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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 241 to 260 of 842, best-graded first.

A

85/100

Rancho Mirage Health And Rehabilitation Center

Rancho Mirage, CA · Riverside County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
27%
Serious cites
0

Rancho Mirage Health and Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86. Weekend coverage dips about 8% below the home's own weekday level, so the weekday numbers are the stronger ones. Annual staff turnover is 26.7%, well under the national 45.8%, which matters for continuity of care. The tradeoff shows up in the inspection record: 44 deficiencies on file, two tied to abuse, though none at the harm or jeopardy level. The most recent inspection was February 2025.

A

85/100

Diamond Ridge Healthcare Center

Pittsburg, CA · Contra Costa County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
25%
Serious cites
0

Diamond Ridge runs a for-profit operation with 120 certified beds, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, and turnover runs 24.6%, which is notably lower than the national 45.8%; keeping direct-care staff in place matters more than a single good week on paper. The concerning piece is the inspection record: 49 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a $42,033 fine. The last full inspection was August 2024. Strong staffing and quality marks coexist here with a troubled survey history, which is exactly the tension a family should weigh.

A

85/100

Stanford Court Skilled Nursing & Rehab Center

Santee, CA · San Diego County

CMS 5/5105 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
29%
Serious cites
0

Stanford Court runs on 4.34 nurse hours per resident day, roughly 12 percent above the national average, and its staff turnover of 29.3 percent sits well under the 45.8 percent national figure, a sign people tend to stay. The trade-off is consistency: weekend staffing drops about 14 percent from weekday levels. Inspectors have logged 45 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent visit was December 2025. The 4-star health inspection and 5-star quality measures carry more weight than the 3-star staffing rating, which reflects that above-average hours don't guarantee even coverage across the week.

A

85/100

Copper Ridge Care Center

Redding, CA · Shasta County

CMS 5/5125 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
41%
Serious cites
0

Copper Ridge Care Center in Redding runs a for-profit corporate operation with 125 certified beds, and the numbers tell a mixed story worth understanding. Nurse staffing sits at 4.29 hours per resident day, roughly 11% above the national average, though weekends drop about 12% below the home's own weekday levels, a gap families often notice when visiting Saturday or Sunday. Turnover runs 40.6%, better than the 45.8% national figure, which matters for continuity of care. On inspections, the home earned 5 out of 5 stars with its most recent survey in December 2025, but the record shows 16 deficiencies, including one at the harm or jeopardy level. No abuse citations appear.

A

85/100

Vintage Faire Nursing & Rehabilitation Center

Modesto, CA · Stanislaus County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
44%
Serious cites
0

Vintage Faire runs about 4.19 nurse hours per resident per day, roughly 8% above the national average, though weekends dip about 12% below its own weekday staffing. Staff turnover sits at 44.1%, a touch under the national 45.8%, so the team is comparatively stable. What holds it back is the inspection record: 73 deficiencies on file, including one abuse-related citation, with no harm-level findings, and a 2-star health inspection rating despite a 5-star quality measure score. The last inspection was April 11, 2025, so the record is recent. This for-profit LLC- owned home has real clinical strengths, but the survey history is worth asking about directly.

A

85/100

Avondale Villa Post-Acute

Livermore, CA · Alameda County

CMS 5/537 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
36%
Serious cites
0

Avondale Villa runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 36.4% sits well below the national 45.8%. Both of those matter in a 37-bed home, where you're not just a room number. The catch is weekends: staffing drops about 10% below its own weekday level, so ask how that plays out on a Sunday afternoon. Inspections give a mixed picture, 36 deficiencies on record with none at the harm level, but one tied to abuse. The last full inspection was May 2025, so the record is current. It's for-profit, run by an LLC, with quality scores that look better than its inspection history.

A

85/100

Ocean View Post Acute

Escondido, CA · San Diego County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
34%
Serious cites
0

Ocean View Post Acute runs about 4.13 nurse hours per resident day, roughly 7% above the national average, and weekend coverage dips only about 8% below its own weekday levels. Staff turnover sits at 33.6%, well under the 45.8% national figure, that kind of retention matters more than a single staffing number. The trade-off shows up in its inspection record: 42 deficiencies on file, one of them serious enough to reach harm or jeopardy level, though none involve abuse. State inspectors were last on site in June 2025. At 120 beds under for-profit LLC ownership, quality measures score well, but that volume of deficiencies is worth asking about directly before you commit.

A

85/100

Vista Manor Nursing Center

San Jose, CA · Santa Clara County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
37%
Serious cites
0

Vista Manor sits in San Jose with 99 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.31 nurse hours per resident day against a national average of 3.86. Turnover runs 36.5%, well under the 45.8% national figure, which matters for whether you see the same faces month to month. The catch is weekends, when hours drop about 13% below the home's own weekday level. Inspections in October 2024 produced 23 deficiencies, none at harm or jeopardy level but one abuse-related, and the staffing star comes in at 3/5 against 5/5 for inspections and quality measures. Worth asking about weekend coverage and that abuse citation directly.

A

85/100

Redwood Healthcare Center Llc

Oakland, CA · Alameda County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
26%
Serious cites
0

Redwood Healthcare Center runs 44 beds in Oakland under a for-profit LLC, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so ask how that gap gets covered when your family member needs help on a Saturday. Staff turnover is 25.6%, well under the national 45.8%, which suggests a steadier crew than most. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the last inspection was August 2024.

A

85/100

Oakland Heights Nursing And Rehabilitation

Oakland, CA · Alameda County

CMS 5/548 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
35%
Serious cites
0

Oakland Heights runs 4.52 nursing hours per resident day, well above the 3.86 national average, and its staff turnover of 35.4% beats the national 45.8%, a combination that usually shows up in day-to-day care. The catch is weekends, when staffing drops about 10% below its own weekday level. On inspections, the home has 21 deficiencies with none at the harm level, though one is abuse-related, and a single fine of $7,409. Its most recent inspection was April 2025, so the record is current. For-profit corporate ownership, 48 beds, and quality measures that score at the top of CMS's scale.

A

85/100

Glendale Healthcare Center

Glendale, CA · Los Angeles County

CMS 4/548 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
26%
Serious cites
0

Glendale Healthcare Center runs 48 certified beds as a for-profit, individually owned home, and the staffing numbers are its clearest strength: 4.06 nurse hours per resident day, roughly 5% above the national average. Weekend coverage dips about 7% below its own weekday level, and turnover sits at 26.4%, well under the 45.8% national figure, which matters for whether caregivers actually stick around. The tradeoff shows up in its record: 23 deficiencies, though none at the harm or jeopardy level and none abuse-related, with a February 2026 inspection keeping that picture current. Solid marks on health inspections and quality measures, thinner on staffing, tell you where the unevenness lies.

A

85/100

Lindsay Gardens Nursing & Rehabilitation

Lindsay, CA · Tulare County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
40%
Serious cites
0

Lindsay Gardens runs about 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.78 hours per resident day, a bit under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Turnover is where it stands out: 39.8% annually against a national 45.8%, meaning staff tend to stick around longer than at the typical home. The 31 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was January 8, 2026, so the picture is current. Its quality measure rating is strong; the inspection and staffing ratings are middling.

A

85/100

Courtyard Care Center

Signal Hill, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
42%
Serious cites
0

Courtyard Care Center runs 4.35 nurse hours per resident day, roughly 13% above the national average, and its 41.5% turnover is a bit better than the typical 45.8%. Weekend staffing, though, drops about 12% below its own weekday level, so coverage thins out when families tend to visit. The concerning number is 49 deficiencies on the current record, including one abuse-related citation, with no harm-level findings, and a 2/5 health inspection rating alongside a 5/5 quality measure score. That split matters: strong clinical metrics but a weaker inspection history at this 59-bed for-profit corporate home in Signal Hill.

A

85/100

Cedar Crest Nursing And Rehabilitation Center

Sunnyvale, CA · Santa Clara County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
24%
Serious cites
0

Cedar Crest runs a for-profit operation with 99 beds, and the staffing numbers are the strongest part of the picture. At 4.27 nurse hours per resident day, it sits about 11% above the national average, though weekends drop roughly 13% below the home's own weekday coverage. Turnover is 23.8%, well under the 45.8% national figure, which matters for consistency of care. The 32 deficiencies on record sound high until you see none reached harm or jeopardy level and none involved abuse. The most recent inspection was August 2025. Quality measures scored 5/5, staffing 4/5, health inspections 3/5, solid on outcomes, thinner on the inspection side.

B

84.5/100

Brookside Healthcare Center

Redlands, CA · San Bernardino County

CMS 4/597 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
35%
Serious cites
0

Brookside runs on more nursing hours than most homes in the country, about 4.54 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 35.1% versus roughly 46% nationally. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on a Sunday. The 32 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in October 2024. Corporate for-profit ownership, 97 beds. The weak spot is inspections, not care delivery; quality and staffing measures both sit well above average.

B

84.5/100

Monterey Healthcare & Wellness Centre, Lp

Rosemead, CA · Los Angeles County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
n/a
Serious cites
0

Monterey Healthcare & Wellness Centre runs 96 certified beds in Rosemead under individual for-profit ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 9% below its own weekday level. The tradeoff shows up in its record: 59 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,021. Its last inspection came 2026-03-27, and the health inspection rating sits at 2 out of 5 stars even as quality measures score 4 and staffing scores 5. Strong hands-on hours, but a citation history that a family should ask about directly.

B

84/100

Merced Nursing & Rehabilitation Ctr

Merced, CA · Merced County

CMS 4/579 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
55%
Serious cites
0

Merced Nursing & Rehabilitation runs 4.29 nurse hours per resident day, roughly 11% above the national average, which is the main reason its numbers hold up. But weekends drop about 11% below its own weekday staffing, and annual turnover sits at 54.5% against a national 45.8%, that churn matters more than the headline staffing figure. The inspection record shows 24 deficiencies, one abuse-related, though none rose to harm or jeopardy level, and the most recent visit was April 2025. At 79 beds under corporate for-profit ownership, this is a home with real clinical strengths and a thin margin for error when regular staff cycle out.

B

84/100

Autumn Hills Health Care Center

Glendale, CA · Los Angeles County

CMS 3/592 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
34%
Serious cites
0

Autumn Hills runs a stable workforce by nursing home standards, 33.7% turnover against a national average near 46%, and nurse staffing of 4.34 hours per resident day sits about 13% above the national figure. Weekend coverage thins out roughly 9% below weekday levels, so ask how that plays out on Saturdays. The trouble sits in inspections: 50 deficiencies on the current record, including 2 at the harm or jeopardy level and 4 tied to abuse. That's a lot of findings for a 92-bed home, and the 2-out-of-5 inspection rating reflects it. One fine totaling $14,387 has been levied. The last inspection was June 2025, so the record is recent.

B

84/100

Katherine Healthcare

Salinas, CA · Monterey County

CMS 2/551 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
29%
Serious cites
0

Katherine Healthcare runs 51 certified beds in Salinas under corporate ownership, and its staffing is the brightest spot in the file: 4.14 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 29.2%, well under the national 45.8%, which matters for continuity of care. The trouble is the inspection record, 50 deficiencies, four of them abuse-related, though none rose to harm or jeopardy, and the most recent inspection came in September 2025. Health inspection scoring lands at 2 out of 5 stars, below the 3 for quality measures and 4 for staffing. That mix is what holds the overall grade at a B.

B

84/100

The Grove Post-Acute

Woodland, CA · Yolo County

CMS 4/5140 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
41%
Serious cites
0

The Grove Post-Acute runs on a for-profit LLC structure with 140 certified beds in Woodland, and its staffing numbers land slightly above the national average, about 4.07 nurse hours per resident day versus 3.86 nationally. That edge shrinks on weekends, when coverage drops roughly 8% below its own weekday level, though turnover at 40.6% sits under the national 45.8%, which matters for whether care stays consistent. The inspection record shows 45 deficiencies, none at harm or jeopardy level, but six tied to abuse, a pattern worth asking about directly. State inspectors last visited in May 2026, and the home earns 4 out of 5 stars across health inspections, quality measures, and staffing.

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