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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 261 to 280 of 842, best-graded first.

B

84/100

Brookfield Healthcare Center

Downey, CA · Los Angeles County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
36%
Serious cites
0

Brookfield Healthcare Center runs 4.02 nurse hours per resident day, about 4% above the national average, though weekends dip roughly 8% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 36.4%, meaningfully better than the 45.8% national figure, which matters for whether your parent sees the same aides month to month. The tradeoff shows up in the inspection record: 27 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related. A 4-out-of-5 inspection rating and a December 2025 survey suggest the home has been correcting problems, but that one harm-level finding is the number to press them on directly.

B

84/100

Canyon Springs Post-Acute

San Jose, CA · Santa Clara County

CMS 4/5199 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
32%
Serious cites
0

Canyon Springs Post-Acute runs 199 certified beds in San Jose under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, about 5% under the national average of 3.86. Weekend coverage dips roughly 4% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover is the bright spot: 31.6% against a national 45.8% means the aides and nurses here stick around longer than most, which matters for residents who need consistent hands. The inspection record is where caution creeps in, 53 total deficiencies, one at harm or jeopardy level and one abuse-related, though the most recent survey was May 2025, so that picture is fairly current.

B

84/100

Pacific Heights Transitional Care Center

San Francisco, CA · San Francisco County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
42%
Serious cites
0

Pacific Heights Transitional Care Center runs on 4.09 nurse hours per resident day, roughly 6% above the national average, though weekends drop about 9% below its own weekday staffing. Staff turnover sits at 42%, a bit better than the 45.8% national figure. The record shows 27 deficiencies, none involving harm or abuse, along with one fine of $25,490, and the most recent inspection was March 13, 2026. This is a for-profit LLC with 120 certified beds and a 4-out-of-5 inspection rating. What stands out most is the combination of steady weekday coverage, no harm-level findings, and turnover that beats the norm.

B

84/100

Mission Carmichael Healthcare Center

Carmichael, CA · Sacramento County

CMS 3/5135 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Mission Carmichael runs 135 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national figure of 3.86. Weekends dip about 7% below the home's own weekday coverage, so if your visits fall on a Saturday or Sunday, expect a thinner floor than midweek. Staff turnover comes in at 38.5%, which is meaningfully better than the 45.8% national average; that kind of retention usually shows up in how well aides know the residents. The weight on the other side is the record: 53 deficiencies, 2 tied to abuse, and a 2/5 inspection rating. None of those deficiencies were cited at the harm or jeopardy level, and the most recent inspection was March 2025, recent enough to be worth reading in full before you decide.

B

84/100

Heritage Rehabilitation Center

Torrance, CA · Los Angeles County

CMS 2/5161 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Heritage Rehabilitation Center sits in Torrance with 161 certified beds, run by a for-profit LLC. The staffing numbers look strong on paper, 4.65 nurse hours per resident day, roughly 20% above the national average, with weekend coverage dipping about 10% below weekdays, and turnover at 30.5% beats the national 45.8%. But the inspection record tells a different story: a 1-out-of-5 health inspection rating, 59 deficiencies on file, five at harm or jeopardy level, three tied to abuse, and $38,687 in fines across three penalties. The most recent inspection was June 13, 2025. Good staffing can't offset that pattern of serious findings.

B

84/100

Walnut Creek Skilled Nursing & Rehabilitation Cent

Walnut Creek, CA · Contra Costa County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
32%
Serious cites
0

Walnut Creek Skilled Nursing & Rehabilitation Cent runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.47 hours per resident day, roughly 42% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 9% below its own weekday level. Staff turnover comes in at 32.1%, meaningfully below the 45.8% national figure, which suggests less churn than many homes. The trade-off shows up in its record: 57 deficiencies, none at harm or jeopardy level but two tied to abuse, with a 3/5 health inspection rating against 4/5 for quality measures. Its last inspection was June 13, 2025.

B

84/100

North Park Post-Acute

Tracy, CA · San Joaquin County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
50%
Serious cites
0

North Park Post-Acute runs 99 certified beds in Tracy under limited-liability, for-profit ownership. Its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, but weekend coverage dips about 6% below its own weekday level, and annual turnover comes in at 50% against a national 45.8%, so the people providing that care are changing over fairly often. The inspection record shows 44 deficiencies, one of them serious enough to involve harm or jeopardy; none are abuse-related, and the most recent inspection was January 2026. Quality measures score well, and staffing holds up on paper, which is what keeps this home in decent territory despite the citation count.

B

84/100

Carmel Mountain Rehabilitation & Healthcare Center

San Diego, CA · San Diego County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
40%
Serious cites
0

Carmel Mountain runs 5.02 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 40% is a bit better than the typical 45.8%. That's the good news. The inspection record is where it gets harder: 53 deficiencies, one of them serious enough to cause harm, though none involve abuse. Health inspection rating sits at 2 out of 5 stars. Weekend staffing dips about 8% below its own weekday levels, which matters if you're visiting on a Saturday. The quality measure score is perfect, but that's largely self-reported. With a for-profit LLC owner and a recent April 2025 inspection, the staffing numbers are real, the safety record is the open question.

B

84/100

American River Center

Carmichael, CA · Sacramento County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
36%
Serious cites
0

American River Center runs on 3.90 nurse hours per resident per day, just a hair above the national average, though weekends dip about 6% below what the home staffs during the week. Staff turnover sits at 36%, notably lower than the 45.8% national figure, which matters for continuity of care. The 24 deficiencies on record include two tied to abuse, but none rose to the level of actual harm or jeopardy, and the most recent inspection came in April 2026. This is a for-profit limited liability operation in Carmichael, and the pattern here is a home that inspects well and keeps its workers longer than most, with the abuse citations and weekend staffing gap as the things worth asking about directly.

B

84/100

Crystal Creek Post-Acute

Stockton, CA · San Joaquin County

CMS 2/5152 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
42%
Serious cites
0

Crystal Creek Post-Acute runs 152 beds in Stockton under for-profit LLC ownership, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, though weekends dip roughly 6% below its own weekday levels. Turnover is 42.4%, a bit better than the 45.8% national figure, and its quality measure rating is strong at 4 out of 5. The trouble is the inspection record: 61 deficiencies, including one at harm or jeopardy level and four tied to abuse, with the most recent inspection in December 2025. Staffing and quality look reasonable; the enforcement history is what pulls this home down.

B

84/100

Courtyard Care Center

San Jose, CA · Santa Clara County

CMS 3/576 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
38%
Serious cites
0

Courtyard Care Center sits in San Jose with 76 certified beds and an owner that's a for-profit limited liability company. Nurse staffing runs 4.21 hours per resident day, about 9% above the national average, though weekends fall roughly 10% below the home's own weekday level. Annual turnover of 37.8% is better than the 45.8% national figure. The inspection record is the real question mark: 41 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection on January 31, 2025. Staffing looks solid on paper; the citation history is what a family should ask about directly.

B

84/100

San Juan Hills Healthcare Center

San Juan Capistrano, CA · Orange County

CMS 4/545 bedsFor-profit
Nurse hours
5.08 /day
Staff turnover
37%
Serious cites
0

San Juan Hills Healthcare Center runs 45 certified beds in San Juan Capistrano under for-profit LLC ownership, and its staffing is the strongest thing it has going: 5.08 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, and staff turnover sits at 36.8%, better than the 45.8% national figure, though still meaning more than a third of the workforce leaving each year. The current record shows 64 deficiencies, one of them serious enough to involve harm or jeopardy, with no abuse citations. Inspectors were last on site January 22, 2026, so the picture is recent.

B

84/100

Gridley Post Acute

Gridley, CA · Butte County

CMS 4/582 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
39%
Serious cites
0

Gridley Post Acute runs 4.36 nurse hours per resident day, roughly 13 percent above the national average, though weekend coverage dips about 10 percent below its own weekday level. Staff turnover sits at 39.3 percent, lower than the 45.8 percent national figure, which matters because consistent caregivers tend to know residents' routines. The home carries 15 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2025, so the picture is reasonably current. It's a for-profit LLC with 82 beds in Butte County, rated 5 stars on health inspections and 4 on both quality measures and staffing. The weak spots are the weekend staffing drop and the sheer count of deficiencies, even minor ones.

B

83.5/100

Palomar Vista Healthcare Center

Escondido, CA · San Diego County

CMS 2/574 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
n/a
Serious cites
0

Palomar Vista runs 4.52 nurse hours per resident day, about 17% above the national average of 3.86, that's real coverage, and it's why staffing scores well. Weekend hours dip roughly 14% below weekdays, so care can thin out on Saturdays and Sundays. The health inspection side is weaker: a 2-out-of-5 rating, with 51 deficiencies on record, one tied to abuse. None of those were cited at the harm or jeopardy level, which matters, but the volume is high. A recent September 2025 inspection means the record is current. Overall you're looking at a home that staffs better than average but has a history of inspection problems worth asking about directly.

B

83.5/100

Palm Terrace Care Center

Riverside, CA · Riverside County

CMS 4/571 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
44%
Serious cites
0

Palm Terrace runs 4.41 nurse hours per resident day, about 14% above the national average, though weekends dip roughly 15% below its own weekday numbers. Its 25 deficiencies include none at the harm or jeopardy level and one abuse-related citation, with an inspection in May 2025 keeping the record current. Staff turnover sits at 43.5%, slightly better than the 45.8% national rate, and the 5/5 quality measure rating stands out against a 3/5 on inspections and a 3/5 on staffing. For a 71-bed corporate-owned home, the care metrics look stronger than the compliance record, and the weekend gap is worth asking about directly.

B

83/100

Creekside Healthcare Center

San Pablo, CA · Contra Costa County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
39%
Serious cites
0

Creekside Healthcare Center runs 80 certified beds in San Pablo under for-profit partnership ownership. The staffing numbers stand out: 5.13 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on care, though weekend coverage dips about 8% below its own weekday level. Turnover sits at 38.8%, better than the 45.8% national figure but still meaning more than a third of staff leaving in a year. Inspections in August 2025 turned up 21 deficiencies, none at the harm or jeopardy level, with one abuse-related citation on the record. The 4/5 health inspection and 5/5 staffing ratings carry the weight here; quality measures land at 3/5.

B

83/100

Monterey Park Conv Hosp

Monterey Park, CA · Los Angeles County

CMS 5/589 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
11%
Serious cites
0

Monterey Park Conv Hosp runs on a for-profit LLC model with 89 certified beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so the weekday numbers flatter the picture slightly. Turnover is the real standout: 11% annual staff turnover against a national average of 45.8%, which is unusually stable for this industry. That stability shows up elsewhere too, a 5/5 quality measure rating and zero deficiencies at the harm or jeopardy level. But there are 38 total deficiencies on the current record, including one abuse-related citation, and the health inspection rating is only 3/5 despite an inspection as recent as May 2025. The staffing-to-resident ratio is solid; the inspection history is the part worth asking about directly.

B

83/100

San Jacinto Valley Post Acute

Hemet, CA · Riverside County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
27%
Serious cites
0

San Jacinto Valley Post Acute runs a tight ship on the things that matter most. Nurse staffing sits at 3.94 hours per resident day, a hair above the national average, and the home holds onto its workers far better than most, 26.6% turnover against a national rate of 45.8% means familiar faces, which tends to matter more to families than a staffing star rating suggests. The 4/5 inspection and 5/5 quality scores back that up, though 32 deficiencies on record and one abuse-related finding are worth asking about directly. Weekend coverage dips about 7% below weekdays, so if you're visiting on a Saturday, pay attention to how quickly call lights get answered.

B

83/100

La Mesa Healthcare Center

La Mesa, CA · San Diego County

CMS 4/594 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
34%
Serious cites
0

La Mesa Healthcare Center runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its 33.7% turnover is well below the 45.8% norm, a sign people tend to stay. Weekends dip about 8% below weekday staffing, so coverage is thinner then. The tradeoff shows in its record: 38 deficiencies, none at harm or jeopardy level, but one abuse-related finding, and a 2/5 staffing star despite the decent hours. Inspectors last visited in March 2025, and the 4/5 inspection and 5/5 quality ratings suggest care outcomes hold up. For a for-profit LLC with that many citations, the question is whether the abuse finding was a one-off or a pattern.

B

83/100

Downey Post Acute

Downey, CA · Los Angeles County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
39%
Serious cites
0

Downey Post Acute runs a 99-bed for-profit operation where the nursing hours work out to 4.29 per resident day, roughly 11% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 12% below the home's own weekday level, so the weekday number flatters the week as a whole. Staff turnover sits at 39.3%, better than the 45.8% national figure, meaning fewer caregivers are cycling out the door than is typical. The harder part is the inspection record: 55 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $13,575. The most recent inspection was May 2026.

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