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 341 to 360 of 842, best-graded first.

B

82/100

Orchard Post Acute

Fresno, CA · Fresno County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
49%
Serious cites
0

Orchard Post Acute runs about 99 beds in Fresno under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, roughly 3.98 hours per resident day. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday level, and annual turnover at 48.8% runs a few points above the national figure. The inspection record is the heavier part of the story: 44 deficiencies on file, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors last visited in May 2025. Quality measure scores look strong; the inspection side is where the numbers get harder to explain.

B

82/100

Hanford Post Acute

Hanford, CA · Kings County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
56%
Serious cites
0

Hanford Post Acute runs 124 beds under limited-liability, for-profit ownership, and its numbers pull in two directions. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, but it dips roughly 6% on weekends, and annual turnover of 55.7% runs well past the 45.8% national figure, so the people at the bedside change often. The bigger concern is the inspection record: 41 deficiencies, one serious enough to involve harm or jeopardy, with the most recent survey in January 2025. On the plus side, residents' quality measures score at the top of the federal scale, which suggests the day-to-day care itself is landing well even as the operational and compliance side lags.

B

82/100

Community Extended Care Hospital Of Montclair

Montclair, CA · San Bernardino County

CMS 5/5140 bedsFor-profitMedicaid
Nurse hours
5.50 /day
Staff turnover
27%
Serious cites
0

Community Extended Care Hospital Of Montclair runs 140 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noting: 5.50 nurse hours per resident day, roughly 42% above the national average of 3.86. Weekend staffing dips about 8% below its own weekday level, so coverage thins out somewhat on Saturdays and Sundays. Annual turnover sits at 26.5% against a national 45.8%, meaning this workforce is notably more stable than most. The record shows 19 deficiencies, but none at the harm or jeopardy level and none abuse-related. A five-star health inspection rating and a February 2026 inspection date round out a picture of a home that's been checked recently and came through cleanly where it matters most.

B

82/100

Vista Post Acute

Hayward, CA · Alameda County

CMS 4/571 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
28%
Serious cites
0

Vista Post Acute runs 71 beds in Hayward under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, and weekend coverage drops about 12% from weekday levels, worth asking about if your family visits primarily on Saturdays and Sundays. The standout figure is turnover: 28% against a national average near 46%, meaning the people caring for residents are more likely to still be there next year. Inspections in January 2025 turned up 28 deficiencies, but none caused harm or jeopardy and none involved abuse.

B

82/100

Rosewood Post Acute

Pleasant Hill, CA · Contra Costa County

CMS 4/5113 bedsFor-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
35%
Serious cites
0

Rosewood Post Acute runs about 4.52 nurse hours per resident each day, roughly 17% above the national average, and its 35.3% turnover is well below the typical 45.8%, so there's real consistency in the staff who are there. Weekends dip only slightly, about 5% off weekday coverage. What pulls the picture down is the inspection side: 27 deficiencies on the current record, five tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection is dated May 2026. The quality measure rating sits at 4 out of 5 while health inspections come in at 2. It's a for-profit corporate home where the day-to-day staffing looks steadier than the paper trail.

B

82/100

University Post Acute

Mentone, CA · San Bernardino County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
46%
Serious cites
0

University Post Acute sits in Mentone with 50 certified beds under for-profit LLC ownership. Its nurse staffing comes in at 3.96 hours per resident day, a hair above the national average of 3.86, though weekend coverage dips about 8% below its own weekday level. Turnover is 45.8%, dead even with the national figure. Inspections are the strong point: a five-star health inspection rating and a five-star quality measure rating, with the most recent survey in November 2025 and no deficiencies at the harm or jeopardy level, none tied to abuse. The 17 total deficiencies on record are the paperwork kind, not the dangerous kind.

B

82/100

Baldwin Gardens Nursing Center

Temple City, CA · Los Angeles County

CMS 4/559 bedsGovernmentMedicaid
Nurse hours
5.64 /day
Staff turnover
24%
Serious cites
0

Baldwin Gardens runs on unusually heavy staffing for a 59-bed home, 5.64 nurse hours per resident day against a national average of 3.86, with turnover at 24.3% versus 45.8% nationally. That continuity matters, though weekend coverage dips about 9% below weekday levels. The tradeoff sits in the inspection record: 35 deficiencies, one tied to abuse, though none rose to harm or jeopardy, and the most recent survey is recent enough to trust. Quality measures scored lower than staffing did, which is worth asking about directly. Federal ownership is uncommon in this setting and can mean different oversight than a chain. Ask about that abuse citation and what changed after it.

B

82/100

English Oaks Convalescent & Rehabilitation Hospita

Modesto, CA · Stanislaus County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
33%
Serious cites
0

English Oaks runs 4.41 nurse hours per resident per day, roughly 14% above the national average, and its weekend staffing holds within about 7% of weekday levels, a smaller drop-off than many homes manage. Staff turnover sits at 32.7%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The record isn't clean, though: 46 deficiencies, one at harm or jeopardy level and two tied to abuse, with the most recent inspection in January 2026. At 180 beds under for-profit LLC ownership, this is a home where the staffing numbers look stronger than the inspection history.

B

82/100

Auburn Oaks Care Center

Auburn, CA · Placer County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
47%
Serious cites
0

Auburn Oaks runs 99 certified beds under a for-profit LLC, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though weekends drop about 9% below its own weekday level. Turnover is 46.9%, slightly worse than the 45.8% national figure, so the extra hours don't necessarily mean familiar faces. The inspection record is the harder read: 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse. Quality measures score well, but the last inspection was January 2026 and the health inspection rating sits at 2 out of 5. Ask about the abuse-related findings and weekend coverage before deciding.

B

82/100

Sea Cliff Healthcare Center

Huntington Beach, CA · Orange County

CMS 2/5182 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
45%
Serious cites
0

Sea Cliff Healthcare Center runs 182 certified beds in Huntington Beach under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. The catch is weekends, when coverage drops about 10% below what the home staffs on weekdays. Staff turnover lands at 44.6%, essentially in line with the national 45.8%, so retention isn't the standout problem here. The bigger concern is the inspection record: 87 deficiencies on file, four of them abuse-related, though none rose to actual harm or jeopardy. State inspectors were last in on January 14, 2026, and the health inspection rating came back 2 out of 5.

B

82/100

Lincoln Meadows Care Center

Lincoln, CA · Placer County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
36%
Serious cites
0

Lincoln Meadows runs about 97 certified beds under for-profit LLC ownership, and the staffing picture here is genuinely above average, 4.10 nurse hours per resident day against a national figure of 3.86. Turnover sits at 35.8%, well under the 45.8% national rate, which matters because steady staff usually means steadier care. The tradeoff shows up in the inspection record: 46 deficiencies on file, including one abuse-related citation, though none reached harm or jeopardy level. That combination, solid staffing and quality marks (4 and 5 stars) against a long deficiency list, is why the overall picture lands where it does. If you're weighing this one, ask the administrator directly about that abuse citation and how weekend coverage holds up.

B

82/100

Quartz Hill Post Acute

Redding, CA · Shasta County

CMS 3/5115 bedsFor-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
43%
Serious cites
0

Quartz Hill Post Acute runs 115 certified beds in Redding under for-profit LLC ownership. Its 4.57 nurse hours per resident day sits roughly 18% above the national average of 3.86, but weekends dip about 9% below its own weekday staffing. The 43.1% annual turnover is modestly better than the 45.8% national figure. Inspections from February 2025 left 41 deficiencies on record, none at harm or jeopardy level, though three are abuse-related, which families should ask about directly. The three-star health inspection rating and four-star marks for quality measures and staffing reflect a home that performs well on paper in care metrics while carrying a longer-than-average deficiency list to review.

B

82/100

Creekside Center

Stockton, CA · San Joaquin County

CMS 2/575 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
42%
Serious cites
0

Creekside Center runs 75 certified beds in Stockton under for-profit LLC ownership, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average. That headline number has a soft spot: weekend coverage drops roughly 9% below the home's own weekday level, and CMS gives staffing only 2 of 5 stars. Turnover is 41.5%, better than the 45.8% national figure but still meaning nearly half the nursing staff turns over annually. The current inspection record shows 34 deficiencies, four tied to abuse; none reached harm or jeopardy level. Its most recent inspection was March 20, 2026, so the record is fresh. Quality measures score 4 of 5, inspections 3 of 5.

B

82/100

Beach Creek Post-Acute

Anaheim, CA · Orange County

CMS 3/5138 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
38%
Serious cites
0

Beach Creek Post-Acute runs 138 beds in Anaheim under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 11% below what it manages on weekdays. Staff turnover is 38%, better than the 45.8% national figure, which suggests less churn than many places. What stands out is the inspection record: 60 deficiencies on file, three of them abuse-related, with the most recent inspection dated January 26, 2026. None of those deficiencies rose to the harm or jeopardy level. For a family weighing this one, the staffing and turnover numbers look reasonable, but the abuse-related findings are worth asking about directly.

B

82/100

Fresno Postacute Care

Fresno, CA · Fresno County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
27%
Serious cites
0

Fresno Postacute Care runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.93 hours per resident day, just slightly above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the care you'd see on a Saturday isn't quite what you'd see midweek. Staff turnover of 26.6% is meaningfully lower than the national 45.8%, which matters for whether your family member sees the same faces. What pulls the record down is the inspection history: 44 deficiencies, including one at the harm level and one tied to abuse, with the last inspection dated April 2026.

B

82/100

The Grove Care And Wellness

Riverside, CA · Riverside County

CMS 5/538 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
46%
Serious cites
0

The Grove Care and Wellness runs 4.53 nurse hours per resident day, roughly 17% above the national average, and its quality measure rating sits at the top of CMS's scale. Weekend staffing, though, drops about 11% below what the home covers Monday through Friday, so coverage thins out when families tend to visit. Turnover is 45.7%, almost exactly the national rate, meaning this isn't a stable long-term crew. Inspectors found 24 deficiencies on the current record, none causing harm, but one tied to abuse, worth asking about directly. The last full inspection was January 30, 2025, so the record is recent. With 38 beds and for-profit corporate ownership, ask who's actually on the floor on Saturdays.

B

82/100

Auburn Ravine Healthcare Center

Auburn, CA · Placer County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
49%
Serious cites
0

Auburn Ravine sits in Auburn with 59 certified beds under for-profit LLC ownership, and its most recent inspection came in September 2025. The clinical picture is strong, five out of five on quality measures and four on health inspections, with 31 deficiencies on record but none at the harm or jeopardy level. Staffing tells a more mixed story: 3.98 nurse hours per resident day, roughly 3% above the national average, though weekends run about 7% thinner than weekdays and turnover hits 48.5%, a few points above the national rate. One abuse-related deficiency is worth asking about directly.

B

82/100

The Pavilion At Sunny Hills

Fullerton, CA · Orange County

CMS 1/5300 bedsFor-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
40%
Serious cites
0

The nurse staffing here runs about 4.45 hours per resident per day, roughly 15 percent above the national average, and turnover sits at 39.8 percent, lower than the 45.8 percent typical nationwide. That's a real point in its favor. But the inspection record is where it gets shaky: 85 deficiencies on file, including 5 tied to abuse, and a 2-out-of-5 health inspection rating. None of those deficiencies rose to the level of actual harm or jeopardy, which matters, but 85 is still a lot to carry. The last full inspection was April 28, 2025. Weekend staffing drops about 10 percent below weekday levels, so if you're touring or visiting on a Saturday or Sunday, pay attention to what you see.

B

82/100

Murrieta Health And Rehabilitation Center

Murrieta, CA · Riverside County

CMS 2/5145 bedsFor-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
41%
Serious cites
0

Murrieta Health And Rehabilitation Center runs 145 certified beds in Riverside County under for-profit LLC ownership. Its 4.26 nurse hours per resident day sit about 10 percent above the national average, and turnover at 40.6 percent is slightly better than the 45.8 percent typical elsewhere, though weekend staffing drops roughly 12 percent below its own weekday coverage. The current record carries 64 deficiencies, none flagged at harm or jeopardy level, but three are abuse-related, and the health inspection rating sits at 2 out of 5 stars. That's the tension here: decent bedside hours and a recent March 2026 inspection, weighed against a long citation history and a below-average inspection score.

B

82/100

Mission Care Center

Rosemead, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
38%
Serious cites
0

Mission Care Center runs 4.46 nurse hours per resident day, about 16% above the national average, and its 37.7% turnover beats the 45.8% norm, a sign the floor is mostly steady. Weekends thin out roughly 13% below weekday coverage, so ask how that plays out on Sundays. The record shows 40 deficiencies with none at harm level, but two tied to abuse, which deserves a direct question. The last inspection was March 2026; quality measures score 5/5 even as health inspection sits at 3/5, and this for-profit LLC home's numbers land it solidly above average without being clean.

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