842 Chain-Owned Nursing Homes in California

Nurse hours

5.35 /day

Staff turnover

33%

Serious cites

0

Orchards Skilled Nursing runs about 5.35 nurse hours per resident day, roughly 39% above the national average, and the weekend dips only about 11% below its own weekday staffing, a modest drop compared to many homes. Staff turnover sits at 33.3%, below the national 45.8%, so the people caring for residents are more likely to stick around. The tradeoff is paper: 39 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, which suggests recordkeeping and process issues rather than unsafe care. It's a for-profit LLC with 49 beds and a clean inspection in April 2025.

Nurse hours

5.47 /day

Staff turnover

32%

Serious cites

0

Town & Country runs on real staffing depth: 5.47 nurse hours per resident day against a national average of 3.86, and its staff turnover of 31.5% sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in the inspection record, 53 deficiencies on file, four of them abuse-related, though none rose to the level of harm or jeopardy, and the most recent inspection came in November 2025. That split, strong quality and staffing scores, a thinner three-star inspection history, nonprofit ownership, is what's actually behind the 86. Weekend coverage dips about 16% below weekday levels, worth asking about directly.

Nurse hours

4.03 /day

Staff turnover

35%

Serious cites

0

Siena runs on better-than-average nurse coverage, 4.03 hours per resident day against a national 3.86, and its 34.8% turnover sits well under the 45.8% national figure, meaning the people around your relative tend to stick around. The catch is weekends, when staffing drops about 11% below the home's own weekday level, so afternoons and evenings Saturday and Sunday can feel thinner. Inspections in August 2025 turned up 18 deficiencies, none causing harm and one tied to abuse, with a single $4,194 fine on record. For-profit LLC ownership is worth knowing, though the inspection history is recent and light on serious findings.

Nurse hours

6.06 /day

Staff turnover

30%

Serious cites

0

Advanced Health Care Of Sacramento runs on unusually thin turnover for a for-profit LLC, 30.2% against a 45.8% national average, which suggests people stay. Nurse staffing sits at 6.06 hours per resident day, roughly 57% above the 3.86 national figure, though weekends drop about 21% below the home's own weekday level, so coverage isn't perfectly even across the week. The inspection record shows 26 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey came in July 2025, so the picture is current. At 40 beds, it's small enough that staffing swings matter more than they would in a larger building.

Nurse hours

5.31 /day

Staff turnover

39%

Serious cites

0

Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.

Nurse hours

4.70 /day

Staff turnover

25%

Serious cites

0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.

Nurse hours

4.19 /day

Staff turnover

33%

Serious cites

0

Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.

Nurse hours

4.47 /day

Staff turnover

31%

Serious cites

0

The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.

Nurse hours

5.37 /day

Staff turnover

25%

Serious cites

0

Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

Nurse hours

4.70 /day

Staff turnover

28%

Serious cites

0

St Andrews runs lean on turnover, 27.6% compared to a national average near 46%, which matters more than any single inspection score, because stable staff know the residents. Nurse hours come in at 4.70 per resident day, roughly a fifth above the national figure, though weekends dip about 12% below the home's own weekday pace, so ask how that gap gets covered. The 51 deficiencies on record sound like a lot until you note none reached harm or jeopardy; one was abuse-related, which is worth asking about directly. State inspectors were last in on April 18, 2025, so the picture is recent.

Nurse hours

4.92 /day

Staff turnover

14%

Serious cites

0

Sunny View Manor runs on unusually heavy staffing for a nursing home, 4.92 nurse hours per resident each day, roughly a quarter more than the national average, and its staff tend to stay, with turnover at 14.3% against a national rate near 46%. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Saturday. The tradeoff shows up in its record: 27 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse, and a single fine of $8,176. Its last inspection was in April 2025, and the nonprofit owner keeps both quality and staffing marks at the top of the federal scale.

Nurse hours

4.48 /day

Staff turnover

30%

Serious cites

0

Glenwood Care Center in Oxnard runs on 4.48 nurse hours per resident day, about 16% above the national average of 3.86. Weekends dip roughly 12% below its own weekday staffing, so ask how that plays out on a Sunday afternoon. Turnover sits at 30.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The 15 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was May 30, 2025. It's a for-profit LLC with 99 certified beds.

Nurse hours

4.73 /day

Staff turnover

30%

Serious cites

0

The Terraces of Los Gatos runs on a nonprofit model with 59 certified beds, and its nurse staffing sits about 22 percent above the national average, roughly 4.73 hours per resident per day against 3.86. Turnover is 30.4 percent, well below the national 45.8, which matters because consistent caregivers tend to know residents' routines. Weekend coverage does dip about 12 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection history is the catch: 30 deficiencies on record, including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $32,487. The most recent inspection was January 9, 2025, so the picture is current.

Nurse hours

4.42 /day

Staff turnover

38%

Serious cites

0

South Marin runs 4.42 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 37.8% sits well below the typical 45.8%, both point to a home that keeps people and keeps them present. Weekend staffing dips about 13% from weekday levels, which is worth asking about directly. The 37 deficiencies on record include one tied to abuse, though none reached harm or jeopardy, and the most recent inspection was December 2025. Quality measures score 5/5 while inspections score 3/5, a split that suggests the day-to-day care looks stronger than the paperwork trail. As a for-profit LLC with 72 beds, it's worth asking who owns it and how long they've been there.

Nurse hours

4.48 /day

Staff turnover

43%

Serious cites

0

Pine Ridge Care Center runs 101 certified beds in San Rafael, and the staffing numbers are the first thing worth knowing: 4.48 nurse hours per resident day, about 16% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover sits at 42.9%, slightly better than the national 45.8%. What complicates the picture is the inspection record, 44 deficiencies, one at harm or jeopardy level, four tied to abuse, and a 2/5 health inspection rating, despite 5/5 marks on staffing and quality measures. A single fine of $7,542 is on file, and the most recent inspection was December 5, 2025. For-profit partnership ownership.

Nurse hours

4.76 /day

Staff turnover

21%

Serious cites

0

Piedmont Gardens runs on a nonprofit model with 94 certified beds, and the staffing numbers are where it separates itself. At 4.76 nurse hours per resident day, it sits roughly 23 percent above the national average of 3.86, and weekend coverage only dips about 5 percent below its own weekday levels, which is a smaller drop than many homes manage. Staff turnover tells a similar story: 21.2 percent against a national average of 45.8 percent, meaning the people caring for residents tend to stay. Eleven deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. For a family weighing options, the pattern here is steady hands and few red flags.

Nurse hours

4.44 /day

Staff turnover

43%

Serious cites

0

Cottonwood Healthcare Center runs on 4.44 nursing hours per resident per day, roughly 15% above the national average, though weekends dip about 10% below what the home staffs on weekdays. Staff turnover sits at 43.4%, a touch better than the 45.8% national figure, and the current record shows 43 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The last inspection was July 30, 2025. This is a for-profit limited liability company with 98 certified beds, and its federal ratings split sharply: five stars each for staffing and quality measures, three for health inspections, strong day-to-day care numbers sitting alongside a longer inspection history.

Nurse hours

4.03 /day

Staff turnover

31%

Serious cites

0

Alden Terrace runs on more nurse hours than the typical American nursing home, 4.03 per resident day against a national average of 3.86, and weekend coverage dips only about 6% below its own weekday level, which matters when families visit on Saturdays and Sundays. Staff turnover sits at 31%, well under the national 45.8%, so the people caring for residents tend to stick around longer than elsewhere. The tradeoff shows up in its inspection history: 35 deficiencies on the current record, including one at the harm level and one abuse-related, despite a recent November 2025 inspection and strong marks on quality measures. For-profit corporate ownership, 210 beds.

Nurse hours

6.85 /day

Staff turnover

25%

Serious cites

0

Providence Little Co Of Mary Transitional Care Center runs on 6.85 nurse hours per resident per day, roughly 77% above the national average, and its staff tends to stay, turnover of 24.5% is about half the national figure. Weekend coverage dips around 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 28 deficiencies, none at the harm or jeopardy level, with one abuse-related citation worth asking about directly. Inspections are current as of April 2026, and this church-affiliated nonprofit holds a 4 out of 5 on health inspections and a 5 on staffing.

Nurse hours

4.71 /day

Staff turnover

28%

Serious cites

0

Adventist Health Sonora's nursing home runs four and a half nurse hours per resident each day, about a fifth more than the typical American nursing home, and its weekend coverage, while lighter than weekdays, doesn't fall off a cliff. Staff turnover of roughly 28 percent is well below the national figure, which matters more than any single inspection score, since familiar aides tend to notice changes in a resident's condition. The trade-off sits in the record: 39 deficiencies, including five tied to abuse, though none rose to the level of actual harm. State inspectors were last in the building in June 2025.