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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 281 to 300 of 842, best-graded first.

B

83/100

Costa Del Sol Healthcare

Los Angeles, CA · Los Angeles County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
33%
Serious cites
0

Costa Del Sol Healthcare runs 99 beds in Los Angeles under for-profit LLC ownership, and its numbers pull in opposite directions. The quality measure score is excellent, but staffing sits at the bottom, one star out of five, and that's the piece families feel daily, since it reflects how many aides and nurses are actually on the floor. The inspection record is heavy: 72 deficiencies, including one at the harm level and three tied to abuse, with a $38,181 fine and a May 2025 inspection. Staff turnover at 33.3% beats the national 45.8%, which helps continuity. Ask about direct-care hours per resident and what changed since that inspection.

B

83/100

Sunny Hills Post Acute

La Mirada, CA · Los Angeles County

CMS 2/5142 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

Sunny Hills Post Acute runs on a for-profit LLC model with 142 beds, and its staffing numbers look better than most, 4.14 nurse hours per resident day, about 7% above the national average, with turnover at 38.1% compared to 45.8% nationally. Weekends dip roughly 8% below its own weekday staffing, which is worth knowing if your visits fall on Saturdays or Sundays. The inspection record is where the picture darkens. A 1-out-of-5 health inspection rating, 89 deficiencies on file, three of them serious enough to put residents in harm's way, and five tied to abuse. Two fines totaling $89,134 sit on the record, and the most recent inspection was February 26, 2026. Strong quality measure scores don't cancel out an inspection history like that, ask hard questions before you sign anything.

B

83/100

Vineyard Care Center

Reedley, CA · Fresno County

CMS 4/556 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
36%
Serious cites
0

Vineyard Care Center runs 56 beds in Reedley under for-profit LLC ownership. Its overall nurse staffing sits at 3.85 hours per resident day, basically level with the national average of 3.86, though weekends dip about 10% below its own weekday coverage. Turnover is 35.7%, which is actually better than the national 45.8%, staff here tend to stick around more than at the typical home. Where the picture darkens is the inspection record: 40 deficiencies, including one at harm or jeopardy level and one tied to abuse, with the most recent inspection in February 2025. The quality measure score is strong, but staffing and health inspection ratings come in lower, and that gap is worth asking about directly.

B

83/100

Citrus Nursing Center

Fontana, CA · San Bernardino County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
32%
Serious cites
0

Citrus Nursing Center in Fontana sits in a corporate for-profit chain and holds 99 certified beds. Nurse staffing comes in at 4.02 hours per resident day, roughly 4% above the national average, though weekend coverage drops about 7% below weekday levels. Staff turnover is 32.2%, notably lower than the 45.8% national average. The current inspection record shows 22 deficiencies, one at the harm level, with no abuse citations and a single fine of $7,446. Its last inspection was July 31, 2025. CMS rated its quality measures and health inspections well but gave staffing only two stars, since those hours concentrate on weekdays while turnover, though low, still leaves gaps a family may notice on weekends.

B

83/100

Country Drive Post Acute

Fremont, CA · Alameda County

CMS 4/5126 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
32%
Serious cites
0

Country Drive Post Acute runs 126 beds in Fremont under for-profit LLC ownership, and its nurse staffing sits at 3.75 hours per resident day, roughly 3% under the national average, with weekends dipping about 4% below its own weekday levels. That said, turnover lands at 31.8% against a national average of 45.8%, a meaningful retention advantage. The home's current record shows 37 deficiencies, one at the harm or jeopardy level and none abuse-related, with its most recent inspection in April 2025, so the paperwork is fairly fresh. CMS gives it 3 of 5 stars on health inspections but 4 on both quality measures and staffing.

B

83/100

Ceres Postacute Care

Ceres, CA · Stanislaus County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
34%
Serious cites
0

Ceres Postacute Care runs 46 beds under corporate ownership, and its nurse staffing sits at 3.88 hours per resident day, barely above the national figure, with weekend coverage dipping about 5% below its own weekday levels. Turnover is where it separates itself: 34.1% against a national average of 45.8%, which means the aides and nurses here tend to stick around longer than at the typical home. The inspection record is the harder read. Thirty-seven deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. The last survey was in May 2025, so the findings are recent. Staffing and quality measures both land mid-range. Nothing here is alarming on its face, but those 37 citations deserve a closer look before you decide.

B

83/100

Monterey Post Acute

Monterey, CA · Monterey County

CMS 4/578 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
51%
Serious cites
0

Monterey Post Acute runs 78 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 5% below the home's own weekday level, and roughly half the staff turns over each year, a rate above the national figure. The current record shows 55 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was in February 2025, and CMS rates the inspection history 3 out of 5 stars while quality measures score 5 out of 5. The gap between those two ratings is worth asking about directly.

B

83/100

Franciscan Post-Acute Care Center

Merced, CA · Merced County

CMS 4/571 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
31%
Serious cites
0

Franciscan Post-Acute Care Center runs 71 certified beds in Merced under corporate for-profit ownership, and its staffing sits at 4.30 nurse hours per resident day, roughly 11% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Saturday. Annual turnover of 31.3% is well below the national 45.8%, which matters for whether you see the same faces. The tradeoff shows up in the inspection record: 31 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with one fine of $9,110.

B

83/100

The Bellefontaine Healthcare Center

Pasadena, CA · Los Angeles County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

The Bellefontaine Healthcare Center runs 130 certified beds in Pasadena under for-profit LLC ownership, and its staffing sits at 4.02 nurse hours per resident day, about 4% above the national average, though weekends drop roughly 8% below its own weekday level. Turnover at 35.2% is meaningfully better than the 45.8% national figure. What pulls it down is the inspection record: 52 deficiencies, one serious enough to involve harm or jeopardy, and a 2/5 health inspection rating, with the last survey in May 2025. Quality measures score 5/5, but that's self-reported data, not a surveyor's eyes on the building. One fine totaling $14,414.

B

83/100

Woodland Post-Acute

Woodland, CA · Yolo County

CMS 2/591 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
50%
Serious cites
0

Woodland Post-Acute runs 4.08 nurse hours per resident day, about 6% above the national average of 3.86, though weekend coverage slips roughly 7% below its own weekday level. Staff turnover sits at 50%, higher than the 45.8% national figure, which means the people caring for your family member are likelier than average to be new or on their way out. The inspection record is the harder read: 54 deficiencies, including one at the harm level and six tied to abuse, with a $14,302 fine and a survey as recent as March 2026. Quality and staffing both score 4 out of 5 under CMS, but the inspection star of 2 is where the trouble sits.

B

83/100

Imperial Healthcare Center

La Mirada, CA · Los Angeles County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
24%
Serious cites
0

Imperial Healthcare Center sits in La Mirada with 99 certified beds and for-profit, LLC ownership. Nurse staffing runs about 4.06 hours per resident day, roughly 5% above the national average, and weekend coverage dips about 12% below its own weekday level, so the weekday floor isn't quite the weekend floor. Annual turnover of 24.2% is well under the national 45.8%, which matters for continuity. Against that, the home carries 44 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its last inspection was May 22, 2025.

B

83/100

Alamitos Belmont Health And Rehabilitation

Long Beach, CA · Los Angeles County

CMS 3/594 bedsFor-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
26%
Serious cites
0

Alamitos Belmont runs a for-profit operation with 94 beds in Long Beach, and the staffing numbers are the strongest thing it has going: 4.50 nurse hours per resident day, about 16% above the national average, with turnover at 26% compared to 45.8% nationally. That retention matters, fewer unfamiliar faces on the floor. The catch is the inspection record. Forty-three deficiencies, three of them serious enough to endanger residents, one tied to abuse, and $33,017 in fines across three penalties. Quality measures score well, but that's self-reported data, and the last full inspection was January 2026. Weekend staffing also dips about 12% below weekday levels, so ask how coverage holds up on Saturdays and Sundays.

B

83/100

Marquis Care At Shasta

Redding, CA · Shasta County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
53%
Serious cites
0

Marquis Care At Shasta runs 4.58 nurse hours per resident day, roughly 19% above the national average, and that staffing shows up in a 3/5 staffing star rating. The catch is consistency: weekends drop about 11% below weekday coverage, and turnover sits at 52.8% against a national 45.8%, so the people providing that care keep changing. The bigger concern sits in the inspection record, 49 deficiencies, three tied to abuse, with a 2/5 health inspection rating, though none were flagged at the harm or jeopardy level. Ownership is corporate for-profit. Strong quality measure scores of 4/5 and the recent March 2026 inspection are the counterweights. Ask about weekend coverage and turnover directly.

B

83/100

Alcott Rehabilitation Hospital

Los Angeles, CA · Los Angeles County

CMS 5/5121 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
18%
Serious cites
0

Alcott Rehabilitation Hospital runs 121 beds in Los Angeles under for-profit ownership, and its strongest number is retention: 17.8% annual turnover against a national average of 45.8%. Staffing lands at 3.90 nurse hours per resident day, just above the national 3.86, though weekends thin out about 7% below weekdays. The state inspection record is where it gets harder to read. Forty-five deficiencies are on file, three of them serious enough to involve harm or jeopardy, plus four tied to abuse. Health inspections scored 3 out of 5, and quality measures came in at 5. That gap between how the place measures clinically and what surveyors have actually cited is the tension worth weighing before you visit.

B

83/100

Citrus Grove Post Acute

Riverside, CA · Riverside County

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

Citrus Grove Post Acute runs 120 beds in Riverside under for-profit, limited-liability ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.87 hours per resident day, essentially matching the national average of 3.86, though weekends dip about 6% below the home's own weekday level. Turnover lands at 39.8%, below the 45.8% national figure, which suggests a relatively steadier workforce. What pulls the record down is the inspection side: 59 deficiencies on file, including one abuse-related citation, with the most recent visit in December 2025. None of those deficiencies rose to harm or jeopardy level, and residents rate their care highly. The staffing and inspection components are where the weaker signals sit.

B

83/100

Panorama Gardens Nursing And Rehabilitation Center

Panorama City, CA · Los Angeles County

CMS 3/5151 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
34%
Serious cites
0

Panorama Gardens runs 151 certified beds under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86 nationally, though weekend coverage dips about 6% below its own weekday level. Turnover is where it looks better than most: 33.5% annually versus a 45.8% national rate, which matters for whether residents see familiar faces. The concerning part is the inspection record: 51 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $28,369 in fines across two penalties. A recent inspection (August 2025) and a 2/5 health inspection star suggest the survey history is the real story here, not the strong 5/5 quality measure score.

B

83/100

Laurel Convalescent Hospital

Fontana, CA · San Bernardino County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
47%
Serious cites
0

Laurel Convalescent Hospital runs 4.35 nurse hours per resident per day, roughly 13 percent above the national average, and that staffing shows up in its four-star staffing rating. Weekend coverage dips about 5 percent below weekday levels, so staffing isn't perfectly even across the week, and turnover sits at 46.6 percent, essentially the national rate, meaning the roster churns about as much as the typical home. The current record carries 39 deficiencies, two of them abuse-related, though none reached the harm or jeopardy level, and the last inspection was in March 2026. This is a for-profit, individually owned 99-bed home with decent quality and staffing marks against a longer-than-ideal deficiency list.

B

83/100

Paramount Convalescent Hosp.

Paramount, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
34%
Serious cites
0

Paramount Convalescent Hosp runs 59 beds under for-profit LLC ownership, and its staffing is the clearest strength: 4.34 nurse hours per resident day, roughly 12 percent above the national average, with turnover at 34.4 percent compared to 45.8 percent nationally. Weekends dip about 11 percent below weekday coverage, so ask how that gap gets filled. The inspection record is where the concern sits, 47 deficiencies on file, including two at the harm or jeopardy level and two abuse-related, plus one fine of $34,613. The most recent inspection was December 5, 2025, so that picture is current rather than stale. Strong quality scores and steady staff don't erase those survey findings; read the deficiency details before deciding.

B

83/100

Sierra View Care Center

Baldwin Park, CA · Los Angeles County

CMS 4/598 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
19%
Serious cites
0

Sierra View runs a for-profit operation with 98 beds in Baldwin Park, and its nurse staffing sits at 4.07 hours per resident day, about 5% above the national average. Weekends dip roughly 10% below its own weekday coverage, so families should ask who's actually on the floor on Saturdays. Turnover is the standout: 19.3% against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year than at most homes. The tradeoff is a long inspection record, 45 deficiencies, though none at harm level, with two abuse-related and a recent April 2026 visit.

B

83/100

The Grove Post Acute

Garden Grove, CA · Orange County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
18%
Serious cites
0

The Grove Post Acute runs on a unusually steady crew for a for-profit nursing home, 17.6% annual turnover against a national average near 46% means aides and nurses largely stick around, which matters for residents who need consistent faces. Nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national figure, though weekends run about 7% thinner than weekdays, so ask how coverage looks on a Sunday. The inspection record shows 43 deficiencies with none at the harm level, two tied to abuse, and a survey completed in June 2025. Quality measures score well; the cited problems are mostly paperwork and process rather than injuries.

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