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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 561–580 of 842, best-graded first.

B

75.5/100

Shoreline Healthcare Center

Long Beach, CA · Los Angeles County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
51%
Serious cites
0

Shoreline Healthcare Center has 75 certified beds and runs on 4.28 total nurse staffing hours per resident day, roughly 11% above the national average, which sounds good until you notice weekends drop about 18% below its own weekday coverage. Staff turnover sits at 51.2%, higher than the 45.8% national figure. The bigger issue is the inspection record: 62 deficiencies, three at harm or jeopardy level and three abuse-related, with one fine of $41,629 and a 1-out-of-5 health inspection rating, even though quality measures rate 5 out of 5. That gap between quality scores and inspection results is worth asking about directly.

B

75.5/100

Princeton Manor Healthcare Center, Llc

Oakland, CA · Alameda County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
—
Serious cites
0

Princeton Manor is an 82-bed for-profit in Oakland, and the staffing number lands right at the national average for total nurse hours per resident day. That average is doing some work here, though: weekend coverage runs about 8 percent thinner than weekdays, so the care your relative gets on a Saturday may look different from a Tuesday. The record shows 34 deficiencies, including one at the harm or jeopardy level and four tied to abuse. A health inspection star of 3 out of 5, with the most recent visit in October 2025, suggests the issues are current rather than historical. Quality measures score better, but those come from resident assessments, not from someone watching the floor.

B

75.5/100

Good Shepherd Health Care Center Of Santa Monica

Santa Monica, CA · Los Angeles County

CMS 2/5 48 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Good Shepherd Health Care Center of Santa Monica is a 48-bed for-profit home where the clinical outcomes look strong but the hands-on care doesn't match. Its quality measure rating sits at the top of the scale, yet staffing lands at the very bottom, meaning the numbers families care about most, like how often residents are bathed or helped to the bathroom, depend on a thin crew. The inspection record backs that up: 48 deficiencies, including one causing actual harm and two tied to abuse, with a $8,424 fine and a February 2026 inspection that's recent enough to still reflect current conditions. A corporation owns it, so decisions about staffing levels get made somewhere other than Santa Monica.

B

75/100

Camino Ridge Post-Acute

Mountain View, CA · Santa Clara County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
59%
Serious cites
0

Camino Ridge runs a decent nurse staffing number, 4.16 hours per resident day, roughly 8% above the national average, and its quality measure score is strong. But staffing thins out on weekends, dropping about 11% below weekday levels, and 59.2% of staff turned over in a year against a national average near 46%. The inspection record is where the picture darkens: a 1-out-of-5 health inspection rating, 75 deficiencies on the current record including one at the harm level and two tied to abuse. For-profit, limited liability ownership, one fine so far totaling $8,428.

B

75/100

Mountain View Healthcare Center

Mountain View, CA · Santa Clara County

CMS 3/5 129 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

Mountain View Healthcare Center runs on 4.08 nurse hours per resident day, about 6% above the national average, and its 37.7% turnover is meaningfully better than the 45.8% typical elsewhere. Weekend staffing dips roughly 8% below weekday levels, so coverage thins out when families tend to visit. The harder numbers sit on the inspection side: a 2/5 health inspection rating, 59 deficiencies on the current record, two at harm or jeopardy level, one tied to abuse, and a $54,912 fine. Its last inspection was May 2025, so the record is recent. Quality measures score 5/5, staffing 3/5, the care metrics look strong while the survey history tells a rougher story.

B

75/100

Brighton Post Acute

Hanford, CA · Kings County

CMS 3/5 133 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Brighton Post Acute runs 133 beds in Hanford under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average, though weekends dip about 6% below its own weekday coverage. Annual turnover of 44.4% is roughly in line with the national figure, so continuity isn't the standout problem here. What stands out is the inspection record: 34 deficiencies, including one at the harm or jeopardy level and one flagged as abuse-related. The most recent inspection was in April 2026. The quality measure score looks strong on paper, but staffing and health inspection ratings both land at the middle of the scale, which is where the real story sits.

B

75/100

Vineyards At Fowler

Fowler, CA · Fresno County

CMS 2/5 49 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
60%
Serious cites
0

Vineyards At Fowler runs 4.71 nurse hours per resident day, roughly 22% above the national average, which sounds good until you notice weekends drop about 13% below its own weekday numbers, coverage gets thinner exactly when families tend to visit. Staff turnover sits at 59.6% against a national 45.8%, so the people providing that care keep changing. The current record shows 53 deficiencies, including one at the harm level and two tied to abuse, with a health inspection rating of 2 out of 5. Ownership is a for-profit limited liability company. The last inspection was January 9, 2026, so the picture is recent.

B

75/100

Manresa Healthcare Center

Watsonville, CA · Santa Cruz County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
36%
Serious cites
0

Manresa Healthcare Center runs 59 certified beds in Watsonville under corporate for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, almost exactly the national average, with weekends dipping about 4% below its own weekday levels. Staff turnover is 35.6%, noticeably better than the 45.8% national figure, which matters for continuity of care. The home's current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was recent, in November 2025. Medicare's inspection rating comes in at 4 out of 5 stars, with quality measures and staffing each at 3. The numbers point to a stable, adequately staffed home with a few things worth asking about directly.

B

75/100

San Joaquin Nursing Center And Rehabilitation Cent

Bakersfield, CA · Kern County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
35%
Serious cites
0

San Joaquin Nursing Center sits on the east side of Bakersfield with 99 certified beds and a for-profit limited liability owner. The staffing numbers are the strong part: 4.28 nurse hours per resident day, roughly 11 percent above the national average, and turnover at 35.2 percent is meaningfully better than the 45.8 percent norm. Weekends run about 6 percent thinner than weekdays, which is common but worth asking about. The trouble is the inspection record: 62 deficiencies, including two at the harm level and two tied to abuse, plus a $47,242 fine. A March 2026 inspection is recent, so the record is current, not stale. Quality measures look excellent; the survey history does not.

B

75/100

Chatsworth Park Health Care Center

Chatsworth, CA · Los Angeles County

CMS 1/5 128 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

If you're weighing Chatsworth Park, the numbers point in two directions at once. Nurse staffing runs about 4.07 hours per resident day, roughly 5% above the national average, and staff turnover sits at 38.5%, better than the 45.8% national rate. Weekend coverage, though, drops about 11% below what the home staffs on weekdays. The bigger concern is the inspection record: 89 deficiencies, including one at the harm level and four tied to abuse, with a $46,280 fine and a 1-out-of-5 health inspection rating. The most recent inspection was in April 2025. Quality measures score well; the survey history is where the trouble sits.

B

75/100

The Rehabilitation Center Of North Hills

North Hills, CA · Los Angeles County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
30%
Serious cites
0

The Rehabilitation Center Of North Hills runs a for-profit partnership with 138 certified beds, and its staffing is the strongest card it holds: 4.58 nurse hours per resident day, roughly 19% above the national average, with weekend coverage dipping only about 5% below weekdays. Turnover sits at 29.9% against a national 45.8%, so the people caring for residents tend to stay. The problem is everything else. The current inspection record carries 108 deficiencies, three at harm or jeopardy level and four tied to abuse, plus two fines totaling $125,421. A 1/5 inspection rating against 4/5 for staffing and quality measures tells you the care model works better on paper than in practice.

B

75/100

Ocean Ridge Post Acute

Long Beach, CA · Los Angeles County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
39%
Serious cites
0

Ocean Ridge Post Acute runs about 4.01 nurse hours per resident per day, slightly above the national average, and its 38.8% turnover is better than the 45.8% typical elsewhere. That's the good news. The inspection record is the problem: 95 deficiencies, including two at the harm level and eight tied to abuse, plus a single $58,032 fine. A 1-out-of-5 inspection rating against a 5-out-of-5 quality measure rating is a strange split, and it usually means the charted clinical measures look fine while the surveyors keep finding serious problems on the floor. Weekend staffing drops about 7% below weekday levels, so coverage thins exactly when families visit. A for-profit LLC with that citation history is worth asking hard questions about.

B

75/100

Cheviot Hills Post Acute

Los Angeles, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
16%
Serious cites
0

Cheviot Hills Post Acute runs 99 beds under individual for-profit ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, not below it, but not cushioning anything either. Weekends dip about 6% under the home's own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out is turnover: 15.7% against a national 45.8%, meaning the people caring for residents largely stay put. The inspection record is the counterweight, 63 deficiencies, two at harm or jeopardy level, one abuse-related, and a $51,613 fine, with the last inspection in February 2026.

B

75/100

Mount Miguel Covenant Village

Spring Valley, CA · San Diego County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
20%
Serious cites
0

Mount Miguel Covenant Village runs lean on nursing hours, 2.69 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main reason its CMS staffing rating sits at the bottom of the scale, even though the home is church-affiliated and nonprofit. Where it looks steadier: staff turnover of 19.7% is well under half the national rate, inspections are recent and produced no deficiencies at the harm level, and its health inspection and quality measure ratings both land at 4 out of 5. Twenty-eight deficiencies total and one abuse-related finding are on the record, so ask about that directly before deciding.

B

75/100

El Centro Post-Acute Care

El Centro, CA · Imperial County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
32%
Serious cites
0

Nurse staffing at El Centro Post-Acute Care sits at 3.99 hours per resident day, just above the national average of 3.86, but weekends drop roughly 8% below the home's own weekday level, so coverage thins when families tend to visit. Turnover of 31.7% is well below the national 45.8%, which suggests a relatively stable workforce. Against that, the record shows 51 deficiencies, including one at the harm level and one abuse-related citation, plus two fines totaling $10,254. The last inspection was September 2024. For-profit, limited liability ownership, 123 beds.

B

75/100

City Creek Post Acute

Sacramento, CA · Sacramento County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
47%
Serious cites
0

City Creek Post Acute runs a 99-bed for-profit operation in Sacramento, and the staffing picture is more mixed than the headline number suggests. Total nurse hours come in at 4.10 per resident day, about 6% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, so the care your family member gets on a Saturday may look thinner than what the tour showed. Staff turnover sits at 47.2%, slightly worse than the national rate, and the current record carries 39 deficiencies, including three tied to abuse and one at the harm level. Three fines total $26,497. The most recent inspection was October 2024.

B

75/100

Westgate Gardens Care Center

Visalia, CA · Tulare County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
45%
Serious cites
0

Westgate Gardens runs 140 beds in Visalia, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 6% below its own weekday levels. Turnover lands at 45.3%, essentially matching the national figure of 45.8%, so retention here isn't unusually bad or unusually good. What stands out is the inspection record: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a $10,317 fine attached. The last inspection was February 2025, so the record is current. Strong quality-measure scores sit alongside that history, worth asking about directly when you visit.

B

75/100

Castle Manor Nursing & Rehabilitation Center

National City, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
37%
Serious cites
0

Castle Manor runs about 4.58 nurse hours per resident day, roughly 19% above the national average, though weekends drop about 13% below its own weekday levels, worth asking about if your family visits then. Staff turnover sits at 37.4%, better than the 45.8% national figure, which matters for continuity of care. The home carries 25 deficiencies on its current record, one at the harm level, with a single fine of $10,188 and no abuse findings. Its last inspection was March 2025, and it's owned by a for-profit limited liability company.

B

75/100

Sunrise Post Acute

Banning, CA · Riverside County

CMS 2/5 64 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
21%
Serious cites
0

Sunrise Post Acute has a staffing edge worth noting: 3.94 nurse hours per resident day, slightly above the national average, and turnover at 21.3%, less than half the national rate of 45.8%, which suggests a stable crew. Weekends dip about 8% below weekday coverage, so care can thin out when families visit most. The problem is everything that happened inside those hours. Fifty deficiencies on the current record, four of them at harm or jeopardy level, five tied to abuse, and two fines totaling $76,434. The last inspection was September 2025. Strong quality scores and good retention don't offset that inspection history, the people are there, but the system around them keeps failing.

B

75/100

Century Villa, Inc

Inglewood, CA · Los Angeles County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
38%
Serious cites
0

Century Villa runs a 99-bed for-profit home in Inglewood, and its staffing is the strongest part of the picture: 4.51 nurse hours per resident day, roughly 17% above the national average, with weekend coverage only about 4% thinner than weekdays. Turnover sits at 38%, better than the 45.8% national figure. The trouble is the inspection record, 30 deficiencies, including one at the harm level and one tied to abuse, plus a single fine of $18,538. The most recent inspection was April 2026. Strong daily staffing and a thin inspection history don't usually travel together, and that tension is what pulls the overall picture down.

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