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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 481–500 of 842, best-graded first.

B

78/100

Palomar Heights Post Acute

Escondido, CA · San Diego County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
42%
Serious cites
0

Palomar Heights runs a for-profit operation with 98 certified beds, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekends drop about 12% below its own weekday level. Staff turnover lands at 42.3%, slightly better than the national rate. What pulls this home down is its inspection record: 55 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,176 fine on file. The health inspection rating reflects that, even as the quality measure score reads strong. It was last inspected May 30, 2025, so the record is reasonably current. Worth asking about those abuse-related findings directly.

B

78/100

Sunnyvale Post-Acute Center

Sunnyvale, CA · Santa Clara County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
31%
Serious cites
0

Sunnyvale Post-Acute Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers cut both ways. Total nurse coverage sits at 4.20 hours per resident day, roughly 9% above the national average, and turnover at 30.9% is well below the 45.8% norm, but weekends dip about 10% below weekday levels, and CMS gives staffing just 2 of 5 stars. The bigger concern is the inspection record: 67 deficiencies, six tied to abuse, and a 1-star health inspection rating, with the most recent survey in October 2024. No deficiencies rose to harm or jeopardy level, and quality measures scored 4 of 5, which keeps this from being a clear avoid, but ask pointed questions about that abuse history and weekend coverage before deciding.

B

78/100

Elmwood Care Center

Berkeley, CA · Alameda County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
58%
Serious cites
0

Elmwood Care Center sits in Berkeley with 74 certified beds and an individual for-profit owner. The nursing hours look solid on paper, 4.29 per resident day, about 11% above the national average, and that's why staffing earns 4 stars. But weekends run roughly 7% thinner than weekdays, and annual turnover hits 58.3% against a national 45.8%, so the faces around your relative may change often. The inspection record is where things get harder to ignore: 40 deficiencies on file, including one at the harm level and two tied to abuse, with the last inspection in July 2024. Quality and health inspection each sit at 3 stars.

B

78/100

Trellis Chino

Chino, CA · San Bernardino County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
25%
Serious cites
0

Trellis Chino runs on a for-profit LLC structure with 59 beds, and the numbers tell two different stories at once. Nurse staffing sits at 4.53 hours per resident day, about 17% above the national average, and annual turnover of 25.4% is strikingly low against the 45.8% norm, which suggests people actually stay. Inspections came back clean at the harm level: 15 deficiencies on record, none causing injury or jeopardy, with one abuse-related citation filed. The catch is staffing consistency. Weekend coverage drops roughly 8% below the home's own weekday level, and CMS pegs staffing at just 2 of 5 stars despite the healthy daily average, worth asking how thin weekends actually get.

B

77.5/100

Orange Healthcare & Wellness Centre, Llc

Orange, CA · Orange County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
—
Serious cites
0

Orange Healthcare & Wellness Centre runs 112 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.29 hours per resident day, roughly 11% above the national average of 3.86. That's a real margin, though weekend coverage dips about 7% below what the home staffs on weekdays. The current record shows 79 deficiencies, none flagged at harm or jeopardy level, but five tied to abuse. Inspectors were last on site January 9, 2026, and the health inspection rating sits at 3 out of 5. What stands out is the split: quality measures rate 4 out of 5 while CMS staffing rates just 2. The hours look generous on paper, but the deficiency history and that low staffing score suggest the day-to-day experience may not match the headline number.

B

77.5/100

Cupertino Healthcare & Wellness Center

Cupertino, CA · Santa Clara County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
—
Serious cites
0

Cupertino Healthcare & Wellness Center runs 170 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly ahead of the national average, though weekends drop about 6% below its own weekday level. The inspection record is where you'll want to slow down: 71 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse. State inspectors last visited in December 2025. Quality measures score well, and the health inspection rating lands mid-range, but that volume of cited problems, especially the serious ones, is the number that should shape your questions before a tour.

B

77.5/100

Ivy Creek Healthcare & Wellness Centre

San Gabriel, CA · Los Angeles County

CMS 4/5 98 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
—
Serious cites
0

Ivy Creek runs 3.95 nurse hours per resident day, a hair above the 3.86 national average, but weekends drop about 8% below its own weekday staffing. That gap matters because residents don't stop needing help on Saturdays. On inspections, the record shows 44 deficiencies with none at the harm or jeopardy level, though one is abuse-related, and the most recent survey was in May 2026, recent enough to trust. The 4/5 health inspection and quality measure ratings sit above the 3/5 staffing rating, which tells you the care processes look better than the coverage numbers. This is a for-profit LLC, and the staffing picture is adequate rather than generous.

B

77.5/100

West Hollywood Healthcare & Wellness Centre, Lp

Los Angeles, CA · Los Angeles County

CMS 4/5 81 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
—
Serious cites
0

West Hollywood Healthcare & Wellness Centre runs 81 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average. That headline number comes with a catch: weekend staffing drops about 13% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is where the concern sits. Fifty-four deficiencies are on file, three of them abuse-related, though none reached the harm or jeopardy level. The most recent inspection was June 13, 2025, so the picture is current. CMS gave it 3 out of 5 stars for health inspections, 2 for staffing, and 5 for quality measures, a split that's worth asking about directly.

B

77.5/100

Brentwood Health Care Center

Santa Monica, CA · Los Angeles County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
47%
Serious cites
0

Brentwood Health Care Center sits in Santa Monica with 59 certified beds under for-profit LLC ownership. The nurse staffing number is genuinely high, 5.40 hours per resident day, roughly 40% above the national average, though weekends dip about 16% below what the home staffs during the week, so coverage isn't perfectly even. Turnover lands at 46.5%, essentially the national rate, meaning this isn't a stable long-tenured crew. The bigger concern is the inspection record: 49 deficiencies, including one tied to abuse, with a 3/5 health inspection rating despite a recent December 2025 survey. Strong daily staffing is doing real work here, but the deficiency history is what pulls the overall picture down.

B

77.5/100

Royal Gardens Healthcare

Alhambra, CA · Los Angeles County

CMS 2/5 43 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
59%
Serious cites
0

Royal Gardens Healthcare runs 43 certified beds in Alhambra under individual for-profit ownership, and the staffing numbers are genuinely better than most: 4.53 nurse hours per resident day, roughly 17 percent above the national average. That strength comes with an asterisk, weekends run about 16 percent below the home's own weekday level, and annual turnover sits at 58.5 percent against a national 45.8 percent, so the people providing that care keep changing. The inspection record is where the picture darkens: a 1-out-of-5 health inspection rating, 72 deficiencies on the current record, seven tied to abuse. None were cited at the harm or jeopardy level, and the most recent inspection was in January 2026, so the record is current rather than stale.

B

77.5/100

Alamitos West Health & Rehabilitation

Los Alamitos, CA · Orange County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
—
Serious cites
0

Alamitos West runs 150 beds in Orange County under individual for-profit ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86. That's the good news. The catch is that weekends drop about 9% below the home's own weekday level, so coverage thins out when families tend to visit most. The inspection record shows 78 deficiencies, including two tied to abuse, though none at the harm or jeopardy level. A November 2025 inspection is recent, which helps. The staffing star sits at 2 out of 5 despite the decent average, suggesting inconsistency rather than outright shortfall.

B

77.5/100

Oxnard Manor Healthcare Center

Oxnard, CA · Ventura County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
—
Serious cites
0

Oxnard Manor runs 82 certified beds in Ventura County under individual for-profit ownership, and its nurse staffing sits at 3.99 hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 7% below what the home provides Monday through Friday. The inspection record shows 43 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in December 2025. Quality measures score at the top of CMS's scale, though the staffing star lands lower. For a family weighing a smaller home, the numbers point to decent clinical care with a weekend staffing dip worth asking about directly.

B

77.5/100

Lighthouse Healthcare Center

Los Angeles, CA · Los Angeles County

CMS 1/5 149 beds For-profit Medicaid
Nurse hours
5.46 /day
Staff turnover
34%
Serious cites
0

Lighthouse Healthcare Center runs a 149-bed for-profit home in Los Angeles, and the staffing numbers are genuinely strong, 5.46 nurse hours per resident day, well above the national average, with weekend coverage only about 9% thinner than weekdays. Turnover at 34.1% also beats the national rate, which matters for consistency of care. The concern is the inspection record: 73 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, plus roughly $100,000 in fines. That combination, good staffing paired with a troubled inspection history, is what pulls the overall picture down, and it's worth asking pointed questions before you decide.

B

77.5/100

Western Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 1/5 129 beds For-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
26%
Serious cites
0

Western Convalescent Hospital runs 5.34 nurse hours per resident day, well above the national average, and its 26.1% turnover is far below the typical 45.8%, staff tend to stay. But that staffing cushion drops on weekends, and the inspection record is what pulls the grade down: 80 deficiencies, four tied to abuse, with a health inspection star of 1 out of 5. Ownership is a for-profit LLC. The care hours and stable workforce are real strengths; the survey history is the thing to ask about directly before you decide.

B

77.5/100

Desert Springs Healthcare & Wellness Centre

Indio, CA · Riverside County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Desert Springs runs 4.09 nurse hours per resident per day, which is actually about 6% above the national average, but that staffing still earns only 2 out of 5 stars from CMS, and weekend coverage drops roughly 8% below what the home provides on weekdays. The bigger issue sits in the inspection history: 49 deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, plus three tied to abuse and a $66,151 fine. The most recent inspection was September 2025, so this isn't stale paperwork. A for-profit limited liability company operates the 68-bed home. Strong quality measures and above-average staffing hours don't offset that many serious findings.

B

77.5/100

Coastal Oaks Special Care Center

Atascadero, CA · San Luis Obispo County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Coastal Oaks passed its most recent inspection in June 2025 with nine deficiencies on record, none of them serious enough to cause harm or jeopardy, and no abuse citations at all. That's a clean paper trail by any standard. The two CMS ratings that matter most here, health inspections and quality measures, both sit at the top of the scale. What holds the grade back is the ownership structure: a for-profit limited liability company running 65 beds, which tends to mean tighter margins and less cushion for staffing than you'd see at a nonprofit or a county-run home. Ask what the direct-care hours per resident actually look like on weekends, because that's where for-profit facilities often trim.

B

77.5/100

Healdsburg Hospital D/P Snf

Healdsburg, CA · Sonoma County

CMS 4/5 17 beds Non-profit Medicaid
Nurse hours
10.57 /day
Staff turnover
—
Serious cites
0

Healdsburg Hospital D/P SNF is a tiny 17-bed unit run by a nonprofit corporation, and its staffing numbers are unusual in both directions. Total nurse staffing sits at 10.57 hours per resident day, roughly 174% above the national average, but the federal staffing star comes in at just 1 out of 5, which tells you the hours on paper may not reflect what CMS considers stable, consistent coverage. Weekend staffing drops about 10% below the facility's own weekday level. The health inspection record is genuinely strong: a 5/5 rating, six deficiencies on file, none at harm or jeopardy level, and no abuse citations. Seven fines totaling $59,634 have accumulated, though, and the last inspection was August 2024.

B

77.5/100

Greater El Monte Community Hos

El Monte, CA · Los Angeles County

CMS 4/5 13 beds For-profit Medicaid
Nurse hours
8.65 /day
Staff turnover
5%
Serious cites
0

Greater El Monte Community Hos runs a small operation, 13 certified beds, and staffs it heavily: 8.65 nursing hours per resident day, more than double the national average. That ratio holds up on weekends, dipping only about 10% from weekday levels rather than collapsing the way it does at many homes. Staff turnover sits at 5% against a national average near 46%, which means the people caring for residents here tend to stay. The inspection record shows 18 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a single fine of $5,698 and a survey completed in November 2025. Corporate for-profit ownership, but the numbers describe steady, well-attended care.

B

77.5/100

Anaheim Point

Anaheim, CA · Orange County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
—
Serious cites
0

Anaheim Point runs 154 beds in Orange County under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends dip about 9% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger concern is the inspection record. CMS gives it 1 out of 5 stars for health inspections, with 85 total deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 5 out of 5, and the most recent inspection was March 2025, so the record is current. Strong clinical numbers and a weak inspection history are pulling in opposite directions here.

B

77.5/100

Windsor Care Center Of Sacramento

Sacramento, CA · Sacramento County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Windsor Care Center of Sacramento holds 128 certified beds and is owned by a for-profit limited liability company. Its record shows a sharp split: the quality measure rating is strong at 5 out of 5, but staffing sits at the bottom, 1 out of 5, which matters because daily care depends on having enough hands on deck, not on how well a facility documents clinical metrics. The inspection history is heavier than that staffing score alone would suggest, 52 deficiencies on the current record, including eight tied to abuse and one at the harm or jeopardy level, with the most recent inspection dated December 20, 2024. Ask about direct-care staffing levels and how the abuse-related citations were resolved before you decide.

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