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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 461–480 of 842, best-graded first.

B

78/100

Cottonwood Canyon Healthcare Center

El Cajon, CA · San Diego County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
40%
Serious cites
0

Cottonwood Canyon runs 96 beds in El Cajon under corporate ownership, and its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, though weekends drop roughly 7% below its own weekday coverage. Turnover lands at 40.4%, better than the 45.8% national figure, so the same faces are more likely to stick around. The trouble shows up in inspections: 61 deficiencies on the current record, two at harm or jeopardy level and three tied to abuse, plus $20,518 in fines across two penalties. With a 2-star inspection rating against a 5-star quality measure score, the day-to-day care numbers look stronger than what surveyors have actually found.

B

78/100

Moraga Post Acute

Moraga, CA · Contra Costa County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
39%
Serious cites
0

Moraga Post Acute runs 4.10 nurse hours per resident day, about 6% above the national average, and its staff turnover of 39.3% sits below the national 45.8%, meaning people tend to stay. But weekend staffing drops roughly 9% below its own weekday levels, so the coverage your family sees Monday may not be what shows up Saturday. The current record carries 28 deficiencies, including one at the harm level and one abuse-related, and the staffing star rating is only 2 of 5 despite the decent hours on paper. Inspections were last done in November 2024, so the picture is fairly current.

B

78/100

Ocean Pointe Healthcare Center

Santa Monica, CA · Los Angeles County

CMS 2/5 72 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
32%
Serious cites
0

Ocean Pointe's staffing is the strongest part of its case: 4.57 nurse hours per resident day, well above the national average, and turnover of 31.6% that's meaningfully better than the 45.8% norm, that kind of retention usually means a stable, familiar crew, though weekend coverage does thin out about 13% below weekdays. The trouble is everything else. The current inspection record carries 57 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way, with a $55,450 fine attached and the most recent look coming in March 2025. Solid bedside hours can't offset an inspection history that looks like this, that gap is what drags the overall picture down.

B

78/100

Valley Palms Care Center

N Hollywood, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
30%
Serious cites
0

Valley Palms sits in North Hollywood with 99 certified beds and a for-profit LLC owner. The staffing numbers are genuinely strong on paper, 4.20 nurse hours per resident day, roughly 9% above the national average, with turnover at 29.9% against a national 45.8%. Weekend coverage dips about 9% below its own weekday level. Where this home struggles is inspections: a 1/5 CMS health inspection rating, 94 deficiencies on the current record, including 2 at harm or jeopardy level and 6 abuse-related, plus two fines totaling $33,681. That inspection history from January 2025 is what drags the overall picture down despite decent staffing and quality scores.

B

78/100

Wolf Creek Care Center

Grass Valley, CA · Nevada County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
54%
Serious cites
0

Wolf Creek Care Center in Grass Valley runs 59 certified beds under for-profit limited liability ownership. Its nurse staffing sits at 3.82 hours per resident day, a hair under the national average of 3.86, and weekends dip about 3% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 25 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was May 22, 2025. Federal quality measures rate 5 out of 5, but staffing rates 2 out of 5.

B

78/100

Sequoia Transitional Care

Porterville, CA · Tulare County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Sequoia Transitional Care runs 99 certified beds in Porterville under for-profit LLC ownership, and its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average of 3.86. That edge thins on weekends, when coverage drops roughly 9% below the home's own weekday level. Staff turnover is 38%, better than the 45.8% national figure, which matters because fewer departing nurses usually means more consistent care. The current record shows 39 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $41,759; no abuse deficiencies appear. The last inspection was January 15, 2026. A 5/5 quality measure rating sits alongside 3/5 marks for health inspections and staffing.

B

78/100

Creekside Post-Acute

San Jose, CA · Santa Clara County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
57%
Serious cites
0

Creekside Post-Acute runs 130 beds in San Jose under for-profit LLC ownership, and the recent inspection record is solid, a four-star health inspection rating with the last survey in December 2024. Staffing sits at 4.15 nurse hours per resident day, roughly 8% above the national average, though weekends run about 8% thinner than weekdays. The bigger red flag is turnover: 57.2% annually against a 45.8% national average, meaning more than half the nursing staff leaves each year. That churn shows up in 42 deficiencies on the current record, including one at the harm level and two tied to abuse. One fine totaling $20,248 has been levied.

B

78/100

Royal Palms Post Acute

Glendale, CA · Los Angeles County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
30%
Serious cites
0

Royal Palms Post Acute sits in Glendale with 140 certified beds, run by a for-profit limited liability company, and its numbers pull in two directions. Nurse staffing runs 3.97 hours per resident day, slightly above the national average, and weekend coverage dips only about 7% below weekdays. Turnover is 30.3%, notably better than the 45.8% national figure, which matters for consistency of care. The problem is the inspection record: 97 deficiencies, including 9 abuse-related and 2 at harm or jeopardy level, with $79,980 in fines and a 1-out-of-5 health inspection rating. Strong quality measure scores and decent staffing can't offset that history.

B

78/100

Covenant Post Acute

Fresno, CA · Fresno County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
47%
Serious cites
0

Covenant Post Acute runs 3.68 nurse hours per resident day, about 5% under the national average of 3.86, and weekends dip another 4% below its own weekday numbers. Turnover sits at 46.5%, slightly above the national 45.8%. The inspection record is where the real weight sits: 51 deficiencies, including 3 abuse-related citations and 1 at the harm or jeopardy level, with the most recent inspection in February 2025. That history pulled the health inspection rating to 2 out of 5 stars, even as the quality measure score hit 5. The 121-bed for-profit LLC has strong clinical metrics on paper, but the staffing and deficiency pattern is what a family should actually weigh before deciding.

B

78/100

California Healthcare And Rehabilitation Center

Van Nuys, CA · Los Angeles County

CMS 1/5 201 beds For-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
26%
Serious cites
0

California Healthcare and Rehabilitation Center runs 201 beds in Van Nuys under corporate ownership, and its strongest asset is people: 4.67 nursing hours per resident per day, about a fifth more than the national average, with turnover at 26.4% against a national 45.8%. Weekend coverage slips only slightly, roughly 4% under weekdays. The trouble sits on the inspection side, where the health inspection rating is 1 out of 5 and the record shows 100 deficiencies, two tied to abuse, though none reached harm or jeopardy level. The last inspection was April 2026, so the record is current. Quality measures rate 4 out of 5, staffing 3. Weigh steady hands against a long citation history.

B

78/100

Marlora Post Acute Rehab Hosp

Long Beach, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
52%
Serious cites
0

Marlora Post Acute Rehab Hospital sits in Long Beach with 99 certified beds, run by a for-profit limited liability company. The staffing numbers look strong on paper, 4.80 nurse hours per resident day, roughly a quarter above the national average, but weekends drop about 13% below the home's own weekday level, and annual turnover runs 52% against a national 45.8%. The inspection record is where things get serious: 63 deficiencies on file, including 2 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $53,643. That combination, solid daily staffing, a one-star health inspection history, and a March 2026 inspection date, is what drives the low overall grade.

B

78/100

Paradise Valley Health Care

National City, CA · San Diego County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
4.93 /day
Staff turnover
21%
Serious cites
0

Paradise Valley runs 4.93 nursing hours per resident day, roughly 28 percent above the national average, and weekend staffing dips only about 10 percent below its own weekday level. That steadiness matters, and so does a turnover rate of 21.3 percent in a field where the typical home loses closer to 46 percent of its staff each year. The tradeoffs show up elsewhere: 21 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, plus one fine of $10,036. Inspectors last visited in November 2024, and the federal ratings split sharply, full marks on quality measures, four stars on inspections, middle of the pack on staffing.

B

78/100

Mission Hills Post Acute Care

San Diego, CA · San Diego County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
55%
Serious cites
0

Mission Hills Post Acute Care runs 75 certified beds under corporate ownership, and the raw staffing number looks decent: 4.32 nurse hours per resident day, roughly 12% above the national average. But that average hides a pattern, weekends run about 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Staff turnover sits at 55.1% against a national 45.8%, which means nearly six in ten caregivers left within the year. The current inspection record carries 48 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was recent enough (June 2025) to suggest the record is being watched.

B

78/100

Northridge Care Center

Reseda, CA · Los Angeles County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
32%
Serious cites
0

Northridge Care Center sits in Reseda with 97 certified beds and corporate for-profit ownership. The staffing numbers look decent on paper, 3.93 nurse hours per resident day, just above the national average, and turnover at 31.9% is meaningfully better than the 45.8% norm, which suggests workers tend to stay. But the inspection record tells a harder story: 89 deficiencies on the current record, including one at the harm level and four tied to abuse, with a health inspection rating of 1 out of 5. That's a lot of citations for a home this size, and the quality measure rating of 2 out of 5 doesn't offset it. Weekend staffing also drops about 10% below weekday levels, so coverage thins out when families tend to visit.

B

78/100

Playa Del Rey Center

Playa Del Rey, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
38%
Serious cites
0

Playa Del Rey Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers are genuinely above average: 4.05 nurse hours per resident day, roughly 5% over the national figure, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 6% below its own weekday level, and the last inspection was June 2025, so the record is current. What pulls the grade down is the inspection history, 106 deficiencies on file, five at harm or jeopardy level and five tied to abuse, plus two fines totaling $154,742. Staffing and quality measures look decent on paper; the survey record is where the trouble sits.

B

78/100

Fireside Health Care Center

Santa Monica, CA · Los Angeles County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
34%
Serious cites
0

Fireside Health Care Center runs 4.26 nurse hours per resident day, about 10% above the national average of 3.86, and its staff turnover of 34.3% is meaningfully better than the 45.8% national figure, a sign the workforce here is more stable than at many homes. The catch is consistency: weekend staffing drops roughly 10% below its own weekday level, and the record shows 61 deficiencies, including four tied to abuse, though none reached the harm or jeopardy level. A single fine of $97,670 is on file, and the most recent inspection was January 23, 2026. For-profit corporate ownership. Strong quality measure scores and solid staffing hours, but the inspection history has real weight.

B

78/100

Kei-Ai South Bay Healthcare Center

Gardena, CA · Los Angeles County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
29%
Serious cites
0

Kei-Ai South Bay runs 4.14 nurse hours per resident per day, roughly 7% above the national average, and its staff turnover of 28.8% is well below the 45.8% national figure, that kind of retention matters for consistency of care. But the inspection record tells a different story: 63 deficiencies on file, including one at the harm level and four tied to abuse, with a $17,088 fine and a two-star health inspection rating. Weekend staffing drops about 10% below weekday levels, so coverage thins when families tend to visit. The most recent inspection was in January 2026, so the record is current. Ownership is for-profit through a limited liability company.

B

78/100

Villa Health Care Center

Riverside, CA · Riverside County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
59%
Serious cites
0

Villa Health Care Center runs about 4.27 nurse hours per resident per day, roughly 11% above the national average, and its quality measure rating sits at the top of CMS's scale. The catch is consistency: weekend staffing drops about 9% below its own weekday level, and annual turnover hits 58.7% against a national 45.8%, so the people delivering that above-average care keep changing. The inspection record is current, last survey June 2025, with 35 deficiencies total, none at harm or jeopardy level, though one is abuse-related. For a 59-bed for-profit home, the clinical numbers look solid; the questions worth asking on a tour are about weekend coverage and how long the current staff have actually been there.

B

78/100

Arcadia Care Center

Arcadia, CA · Los Angeles County

CMS 2/5 164 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
29%
Serious cites
0

Arcadia Care Center runs 164 certified beds under a for-profit limited liability company, and its staffing is the clearest strength: 4.46 nurse hours per resident day, roughly 16% above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 29.1% against a national 45.8%. That stability matters, though weekend coverage dips about 9% below its own weekday level. The concerns sit elsewhere. Inspections in July 2025 left 67 deficiencies on record, including one at the harm or jeopardy level and two tied to abuse, and its health inspection and quality measure ratings both sit at 2 out of 5.

B

78/100

Berkley East Healthcare Center

Santa Monica, CA · Los Angeles County

CMS 2/5 207 beds For-profit
Nurse hours
4.80 /day
Staff turnover
44%
Serious cites
0

Berkley East Healthcare Center runs 207 certified beds in Santa Monica under for-profit LLC ownership, and the staffing numbers are genuinely above average, 4.80 nurse hours per resident day against a national 3.86. That's the good news, and it's real. The rest is harder to square: 112 deficiencies on the current record, including 7 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $58,205. A 1-out-of-5 inspection rating sits alongside a 5-out-of-5 quality measure score, which tells you the two systems are measuring very different things. Staff turnover, at 44.1%, is roughly in line with the national 45.8%. Weekend staffing dips about 6% below weekday levels.

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