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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 361 to 380 of 842, best-graded first.

B

82/100

Victoria Post Acute Care

El Cajon, CA · San Diego County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
50%
Serious cites
0

Victoria Post Acute Care runs 120 certified beds in El Cajon under corporate ownership, and its staffing sits modestly above the national average at 4.03 nurse hours per resident day. Weekend coverage, though, drops roughly 7% below what the home staffs on weekdays, and annual turnover of 49.6% is a few points higher than the national 45.8%, worth asking about if continuity of care matters to you. The inspection record shows 41 deficiencies, including one at the harm level and two tied to abuse, which is a lot to carry even with a recent January 2026 inspection and strong marks on quality measures.

B

81.5/100

Seaview Rehabilitation & Wellness Center, Lp

Eureka, CA · Humboldt County

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

Seaview Rehabilitation & Wellness Center runs 99 certified beds in Eureka under corporate for-profit ownership, and its nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average of 3.86. That's a real cushion, though weekends dip about 11% below the home's own weekday levels, so coverage isn't perfectly even. The current record carries 50 deficiencies, including one at the harm or jeopardy level and six tied to abuse. State inspectors were last on site in November 2025. Federal stars put health inspections and quality measures at 4 out of 5, staffing at 3. Ask directly how the abuse-related findings were resolved and what weekend coverage looks like on the evening shift.

B

81.5/100

Beachside Nursing Center

Huntington Beach, CA · Orange County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
31%
Serious cites
0

Beachside Nursing Center runs 59 certified beds in Huntington Beach under for-profit LLC ownership. Its 4.31 nurse hours per resident day sits about 12% above the national average of 3.86, though weekends run roughly 16% lighter than weekdays, worth asking about if your family visits Saturdays or Sundays. Staff turnover of 30.9% is meaningfully lower than the 45.8% national figure, which suggests aides and nurses tend to stick around. The current record carries 53 deficiencies, none at harm or jeopardy level and none abuse-related, with a February 2026 inspection that's recent enough to trust. Quality measures score well, staffing and inspections land in the middle.

B

81/100

Horizon Health & Subacute Center

Fresno, CA · Fresno County

CMS 2/5180 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
47%
Serious cites
0

Horizon Health & Subacute Center runs 180 certified beds in Fresno under for-profit LLC ownership, and its staffing is genuinely above average, 4.63 nurse hours per resident day against a national figure of 3.86. Weekends dip about 12% below its own weekday coverage, though, and turnover sits at 47.1%, slightly worse than the 45.8% national rate. The bigger concern is the inspection record: 45 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $22,913 and a survey as recent as March 2025. Quality and staffing measures look reasonable on paper, but that citation history is what pulls the overall picture down.

B

81/100

Arroyo Vista Nursing Center

San Diego, CA · San Diego County

CMS 5/553 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
50%
Serious cites
0

Arroyo Vista is a small for-profit home in San Diego, 53 beds, run by a limited liability company, and the numbers pull in different directions. Its most recent inspection was in January 2026, and it carries 26 deficiencies on record, though none at the harm level and none tied to abuse, which matters more than the raw count. The bigger concern is staffing: CMS gives it 1 out of 5 stars there, and annual turnover runs 50 percent against a national average of about 46 percent. Quality measures and health inspections both look strong on paper. The gap between how well residents are doing and how thin the workforce is behind them is the thing to ask about directly.

B

81/100

Grossmont Post Acute Care

La Mesa, CA · San Diego County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
49%
Serious cites
0

Grossmont Post Acute Care runs 90 beds in La Mesa under corporate for-profit ownership, and its staffing sits well above what most homes manage: 4.76 nurse hours per resident day against a national average of 3.86. That cushion thins on weekends, though, down about 12% from its own weekday numbers. The inspection record is the part worth slowing down on. Thirty-four deficiencies is a lot to carry, including one at the harm level and two tied to abuse. A single fine of $11,466 and a June 2025 inspection suggest the state has been watching. Staff turnover at 48.7% edges past the national 45.8%, so the people delivering that above-average care keep changing.

B

81/100

Palo Alto Post-Acute

Palo Alto, CA · Santa Clara County

CMS 4/566 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
45%
Serious cites
0

Palo Alto Post-Acute runs on 4.32 total nurse hours per resident day, roughly 12% above the national average, though weekend coverage drops about 15% below what the home staffs on weekdays. Turnover sits at 45.2%, essentially matching the national rate, and the most recent inspection was in May 2025. What stands out is the record itself: 38 deficiencies, two of them abuse-related, none serious enough to trigger a harm or jeopardy citation. That combination, strong quality scores, solid weekday staffing, and a long citation history, is worth asking about directly before you tour.

B

81/100

Victorian Post Acute

San Francisco, CA · San Francisco County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
44%
Serious cites
0

Victorian Post Acute sits in San Francisco with 90 certified beds, run by a for-profit corporation. Staffing runs 3.82 hours per resident day, just under the national average, and weekends dip about 3% below the home's own weekday level, small gaps, but ones families often feel on Saturdays and Sundays. Turnover lands at 44.1%, slightly better than the national rate. Inspections are current, from February 2025, and the health inspection rating is strong, though the record carries 36 deficiencies, including two at harm or jeopardy level and one abuse-related. Quality measures score well; staffing sits in the middle.

B

81/100

Heritage Manor

Monterey Park, CA · Los Angeles County

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

Heritage Manor sits in Monterey Park with 99 certified beds and a for-profit LLC owner. The staffing numbers are actually decent: 3.98 nurse hours per resident day, a bit above the national average, and weekend coverage only dips about 7% below weekdays. Turnover at 23.7% is roughly half the national rate, which matters for consistency of care. What pulls the record down is inspections. A 1-out-of-5 health inspection rating, 65 deficiencies on the current record, two at harm or jeopardy level, one tied to abuse, and $17,940 in fines. The 5/5 quality measure rating reflects clinical metrics, but the inspection history and recent April 2026 survey date suggest oversight problems still unresolved.

B

81/100

Pacific Coast Manor

Capitola, CA · Santa Cruz County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
50%
Serious cites
0

Pacific Coast Manor sits above the national average for nurse staffing at 4.39 hours per resident day, and its most recent health inspection from February 2025 earned top marks. Those are real strengths. But the 27 deficiencies on its current record, including two tied to abuse, are worth asking about directly. Staff turnover runs at 49.6%, higher than the national average of 45.8%, and weekend coverage dips about 12% below its own weekday levels, so care may feel thinner on Saturdays and Sundays. It's a for-profit operation, which doesn't decide anything on its own but is worth knowing as you weigh the numbers.

B

81/100

Los Altos Post-Acute

Los Altos, CA · Santa Clara County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
52%
Serious cites
0

Los Altos Post-Acute runs a for-profit LLC with 152 certified beds, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, though weekends drop about 10% below its own weekday levels. That weekday strength is real, but the margin thins out when families visit most. Annual turnover is 52.4%, nearly seven points above the national figure, which means the person caring for your relative may be new to the building. The current record shows 49 deficiencies, including two at harm or jeopardy level and two tied to abuse. The last inspection was February 2025, so the picture is recent, and its four-star inspection and quality ratings reflect that.

B

81/100

Northbrook Healthcare Center

Willits, CA · Mendocino County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
42%
Serious cites
0

Northbrook Healthcare Center in Willits runs 4.04 nurse hours per resident per day, about 5% above the national average of 3.86, but that average hides a dip, since weekends run roughly 11% leaner than weekdays. Staff turnover sits at 42.4%, a bit better than the national 45.8%, which matters for continuity of care. The record shows 25 deficiencies, including one at the harm or jeopardy level and two flagged as abuse-related, plus a single fine of $9,295. State inspectors gave it 4 of 5 stars and quality measures came in at 5 of 5, though staffing landed at 2 of 5. The last inspection was January 30, 2026.

B

81/100

Mission Palms Healthcare Center

Westminster, CA · Orange County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
16%
Serious cites
0

Mission Palms Healthcare Center runs 99 certified beds in Westminster under corporate for-profit ownership, and its nurse staffing sits at 4.12 hours per resident day, about 7% above the national average of 3.86. Weekend coverage dips roughly 7% below its own weekday level, so the weekday floor is stronger than Saturdays and Sundays. Staff turnover is the standout number: 16.3% against a national average of 45.8%, meaning workers here tend to stay. The tradeoff shows up in the record. Forty-eight deficiencies, one at harm or jeopardy level and two abuse-related, with a $13,923 fine and a two-star health inspection rating. Quality measures score five stars, but that inspection history and the April 2026 survey date are what pull the overall picture down.

B

81/100

Arbor Glen Care Center

Glendora, CA · Los Angeles County

CMS 2/598 bedsFor-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
53%
Serious cites
0

Arbor Glen runs a for-profit, limited-liability operation with 98 beds in Glendora, and its nurse staffing sits at 4.49 hours per resident day, roughly 16% above the national average of 3.86. That sounds like good coverage until you notice weekends drop about 15% below the home's own weekday level, and annual turnover hits 53.4% against a national 45.8%. The inspection record is where things get more concerning: 88 total deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a 1-out-of-5 health inspection rating. A recent inspection date of March 27, 2026, means the record is current. Quality measures score well at 4 out of 5, which may reflect how care is documented more than how consistently it's delivered.

B

81/100

Gateway Post Acute

Porterville, CA · Tulare County

CMS 2/562 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
55%
Serious cites
0

Gateway Post Acute runs 62 beds in Porterville under for-profit LLC ownership, and its staffing numbers are worth a close look. Total nurse coverage sits at 3.95 hours per resident day, just above the national average, but weekends fall about 5% below the home's own weekday level, and the CMS staffing rating lands at 1 out of 5. Annual turnover is 54.7%, nearly nine points above the national rate of 45.8%, which means the people showing up on any given shift change often. The health inspection side is thinner: a 2/5 rating, 51 deficiencies on record including one at the harm level, and an $8,018 fine. No abuse citations, though. Last inspected October 2024.

B

81/100

Flower Villa, Inc

Los Angeles, CA · Los Angeles County

CMS 3/541 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
45%
Serious cites
0

Flower Villa runs about 4.21 nurse hours per resident per day, roughly 9% above the national average, and weekend staffing holds close to weekday levels, a gap that's often much wider elsewhere. Turnover sits at 44.7%, right around the national figure. The caution signs are in the inspection record: 40 deficiencies, including one at the harm level and one abuse-related, plus a $17,745 fine. The last inspection was April 2026, so that record is current. With 41 beds and corporate for-profit ownership, this is a small home where the staffing numbers look better than the survey history. Ask to see the plan of correction for the harm-level deficiency before deciding.

B

81/100

Hayward Hills Health Care Center

Hayward, CA · Alameda County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
56%
Serious cites
0

Hayward Hills is run by a for-profit partnership and holds 74 certified beds in Alameda County. Nurse staffing sits at 4.21 hours per resident day, about 9% above the national average, though weekends run roughly 5% thinner than weekdays, worth knowing if you're planning visits or asking who's on duty Saturday. The bigger number is turnover: 56.1% of staff leave within a year, against 45.8% nationally, which matters for whether your mother sees the same aides more than once. The inspection record shows 25 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in August 2024. Quality and staffing each earned 4 of 5 stars; inspections earned 3.

B

81/100

View Park Convalescent Center

Los Angeles, CA · Los Angeles County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
51%
Serious cites
0

View Park Convalescent Center sits in Los Angeles with 99 certified beds and corporate for-profit ownership. Nurse staffing runs 4.01 hours per resident day, about 4% above the national average, but weekends dip roughly 9% below its own weekday level, and annual turnover hits 50.9% against a 45.8% national figure, meaning the people caring for your relative are more likely than average to be new or on their way out. The inspection record is the real concern: 63 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with a $28,106 fine on file and a 2-out-of-5 inspection rating.

B

81/100

Trabuco Hills Post Acute

Lake Forest, CA · Orange County

CMS 2/5175 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
30%
Serious cites
0

Trabuco Hills runs 175 beds in Lake Forest under for-profit, limited-liability ownership, and its staffing tells two stories at once. Nurses put in 4.17 hours per resident day, roughly 8% above the national average, and only 30.4% of staff left last year against a national 45.8%, genuinely low turnover for this industry. Weekends, though, run about 9% thinner than weekdays. The trouble sits in inspections: 106 deficiencies on the current record, two tied to abuse, with the most recent inspection in March 2026. Nothing reached harm or jeopardy level. Compare that record against the five-out-of-five quality measure score and it's clear the day-to-day care metrics look far better than the survey history does.

B

81/100

Casa De Las Campanas

San Diego, CA · San Diego County

CMS 3/599 bedsNon-profit
Nurse hours
4.91 /day
Staff turnover
55%
Serious cites
0

Casa De Las Campanas runs on 4.91 nurse hours per resident day, about 27% above the national average, which is the kind of staffing cushion families often can't find. Weekend coverage dips roughly 8% below its own weekday levels, and turnover sits at 55.3% against a national 45.8%, so the people providing that care change more often than average. The record shows 39 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was August 2025, so the picture is reasonably current. Its nonprofit ownership and above-average staffing are real strengths; the turnover and that one abuse citation are the things worth asking about directly.

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