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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 221 to 240 of 842, best-graded first.

A

85/100

Cloverdale Healthcare Center

Cloverdale, CA · Sonoma County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
37%
Serious cites
0

Cloverdale Healthcare Center runs 72 certified beds under for-profit LLC ownership, and the numbers that stand out most are on the care side: a 5/5 health inspection rating with 13 deficiencies on record, none of them causing harm or involving abuse. Total nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends dip about 12% below the home's own weekday levels, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 36.5% is meaningfully better than the 45.8% national figure, which matters for continuity of care. The most recent inspection was December 19, 2025.

A

85/100

Valley Skilled Nursing Center

Modesto, CA · Stanislaus County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
19%
Serious cites
0

Valley Skilled Nursing Center runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 19.2% is less than half the national rate, a genuinely unusual combination in a for-profit, LLC-owned home. Weekend staffing drops about 15% below its own weekday level, so coverage thins out on Saturdays and Sundays. The 48 deficiencies on record include two tied to abuse, though none reached harm or jeopardy, and the last inspection was in March 2025. With 70 beds and a 4-out-of-5 on both health inspections and quality measures, this is a smaller home whose numbers mostly hold up, with the weekend pattern and that deficiency count worth asking about directly.

A

85/100

Country Manor La Mesa Healthcare Center

La Mesa, CA · San Diego County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
27%
Serious cites
0

Country Manor La Mesa runs on 4.12 nurse hours per resident day, about 7% more than the national average, and its weekend staffing dips roughly 8% below its own weekday level, noticeable, though not the kind of drop that usually signals danger. The turnover picture is the real standout: 27% against a national average near 46%, meaning far fewer people are cycling through the building than is typical. Inspectors cited 23 deficiencies, none at the harm level and none abuse-related, and the most recent visit came in January 2025, so the record is current. For-profit, LLC-owned, and it shows in neither the staffing numbers nor the survey history.

A

85/100

Torrance Care Center West, Inc

Torrance, CA · Los Angeles County

CMS 2/5195 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
26%
Serious cites
0

Torrance Care Center West runs 195 certified beds under corporate ownership, and its staffing looks solid on paper, 4.14 nurse hours per resident day, about 7% above the national average, with weekend coverage dipping roughly 8% below its own weekday level. Turnover sits at 25.8%, well under the 45.8% national figure, which suggests a steadier workforce than most. The trouble is inspections: a 1-out-of-5 health inspection rating, 72 deficiencies on the current record including three at harm or jeopardy level and three abuse-related, plus $45,047 in fines across three penalties. Quality measures score 5 out of 5, and the most recent inspection was August 2025, so the picture is current rather than stale. Strong staffing and quality numbers are doing a lot of work here against a serious inspection record.

A

85/100

Watsonville Post Acute Center

Watsonville, CA · Santa Cruz County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
41%
Serious cites
0

Watsonville Post Acute Center runs 95 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The health inspection record shows 35 deficiencies, including one at the harm or jeopardy level, with no abuse citations, and one fine of $8,018. Its last inspection was August 29, 2025, so the record is recent.

A

85/100

Golden Heights Healthcare

Daly City, CA · San Mateo County

CMS 5/5102 bedsFor-profitMedicaid
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Golden Heights runs on 4.43 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 35.5% sits well below the 45.8% norm, that combination is why it holds a 5/5 on CMS staffing. Weekend coverage dips about 10% from weekday levels, worth asking about if your family visits on Saturdays or Sundays. The catch is in the inspection record: 49 deficiencies, including four tied to abuse, though none reached harm or jeopardy level. A March 2025 inspection means the record is current. Corporate-owned and for-profit, it's a well-staffed building with a paper trail that deserves a direct question.

A

85/100

Seal Beach Health And Rehabilitation Center

Seal Beach, CA · Orange County

CMS 2/5198 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
34%
Serious cites
0

Seal Beach Health and Rehabilitation Center runs 198 certified beds under for-profit LLC ownership, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. Retention is where it stands out: 34.2% annual turnover against a national 45.8% means aides and nurses are staying longer than at the typical home, though weekends run about 9% thinner than weekdays. The concern is the inspection record, 128 deficiencies, including 6 tied to abuse, with the most recent survey in April 2025. None of those rose to harm or jeopardy level, but that volume is a lot to carry. Quality measures score well; the inspection side is what's holding this one back.

A

85/100

Lone Tree Post Acute

Antioch, CA · Contra Costa County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Lone Tree Post Acute runs 4.03 total nurse hours per resident day, a bit above the national average of 3.86, and its 33% annual turnover is well below the 45.8% typical elsewhere, both signs of a steadier floor than many homes manage. The catch sits in the inspection record: 29 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was May 2026. Weekend staffing drops about 10% from weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The quality measure score is strong; the health inspection side is more mixed.

A

85/100

Alexandria Care Center

Los Angeles, CA · Los Angeles County

CMS 1/5177 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
17%
Serious cites
0

Alexandria Care Center runs on steady staffing, not flash. Nurse coverage sits just above the national average, and a 16.5% turnover rate is remarkably low next to the 45.8% typical elsewhere, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend coverage dips about 7% below weekdays, so families should ask who's on shift Saturdays and Sundays. The trouble is the inspection record: 115 deficiencies on file, including four tied to abuse, even though none rose to harm or jeopardy level, and the most recent inspection was January 2025. A one-out-of-five health inspection rating against four-out-of-five marks for quality and staffing tells you the care numbers look better than the paperwork trail.

A

85/100

Washington Center

San Leandro, CA · Alameda County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
20%
Serious cites
0

Washington Center runs on a for-profit LLC structure with 99 certified beds, and the numbers tell a steadier story than most. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage does thin out on Saturdays and Sundays. What stands out is the 20.2% annual turnover, less than half the national rate of 45.8%, which suggests a workforce that mostly sticks around. Thirteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection from November 2024. The soft spot is raw staffing hours, not safety.

A

85/100

Casitas Care Center

Granada Hills, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Casitas Care Center in Granada Hills runs on a corporate for-profit model with 99 certified beds, and its staffing picture is genuinely better than most: 4.00 nurse hours per resident day, slightly above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 24.4%, roughly half the national rate, which suggests people stay. The catch is the inspection record, 59 deficiencies on file, including two tied to abuse, and a health inspection rating of 2 out of 5. Nothing reached harm or jeopardy level, and the most recent inspection was March 2026, so the record is current. Quality measures score well. The staffing is real; so is the paper trail.

A

85/100

Mountain View Conv Hosp

Sylmar, CA · Los Angeles County

CMS 2/5114 bedsFor-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
27%
Serious cites
0

Mountain View Conv Hosp runs on a for-profit LLC model with 114 certified beds, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. Turnover is 26.5% against a national 45.8%, so the same caregivers are more likely to stick around. Weekend staffing dips about 9% below its own weekday level. What pulls the record down is the inspection side: 109 deficiencies on file, including one at harm or jeopardy level and seven tied to abuse, with a 1/5 health inspection rating. That's a wide gap between how the place is staffed and how it has actually been cited.

A

85/100

Del Mar Convalescent Hospital

Rosemead, CA · Los Angeles County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
22%
Serious cites
0

Del Mar Convalescent Hospital runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its weekend staffing only dips about 6% below weekday levels, a modest gap. Staff turnover sits at 22%, less than half the national figure of 45.8%, which matters because consistent caregivers tend to know residents' routines. The home carries 26 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was in December 2025, so the record is recent. With 59 beds under corporate for-profit ownership, this is a small operation whose numbers hold up on staffing and inspection history, even if the deficiency count is worth asking about directly.

A

85/100

Victoria Care Center

Baldwin Park, CA · Los Angeles County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
43%
Serious cites
0

Victoria Care Center runs 49 beds in Baldwin Park under for-profit limited liability ownership, and its staffing sits at 4.55 nurse hours per resident day, roughly 18% above the national average. Weekends dip about 10% below its own weekday levels, so coverage isn't perfectly even. Turnover lands at 42.6%, a bit better than the 45.8% national figure, and the last inspection was April 2026. The health inspection rating is 4 out of 5 and quality measures are 5 out of 5, yet the record carries 38 deficiencies, including 2 tied to abuse. None were cited at the harm or jeopardy level. Strong clinical marks and low harm findings, but that deficiency count is worth asking about directly.

A

85/100

Linwood Meadows Care Center

Visalia, CA · Tulare County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

Linwood Meadows runs 4.03 nurse hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 8% below its own weekday staffing. Turnover sits at 36.4%, better than the 45.8% national figure, which matters for continuity of care. The catch is the inspection record: 54 deficiencies on file, including one abuse-related citation, with no harm-level findings, and the last state visit was May 2025. Quality measures score well, but the 2/5 inspection rating is where the real story lives. This is a for-profit LLC with 98 beds, and the numbers suggest decent daily care alongside a documented compliance history worth asking about directly.

A

85/100

Hillcrest Post Acute

Petaluma, CA · Sonoma County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
26%
Serious cites
0

Hillcrest Post Acute runs on more nursing hours than most homes in the country, 4.38 per resident day against a national average of 3.86, and its staff tends to stay: turnover sits at 25.9% where the typical facility loses closer to 46% of its nurses a year. Weekend coverage dips roughly 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays. The 30 deficiencies on record include two tied to abuse, though none rose to the level of harm or jeopardy, and the most recent inspection came in September 2025. It's a for-profit LLC with 59 beds.

A

85/100

Oak River Rehab

Anderson, CA · Shasta County

CMS 5/5143 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
40%
Serious cites
0

Oak River Rehab runs 143 certified beds in Anderson under for-profit LLC ownership, and the numbers behind its grade hold up under a closer look. Nurse staffing sits at 3.94 hours per resident per day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 40.3% is better than the national 45.8%, which matters for whether the same aides keep showing up. The 19 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was December 2024.

A

85/100

Lincoln Square Post Acute Care

Stockton, CA · San Joaquin County

CMS 3/568 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
6%
Serious cites
0

Lincoln Square runs on a notably stable crew, 6.1% annual turnover against a national average near 46% is the kind of number that usually shows up in how consistently residents get the same aides. Nurse staffing lands at 4.03 hours per resident day, a bit above the national figure, though weekends dip about 11% below weekdays, so coverage isn't perfectly even across the week. The inspection record is doing the dragging: 46 deficiencies on file, including one abuse-related citation, with the last state visit in March 2026. Family members should ask about that abuse finding specifically and how weekend shifts are covered.

A

85/100

The Springs Healthcare Center At The Carlotta

Palm Desert, CA · Riverside County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
45%
Serious cites
0

The Springs Healthcare Center At The Carlotta runs on a for-profit LLC model with 59 certified beds in Palm Desert, and its recent inspection history is mixed. A June 2025 survey found 24 deficiencies on record, including one at the harm or jeopardy level and one tied to abuse, the kind of findings that carry real weight regardless of the star ratings. Nurse staffing sits at 4.60 hours per resident day, about 19% above the national average, though weekends run roughly 9% lighter than weekdays. Staff turnover lands at 45%, essentially matching the national rate. The inspection and quality measure ratings hold up well, but the deficiency record and weekend staffing dip are worth asking about directly.

A

85/100

Turlock Nursing And Rehabilitation Center

Turlock, CA · Stanislaus County

CMS 3/5144 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
35%
Serious cites
0

Turlock Nursing and Rehabilitation Center runs 144 beds under for-profit limited liability ownership that changed hands within the past year. Its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, and weekends dip about 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover of 34.9% beats the national 45.8%, which matters for consistency of care. The current record carries 41 deficiencies, none at harm or jeopardy level, but two tied to abuse. A March 2026 inspection is recent enough to reflect present conditions.

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