow down. CMS gives it 2 out of 5 stars for health inspections, with 90 deficiencies on the current record, three of them abuse-related. None rose to harm or jeopardy level, and the most recent inspection was August 11, 2025, so the picture is current. Quality measures score 5 out of 5; consistent staffing doesn't cancel out that inspection history.

A

85/100

St. Catherine Healthcare

Fullerton, CA · Orange County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

St. Catherine Healthcare runs 99 beds in Fullerton under corporate ownership, and its staffing sits slightly above the national average at 3.95 hours per resident day, modest, but on the right side of the line. The standout number is turnover: 16.9% against a national average near 46%, which suggests people actually stay. Weekend coverage dips about 7% below weekdays, so ask how that plays out on Saturdays. The inspection record is heavier: 52 deficiencies on file, three tied to abuse, though none reached harm or jeopardy level, and the last survey was recent. Quality measures score well; the inspection side is where the questions live.

A

85/100

Ontario Healthcare Center

Ontario, CA · San Bernardino County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
42%
Serious cites
0

Ontario Healthcare Center runs 59 certified beds under for-profit limited liability ownership, and its last inspection on February 20, 2026, came back clean at the harm level, 23 deficiencies on record, none causing injury or jeopardy, none tied to abuse. Nurse staffing sits at 3.85 hours per resident day, essentially matching the national average of 3.86, though weekends drop about 7 percent below the home's own weekday coverage, so ask how that gap gets filled. Staff turnover of 42.2 percent is a bit better than the 45.8 percent national figure. The inspection and quality measure ratings both come in at 5 out of 5; staffing is the weaker 3, which tracks with the thin weekend margin.

A

85/100

Sunset Park Healthcare

Santa Monica, CA · Los Angeles County

CMS 2/544 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
30%
Serious cites
0

Sunset Park Healthcare runs 44 beds in Santa Monica under for-profit LLC ownership. Nurse staffing sits at 4.63 hours per resident day, about 20% above the national average, and the 30.2% turnover rate is notably lower than the 45.8% typical elsewhere. Weekend coverage, though, runs roughly 13% thinner than weekdays. The health inspection record is a different story: 58 deficiencies on file, one at harm or jeopardy level, and seven tied to abuse. The last inspection was in May 2025. Quality measures rate well, but the inspection history remains the concern a family would want to weigh when deciding.

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