ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 301 to 320 of 842, best-graded first.

B

83/100

Tracy Nursing And Rehabilitation Center

Tracy, CA · San Joaquin County

CMS 3/562 bedsFor-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
51%
Serious cites
0

Tracy Nursing and Rehabilitation Center runs on more direct nursing time than most homes, 4.59 hours per resident day against a national average of 3.86. But that staffing thins out on weekends, dropping about 14 percent below its own weekday level, and more than half the nursing staff turns over each year, a bit worse than the 45.8 percent national rate. The record shows 44 deficiencies, including one tied to abuse and one causing actual harm. Its last inspection was in December 2025, so the picture is current. A 62-bed for-profit LLC in San Joaquin County with solid weekday coverage and a heavier-than-average history of cited problems.

B

83/100

Santa Fe Lodge

El Monte, CA · Los Angeles County

CMS 2/546 bedsFor-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
41%
Serious cites
0

Santa Fe Lodge runs on 46 beds in El Monte, and the nurse staffing here is genuinely above average, 4.26 hours per resident day against a national 3.86. That's the strongest thing in its record, and the 41.3% turnover rate is slightly better than the national 45.8%, so people are staying longer than at a typical home. What pulls it down is the inspection history: 48 deficiencies on the current record, including one at the harm level and four tied to abuse. The last inspection was in May 2026. Staffing can be adequate and a building can still have recurring compliance problems, and both things are true here. Weekend coverage dips about 9% below weekday levels, worth knowing if you're visiting or calling on a Saturday.

B

83/100

Mckinley Park Care Center

Sacramento, CA · Sacramento County

CMS 4/586 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
31%
Serious cites
0

Mckinley Park Care Center runs 86 certified beds in Sacramento under for-profit LLC ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.81 hours per resident day, basically even with the national average of 3.86, but weekends drop about 12% below the home's own weekday levels, so coverage thins out when families tend to visit. Turnover is the bright spot: 30.9% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is the concern, 60 deficiencies, one abuse-related, and a 2/5 health inspection rating, though none rose to harm or jeopardy. The most recent inspection was January 2026.

B

83/100

Mainplace Post Acute

Orange, CA · Orange County

CMS 2/5169 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
27%
Serious cites
0

Mainplace Post Acute runs 4.16 nurse hours per resident day, about 8% above the national average, and its staff turnover of 26.7% is well below the 45.8% national figure, that kind of retention usually means consistent caregivers who know the residents. The catch is the inspection record: 68 deficiencies, including 2 at the harm or jeopardy level and 3 related to abuse, with one fine of $26,135. Weekend staffing also dips roughly 7% below its own weekday level. The most recent inspection was March 2026, so the record is current, not stale. Strong staffing numbers, a troubled survey history, worth asking the administrator directly how those abuse-related citations were resolved.

B

83/100

Sun Mar Nursing Center

Anaheim, CA · Orange County

CMS 5/569 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
20%
Serious cites
0

Sun Mar Nursing Center runs on a fairly lean corporate budget, but the numbers suggest the money goes where it matters. Nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage only dips about 7% below weekdays, so care doesn't fall apart when families aren't visiting. Annual turnover of 19.7% is less than half the national rate, which means the people caring for residents tend to stick around. The record isn't spotless: 20 deficiencies, one tied to abuse, though none rose to actual harm or jeopardy. Inspectors were last in the building in June 2025.

B

83/100

Valencia Gardens Health Care Center

Riverside, CA · Riverside County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
25%
Serious cites
0

Valencia Gardens runs 4.35 nurse hours per resident day against a national average of 3.86, and its 25% turnover is well below the 45.8% typical elsewhere, two signs of a stable floor staff. The 25 deficiencies on record sound like a lot until you notice none reached harm or jeopardy, and none involved abuse. Weekend coverage dips about 12% below weekday levels, a gap worth asking about. Inspectors were last in on July 7, 2025, so the record is recent. State surveyors rated the place 4 of 5 on health inspections and 5 of 5 on quality measures. It's a small, for-profit home, 50 beds, where the numbers mostly hold up.

B

83/100

Anaheim Crest Nursing Center

Anaheim, CA · Orange County

CMS 3/583 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
25%
Serious cites
0

Anaheim Crest runs nurse staffing at 4.22 hours per resident day, roughly 9% above the national average, and its 24.7% turnover is well below the 45.8% typical elsewhere, that kind of retention usually means fewer unfamiliar faces on the floor. The catch is inspections: 66 deficiencies on the current record, including 5 tied to abuse, though none rose to the harm or jeopardy level. The state's most recent visit was May 2026, so the findings are fresh rather than historical. For-profit LLC ownership, 83 beds, weekend staffing dipping about 9% below its own weekday pace. Strong quality measures and steady staff, but a written record that bears reading closely before you decide.

B

83/100

Rossmoor Post Acute

Walnut Creek, CA · Contra Costa County

CMS 4/5155 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
37%
Serious cites
0

Rossmoor Post Acute runs about 4.12 nursing hours per resident per day, roughly 7% above the national average, and its staff turnover of 37.1% is meaningfully better than the 45.8% national figure, a real signal that caregivers tend to stay. Weekends are thinner, though, running about 10% below weekday coverage, so ask how that plays out on a Saturday. The 32 deficiencies on record include one abuse-related citation, but none at the harm or jeopardy level, and the last inspection was recent (February 2025). Quality measures score well; staffing lands mid-range. As a for-profit LLC with 155 beds, it looks solid on paper, with the abuse citation worth a direct question.

B

83/100

Oak Glen Post Acute

Cherry Valley, CA · Riverside County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
30%
Serious cites
0

Oak Glen Post Acute runs 4.38 nurse hours per resident day, about 13% above the national average, and its 30.2% turnover is notably better than the 45.8% typical elsewhere, a sign this for-profit LLC can hold onto staff. But weekend coverage drops roughly 14% below weekdays, which matters when families visit and needs don't pause. On the inspection side, 37 deficiencies sit on the current record, including one at the harm level and one abuse-related, and the last state visit was May 2025. Quality measures score well, staffing sits mid-range, and inspections come in at three stars, solid numbers with real gaps worth asking about directly.

B

83/100

Riverwood Health Care

Stockton, CA · San Joaquin County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
26%
Serious cites
0

Riverwood runs a leaner ship than most on staffing, 4.19 nurse hours per resident day against a national average near 3.86, and its 26.3% turnover is well below the typical 45.8%, meaning the people caring for residents tend to stick around. Those are the numbers that matter most day to day. The inspection record is where it gets complicated: 36 deficiencies, two serious enough to involve harm or jeopardy, two tied to abuse, and $52,930 in fines across 13 citations. The most recent inspection was September 2025. A for-profit LLC with that citation history is worth asking about directly, what changed, and what the plan is.

B

83/100

Park Regency Care Center

La Habra, CA · Orange County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
33%
Serious cites
0

Park Regency Care Center sits in La Habra with 99 certified beds, run by a for-profit limited liability company. Nurse staffing runs 4.35 hours per resident day, roughly 13% above the national average, and turnover is 33%, noticeably lower than the 45.8% national figure, meaning the people caring for residents tend to stick around. The catch is consistency: weekend staffing drops about 9% below weekday levels. The inspection record shows 58 deficiencies, none at the harm level, though two are abuse-related, and the most recent inspection was in December 2025, so the picture is current rather than stale. Quality measures score well; the health inspection side is middling.

B

83/100

Smith Ranch Skilled Nursing & Rehabilitation Cente

San Rafael, CA · Marin County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
33%
Serious cites
0

Staffing here runs about 4.19 nurse hours per resident day, roughly 9% above the national average, and turnover sits at 32.5%, well below the 45.8% national figure. That continuity matters, though weekend coverage drops about 11% from weekday levels, so ask how that gap gets filled. The concern is inspections: 49 deficiencies on record, two at harm or jeopardy level and two abuse-related, with a 2/5 inspection rating that contrasts sharply against a 5/5 quality measure score. For-profit LLC ownership. Quality metrics can look strong while the inspection record tells a harder story, request the last inspection report and ask directly how those abuse-related findings were resolved.

B

83/100

California Park Post Acute

Chico, CA · Butte County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
39%
Serious cites
0

California Park Post Acute runs 4.31 nurse hours per resident day, about 12% above the national average, and its staff turnover of 39.3% beats the national 45.8%, meaning workers here tend to stay longer than at the typical home. The trade-off shows up in the inspection record: 30 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in March 2025. Weekend staffing drops roughly 11% below weekday levels, which is common but still worth asking about if your family visits on Saturdays or Sundays. For-profit corporate ownership, 90 beds, and a recent survey, the picture is a home that's adequately staffed but has real compliance issues to weigh.

B

83/100

Beverly Hills Rehabilitation Centre

Los Angeles, CA · Los Angeles County

CMS 3/5150 bedsFor-profit
Nurse hours
4.68 /day
Staff turnover
31%
Serious cites
0

Beverly Hills Rehabilitation Centre runs 150 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.68 hours per resident day, roughly 21% above the national average of 3.86. Weekend coverage drops about 8% below its own weekday levels, so the weekday numbers don't tell the whole story. Annual turnover is 31%, well under the national 45.8%. What pulls the picture down is the inspection record: 83 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 2/5 health inspection star rating. The quality measure rating is 5/5 and staffing is 3/5, but those don't offset the survey history. The last inspection was August 7, 2025. Ask about that harm-level deficiency specifically before you decide.

B

83/100

Village Square Healthcare Center

San Marcos, CA · San Diego County

CMS 4/5118 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Village Square runs about 4.10 nurse hours per resident day, roughly 6% above the national average, and weekend staffing only dips about 5% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 37.6%, well under the national 45.8%, so the people caring for residents tend to stick around longer. The trade-off is a long paper trail: 42 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related. The most recent inspection was in May 2025, so the picture is current. This is a for-profit partnership, and the numbers describe steady, adequately staffed care rather than a standout.

B

83/100

The Hills Post Acute

Santa Ana, CA · Orange County

CMS 1/5174 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
35%
Serious cites
0

The Hills Post Acute runs 174 certified beds under for-profit LLC ownership in Santa Ana, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average of 3.86. Turnover is 34.8%, notably better than the 45.8% national figure, though weekend coverage dips about 8% below weekday levels. The staffing picture is the strong point here: CMS gives it 4 out of 5 on staffing and 4 on quality measures. What pulls it down is the inspection side, where it earns 2 stars and carries 119 deficiencies on its record, none flagged at harm or jeopardy level, and none abuse-related. Two fines totaling $4,893 is modest. Last inspection was May 2026, so the record is current.

B

83/100

Atherton Park Post-Acute

Menlo Park, CA · San Mateo County

CMS 4/5160 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
33%
Serious cites
0

Atherton Park Post-Acute sits at 160 beds in Menlo Park, run by a for-profit LLC. Its nurse staffing averages 3.90 hours per resident day, barely above the national figure of 3.86, and weekends run about 11% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces from month to month. The current record carries 50 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the last inspection was February 2025. A 5/5 on quality measures sits alongside a middling 3/5 for inspections.

B

83/100

Sierra Vista Healthcare

Fresno, CA · Fresno County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
35%
Serious cites
0

Sierra Vista Healthcare runs 99 certified beds in Fresno under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.41 nurse hours per resident day against a national average of 3.86, with turnover at 34.7% compared to 45.8% nationally. Weekend coverage dips only about 6% below weekdays, which is a smaller drop than many homes show. What pulls the record down is the inspection history, 53 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and a $12,048 fine. A 3-out-of-5 inspection rating reflects that pattern. The most recent visit was January 9, 2026, so the findings are recent, not stale. Strong staffing, a troubled survey record.

B

82.5/100

Pine Grove Healthcare & Wellness Centre, Lp

San Gabriel, CA · Los Angeles County

CMS 4/575 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
n/a
Serious cites
0

Pine Grove runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends drop roughly 12% below what the home staffs during the week. The 49 deficiencies on its current record include four tied to abuse; none rose to actual harm or jeopardy. Its last inspection was in March 2026, so the record is recent rather than stale. Quality measures score 5 out of 5, while inspection and staffing each land at 3, and the home is a for-profit partnership with 75 certified beds. The staffing number is real, but the weekend dip and the abuse citations are worth asking about directly.

B

82.5/100

Oakland Healthcare & Wellness Center

Oakland, CA · Alameda County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
n/a
Serious cites
0

Oakland Healthcare & Wellness Center runs 98 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family tends to visit or call on Saturdays and Sundays. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated January 15, 2026. CMS gives it 4 stars for health inspections, 5 for quality measures, and 3 for 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