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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 321 to 340 of 842, best-graded first.

B

82.5/100

Friendship Manor Nursing & Rehab Center

National City, CA · San Diego County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
33%
Serious cites
0

Friendship Manor runs about 4.21 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 33.3% sits well below the national 45.8%, meaning the people caring for residents tend to stick around. Weekends run about 16% leaner than weekdays, which is common but worth asking about. The tradeoff shows up in its record: 29 deficiencies and four fines totaling $297,367, though none of those deficiencies rose to the level of actual harm or jeopardy, and one was abuse-related. Inspectors were last on site in July 2025.

B

82.5/100

Gold Country Health Center

Placerville, CA · El Dorado County

CMS 3/568 bedsFor-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
46%
Serious cites
0

Gold Country Health Center sits on the high side for nurse staffing, 4.83 hours per resident day, roughly 25% above the national average, which is probably why its staffing star lands at 4 out of 5. The catch is consistency: weekends run about 17% thinner than weekdays, and turnover sits at 46.2%, essentially matching the national rate, so the faces change about as often here as anywhere. The 51 deficiencies on record, including 2 at harm level and $14,886 in fines, explain why inspections score 3 out of 5 despite strong quality measures. A for-profit LLC operates the 68-bed building, and its last inspection was September 2025.

B

82.5/100

West Covina Medical Center D/P Snf

West Covina, CA · Los Angeles County

CMS 4/533 bedsFor-profitMedicaid
Nurse hours
8.47 /day
Staff turnover
29%
Serious cites
0

Nurse staffing at West Covina Medical Center's distinct-part unit runs 8.47 hours per resident day, roughly double the national average of 3.86, a striking figure for a 33-bed for-profit home. Weekend coverage dips about 18% below weekday levels, and staff turnover sits at 29.3%, better than the 45.8% national average. The tradeoff shows up in the inspection record: 34 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors visited most recently in December 2025. A 4/5 health inspection rating and 4/5 quality measures offset a 3/5 staffing star, which may reflect the weekend gap more than raw hours.

B

82/100

Oakwood Gardens Care Center

Fresno, CA · Fresno County

CMS 5/5103 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
52%
Serious cites
0

Oakwood Gardens runs 4.01 nurse hours per resident day, which puts it a bit above the national average of 3.86, but look at weekends, when staffing drops roughly 7% below its own weekday level. That's when families tend to visit and when problems surface. The turnover number is the one I'd ask about directly: 51.7% of staff leaving in a year, against a national average of 45.8%. Inspections look solid, a 4-star health inspection rating, no deficiencies at the harm level, and the most recent visit was January 2025. The one abuse-related citation on the record is worth asking about specifically.

B

82/100

East Bay Post-Acute

Castro Valley, CA · Alameda County

CMS 2/591 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
44%
Serious cites
0

East Bay Post-Acute runs 3.88 nurse hours per resident day, essentially matching the national average of 3.86, and weekend staffing dips about 8% below its own weekday levels. Turnover sits at 44%, a touch under the national figure. Where the picture darkens is inspections: 58 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with a one-out-of-five health inspection rating against a five-out-of-five quality measure score. The most recent inspection was November 17, 2025, so the record is recent, not stale. For-profit individual ownership, 91 beds. The staffing numbers are ordinary; the inspection history is what a family should weigh.

B

82/100

Country Oaks Care Center

Pomona, CA · Los Angeles County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
53%
Serious cites
0

Country Oaks runs nurse staffing at 4.40 hours per resident day, roughly 14% above the national average, which is the main reason it holds a three-star staffing rating. That cushion thins on weekends, when coverage drops about 11% below the home's own weekday level, and turnover sits at 52.5%, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record is the harder part: 70 deficiencies, four tied to abuse, and a two-star health inspection rating, though none reached harm or jeopardy. A five-star quality measure score and a recent May 2026 inspection round out a mixed picture.

B

82/100

Kearny Mesa Convalescent And Nursing Home

San Diego, CA · San Diego County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
32%
Serious cites
0

Kearny Mesa Convalescent runs a for-profit operation with 98 certified beds, and its nurse staffing works out to 4.42 hours per resident day, roughly 14% above the national average. That headline number deserves a closer look, though: weekend staffing drops about 13% below its own weekday level, and CMS gives the home just 2 out of 5 stars for staffing, even as it earns 5 stars on both health inspections and quality measures. The inspection record is clean where it counts, 21 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent visit in May 2025. Annual turnover sits at 32.4%, well below the 45.8% national average, which matters for continuity of care.

B

82/100

Cedarwood Post Acute

Sacramento, CA · Sacramento County

CMS 3/551 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
38%
Serious cites
0

Cedarwood Post Acute runs 51 beds in Sacramento under corporate for-profit ownership, and its numbers pull in two directions at once. The clinical quality measures look strong at five stars, and the health inspection rating sits at three, a recent June 2025 survey with 45 total deficiencies on record, three of them abuse-related, though none rose to actual harm or jeopardy. Where it falls apart is staffing: one star, the lowest CMS gives, even as annual turnover of 37.5% beats the national 45.8%. That combination matters. Better-than-average retention doesn't mean enough hands on deck, and with 51 beds and a for-profit operator, the question worth asking is what the daily aide and nurse coverage actually looks like on the shifts your family would visit.

B

82/100

Rock Creek Care Center

Auburn, CA · Placer County

CMS 5/584 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
47%
Serious cites
0

Rock Creek Care Center runs about 4.08 nurse hours per resident each day, roughly 6% above the national average, though weekends dip about 10% below its own weekday coverage. Staff turnover sits at 46.7%, basically in line with the national 45.8%. The 33 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in January 2026, so the picture is current. Ownership is a for-profit limited liability company. What the numbers describe is a home with solid clinical quality marks and enough nursing presence, held back mainly by volume of minor findings and a weekend staffing pattern families may want to ask about directly.

B

82/100

Main West Postacute Care

Turlock, CA · Stanislaus County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
28%
Serious cites
0

Main West Postacute Care runs 99 certified beds in Turlock under corporate for-profit ownership, and the inspection record is genuinely solid, a 4/5 health inspection rating, a 4/5 on quality measures, and no deficiencies at the harm or jeopardy level, with the most recent survey in March 2025. Staff turnover sits at 28.1%, well below the 45.8% national average, which matters for continuity of care. The catch is the staffing rating: 1 out of 5, meaning the hours per resident are thin even though the people who stay tend to stay. The 41 total deficiencies and 2 abuse-related findings are worth asking about directly, but nothing on record rises to actual harm.

B

82/100

Royal Terrace Healthcare

Duarte, CA · Los Angeles County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
56%
Serious cites
0

Royal Terrace Healthcare runs 4.73 nurse hours per resident day, about 23% above the national average, and its quality measure scores come in at the top of CMS's five-star scale. Those are real strengths, and they're why this Duarte home lands where it does. The friction sits elsewhere: staff turnover runs 55.6% against a 45.8% national figure, weekends are about 12% thinner than weekdays, and the current record carries 38 deficiencies, two tied to abuse, though none at the harm or jeopardy level. A for-profit LLC operation with 58 beds and a May 2026 inspection. The clinical numbers look better than the workforce numbers. Ask about weekend coverage and how long the current director of nursing has been there.

B

82/100

Mission Care Center

Riverside, CA · Riverside County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
6.45 /day
Staff turnover
26%
Serious cites
0

Mission Care Center runs 6.45 nurse hours per resident day, well above the 3.86 national figure, and its 26.1% turnover sits far below the 45.8% average, a stable crew by nursing home standards. Inspections back that up: a clean 5/5 health rating, no deficiencies at harm or jeopardy level, nothing abuse-related among the 20 on record, and a survey done as recently as May 2026. The catch is CMS's own staffing star, just 2/5, which suggests the hours aren't distributed as evenly as the total implies, weekend coverage dips about 8% below weekdays. For-profit, limited liability ownership, 40 beds.

B

82/100

Angels Nursing Health Center

Los Angeles, CA · Los Angeles County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
4.56 /day
Staff turnover
46%
Serious cites
0

Angels Nursing Health Center sits in Los Angeles with 49 certified beds under for-profit LLC ownership. Nurse staffing runs 4.56 hours per resident day, roughly 18% above the national average of 3.86, and weekends dip about 8% below its own weekday levels. Turnover is 45.9%, essentially identical to the national 45.8%. The CMS star ratings look strong, 4 for health inspections, 5 for quality measures, 4 for staffing, and the last inspection was recent, May 2025. But the record shows 42 deficiencies, including four at harm or jeopardy level and one abuse-related, plus two fines totaling $71,566. Those numbers sit alongside the good staffing and recent survey, and they're what pull the overall picture down.

B

82/100

Villa Del Sol Post Acute

Bellflower, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
41%
Serious cites
0

Villa Del Sol Post Acute runs 99 certified beds in Bellflower under for-profit LLC ownership, and the staffing picture is genuinely better than average: 4.27 nurse hours per resident day against a national 3.86, with turnover at 40.9% versus the typical 45.8%. That said, weekend coverage drops about 10% below the home's own weekday level, so care may look different on a Saturday. The bigger concern sits with the current inspection record: 75 deficiencies, three tied to abuse, and a 2/5 health inspection rating. None of those deficiencies reached the harm or jeopardy level, and the most recent inspection was May 2026, so the record is current, but the volume is hard to ignore.

B

82/100

The Meadows On Sunset Post Acute

Los Angeles, CA · Los Angeles County

CMS 1/5159 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
40%
Serious cites
0

The Meadows on Sunset Post Acute runs 159 beds in Los Angeles under for-profit LLC ownership, and its staffing sits at 4.09 nurse hours per resident day, roughly 6% above the national average, though weekends dip about 10% below its own weekday levels. Turnover lands at 39.8%, better than the 45.8% national figure. What drags the picture down is the inspection record: a 1-out-of-5 health inspection rating, 106 deficiencies on file, three at harm or jeopardy level, and two tied to abuse, plus one fine of $21,681. The most recent inspection was April 2026. Strong quality measures and decent staffing can't offset that many serious findings.

B

82/100

Rose Villa Health Care Center

Bellflower, CA · Los Angeles County

CMS 3/553 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
33%
Serious cites
0

Rose Villa runs 4.07 nurse hours per resident day, about 5% above the national average, and its staff turnover of 32.7% is well below the national 45.8%, meaning the people caring for your family member are more likely to still be there next year than at a typical home. Weekend staffing drops about 13% from weekday levels, which is worth asking about. The 50 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy, and the last inspection was April 2025. At 53 beds under corporate ownership, it's small enough that management changes could affect daily life quickly.

B

82/100

Laguna Hills Health And Rehabilitation Center

Laguna Hills, CA · Orange County

CMS 1/5208 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
40%
Serious cites
0

Laguna Hills Health and Rehabilitation Center runs 208 certified beds under corporate for-profit ownership, and its staffing sits just barely above the national average at 3.91 nurse hours per resident day. That margin is thin, and weekend coverage drops about 7% below the home's own weekday level, so the hours aren't spread evenly across the week. Turnover at 39.7% is better than the 45.8% national figure, which matters for consistency of care. The real trouble is the inspection record: 145 deficiencies, including eight tied to abuse and one at the harm or jeopardy level, with the most recent inspection in August 2025. Quality measures look strong on paper, but a record like that is hard to overlook.

B

82/100

College Oak Nursing And Rehabilitation Center

Sacramento, CA · Sacramento County

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

College Oak runs on 4.33 nurse hours per resident per day, roughly 12% above the national average, and its weekend staffing only dips about 9% below weekdays, a smaller drop than many homes show. Turnover sits at 40%, better than the 45.8% national figure. The caution signs are in the inspection record: 25 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $9,814. The most recent inspection was April 2026, so the findings are current, not stale. For-profit, limited liability ownership. The staffing is genuinely solid; the question is whether that care holds up when inspectors look closely.

B

82/100

Extended Care Hospital Of Riverside

Riverside, CA · Riverside County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
42%
Serious cites
0

Extended Care Hospital Of Riverside runs 99 certified beds under for-profit LLC ownership, and the staffing number is the first thing worth noting: 4.50 nurse hours per resident day against a national average of 3.86. That's real coverage, though weekends dip about 12% below the home's own weekday level, so the weekday picture is stronger than Saturday and Sunday. Staff turnover sits at 41.5%, slightly better than the 45.8% national figure, meaningful in a field where retention is hard. The current inspection record shows 38 deficiencies, none at harm or jeopardy level, but two tied to abuse, which families should ask about directly. The last inspection was February 2026, so the record is recent.

B

82/100

Pacific Gardens Nursing And Rehabilitation Center

Fresno, CA · Fresno County

CMS 3/5188 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
36%
Serious cites
0

Pacific Gardens runs on 4.06 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.9% is meaningfully lower than the 45.8% norm, people tend to stay. Weekend coverage thins out about 8% from weekday levels, worth knowing if your visits fall on Saturdays. The harder question is the inspection record: 48 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $30,654 fine and a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, but those come from resident assessments, not from surveyors walking the building. It's a for-profit LLC with 188 beds. Ask about the abuse deficiency and what changed since.

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