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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 41 to 60 of 842, best-graded first.

A

93/100

Regents Point - Windcrest

Irvine, CA · Orange County

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

Regents Point - Windcrest runs a lean ship on the staffing side. Its 4.99 nurse hours per resident day sit about 29% above the national average, and the team sticks around far longer than most, 30.8% turnover against a national 45.8%. Weekend coverage dips roughly 8% below its own weekday level, worth knowing if you visit Saturdays. The record isn't spotless: 34 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site in May 2025. This nonprofit's clinical quality measures and inspection history both land at four stars, with staffing at the top of the scale.

A

93/100

The Meadows Of Napa Valley

Napa, CA · Napa County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at The Meadows of Napa Valley runs about 4.82 hours per resident per day, roughly a quarter above the national average, and weekends dip only about 8% below weekday levels, so coverage stays fairly steady. The nonprofit's 41.7% turnover is modestly better than the 45.8% national figure. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and two abuse-related citations, with the last inspection in November 2024. Strong staffing and a five-star inspection rating sit alongside some serious past findings, which is the tension worth weighing when you visit.

A

92/100

Country Manor Healthcare

Lake View Terrace, CA · Los Angeles County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
20%
Serious cites
0

Country Manor Healthcare runs on 4.30 nurse hours per resident day, roughly 11 percent above the national average, and its staff turnover of 20.4 percent is less than half the national figure of 45.8 percent, a combination that usually signals a stable, well-staffed floor. Weekend coverage dips about 6 percent below weekday levels, so ask how that plays out on Sundays. The caution sits in the inspection record: 66 deficiencies, including one at the harm or jeopardy level and five tied to abuse, against a 2-out-of-5 health inspection rating. The most recent inspection was February 2026, and fines total $8,018. Good staffing, thin regulatory margin.

A

92/100

Apple Valley Post-Acute Rehab

Sebastopol, CA · Sonoma County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
30%
Serious cites
0

Apple Valley Post-Acute Rehab runs 4.54 nurse hours per resident day, about 18 percent above the national average, and its staff turnover of 29.9 percent sits well below the 45.8 percent typical nationwide, that combination matters, because consistent caregivers tend to know residents' routines and catch changes early. Weekend staffing dips roughly 10 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows 23 deficiencies, including two at the harm or jeopardy level and two abuse-related, though the last inspection was November 2024 and the health inspection rating came back at 4 out of 5. Worth asking what those abuse citations involved and what's changed since.

A

92/100

Broadway Villa Post Acute

Sonoma, CA · Sonoma County

CMS 5/5144 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
32%
Serious cites
0

Broadway Villa runs 144 certified beds in Sonoma under corporate for-profit ownership, and the nurse staffing works out to 3.99 hours per resident day, a bit above the national average of 3.86. That margin is thin, and weekends dip about 11% below the home's own weekday numbers, so coverage isn't uniform across the week. Turnover sits at 31.5% against a national 45.8%, which is genuinely low for this industry and suggests people stay. The current record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. Last inspection was April 2026, so the picture is recent.

A

92/100

Community Convalescent Center Of San Bernardino

San Bernardino, CA · San Bernardino County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
9.85 /day
Staff turnover
24%
Serious cites
0

Community Convalescent Center Of San Bernardino runs on 9.85 nurse hours per resident day, roughly two and a half times the national average of 3.86, and keeps its staff: turnover is 23.9% against a national 45.8%. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Sunday. Inspectors were last in on April 24, 2025, and found 12 deficiencies, none at the harm or jeopardy level but one flagged as abuse-related, which is worth asking about directly. The nonprofit operator has a 5/5 inspection rating and 5/5 on quality measures, though staffing scored 4/5 despite the high hours, likely a mix or retention issue.

A

92/100

Garden Grove Post Acute

Garden Grove, CA · Orange County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
28%
Serious cites
0

Garden Grove Post Acute runs on a corporate for-profit model with 99 beds, and its staffing is genuinely heavy: 4.71 nurse hours per resident day, roughly 22% above the national average. That cushion matters less on weekends, when hours drop about 12% below the home's own weekday level, and the 28.3% turnover rate, well under the 45.8% national figure, suggests the people who stay know the building. The inspection record is where it gets murkier: 50 deficiencies on file, two tied to abuse, though none rose to harm or jeopardy, and the most recent state visit was March 2025. Strong quality measures and recent eyes on the building, but that abuse count is worth asking about directly.

A

92/100

Centinela Grand Inc

Perris, CA · Riverside County

CMS 5/5109 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
13%
Serious cites
0

Centinela Grand runs 4.63 total nurse hours per resident day, roughly 20% above the national average of 3.86, and its 12.5% annual turnover is far below the 45.8% typical nationwide, that kind of stability usually means consistent caregivers who know the residents. Weekends dip about 11% below weekday staffing, so ask how coverage is handled then. The 27 deficiencies on record include one at harm or jeopardy level and two abuse-related, which is worth asking about directly, though the last inspection was recent and the health inspection rating came in at 4 of 5. It's a for-profit corporate home with 109 beds.

A

92/100

Pacifica Nursing And Rehabilitation Center

Pacifica, CA · San Mateo County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
29%
Serious cites
0

Pacifica Nursing and Rehabilitation Center runs 68 certified beds under for-profit LLC ownership, and the numbers that stand out most are its staffing and its inspection record. Nurse staffing sits at 5.25 hours per resident day, roughly a third more than the national average, and annual turnover of 28.7% is well below the 45.8% typical elsewhere, both signs of a stable, well-manned floor. Weekend coverage does dip about 11% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. On inspections, six deficiencies sit on the current record, none rising to harm or jeopardy, and none abuse-related. The last survey was recent, in May 2026. Five stars across health inspections, quality measures, and staffing round out a record with no obvious soft spot.

A

92/100

Vale Healthcare Center

San Pablo, CA · Contra Costa County

CMS 3/5202 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
34%
Serious cites
0

Vale Healthcare Center runs 202 certified beds in San Pablo, and its staffing numbers are genuinely better than they look at first glance. Nurse coverage sits at 3.95 hours per resident day, a bit above the national average, and weekend hours only dip about 6% from weekday levels. Staff turnover is 33.9%, well under the national 45.8%, which matters for whether your family sees the same faces month to month. The catch is the inspection record: 50 deficiencies on file, including 6 tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was July 25, 2025. Quality measures score well; the survey history is where the concerns live.

A

92/100

Long Beach Post Acute

Long Beach, CA · Los Angeles County

CMS 5/578 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
29%
Serious cites
0

Long Beach Post Acute runs on more nursing hours than most homes in the country, 4.30 per resident day against a national average of 3.86, and its weekend coverage dips only slightly below its own weekday level, which matters because short-staffed weekends are where problems tend to surface. Staff turnover sits at 29.2%, well under the national 45.8%, so the people caring for residents here are more likely to still be around next year. The 26 deficiencies on record include none involving harm or jeopardy to residents, and the most recent inspection was in January 2026.

A

92/100

Claremont Manor Care Center

Claremont, CA · Los Angeles County

CMS 3/559 bedsNon-profitMedicaid
Nurse hours
5.22 /day
Staff turnover
23%
Serious cites
0

Claremont Manor runs high on staffing: 5.22 nurse hours per resident day, about 35% above the national average, and it holds onto workers far better than most, 22.5% turnover against a national 45.8%. Weekend coverage dips roughly 12% below its own weekday level, which matters if your visits fall on Saturdays or Sundays. The inspection record is the caution flag. The home carries 55 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. Its last inspection was March 2026. A nonprofit with strong staffing and steady retention, but that deficiency list is where I'd focus your questions before touring.

A

92/100

St. John's Hospital Camarillo D/P Snf

Camarillo, CA · Ventura County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
8.83 /day
Staff turnover
23%
Serious cites
0

St. John's Hospital Camarillo runs a 99-bed skilled nursing unit, and the staffing numbers stand out: 8.83 nurse hours per resident per day, roughly 129% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 23.2%, about half the national rate, which matters for whether you see the same faces. The inspection record shows 22 deficiencies, none at the harm level, though two are abuse-related, and the most recent inspection was in April 2025. It's a for-profit corporate operation, so worth asking who's actually on the floor day to day.

A

92/100

Anberry Nursing And Rehabilitation Center

Atwater, CA · Merced County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
29%
Serious cites
0

Anberry runs about 3.48 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. Turnover sits at 28.6% against a national average of 45.8%, so the crew here is steadier than most, even if there are fewer hands on a Saturday. Inspections in January 2026 turned up 19 deficiencies, none at the harm level, one tied to abuse. The limited liability company structure means profits go to owners, not back into the building. Fewer staff hours and a thinner weekend schedule are the tradeoff for that steadiness.

A

92/100

University Post-Acute Rehab

Sacramento, CA · Sacramento County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
32%
Serious cites
0

University Post-Acute Rehab runs 4.55 nurse hours per resident per day, roughly 18% above the national average, and its weekend coverage holds within about 7% of weekdays, a gap that tends to matter more than the raw total. Staff turnover sits at 31.9%, well under the 45.8% national figure, which suggests a steadier crew than most corporate-owned homes manage. The tradeoff is a longer deficiency record: 26 findings on the current record, including two tied to abuse, though none reached harm or jeopardy level. Inspectors were last on site in May 2025.

A

92/100

Citrus Heights Post Acute

Citrus Heights, CA · Sacramento County

CMS 4/5162 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
34%
Serious cites
0

Citrus Heights Post Acute runs 162 beds under limited-liability, for-profit ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 10% below what the home staffs on weekdays, so ask how that gap gets covered. Turnover lands at 33.8%, well under the 45.8% national figure, which matters for whether you see the same faces on repeat visits. The inspection record shows 34 deficiencies, none at harm or jeopardy level and none abuse-related; the most recent inspection was April 2026. Federal ratings put quality measures at 5 and staffing at 4, with health inspections at 3.

A

92/100

Villa Gardens Health Care Unit

Pasadena, CA · Los Angeles County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
22%
Serious cites
0

Villa Gardens runs 5.06 nursing hours per resident day, roughly a third more than the national average, and its staff turnover sits at 21.8 percent against a national 45.8, that kind of retention usually means residents see the same faces month to month. Weekend coverage dips about 11 percent below its own weekday level, so ask how that plays out on Saturdays. The 31 deficiencies on record include nothing at the harm level and nothing abuse-related, which matters more than the raw count, though a 3/5 inspection rating suggests some of those findings weren't trivial. The last survey was December 2025, so the picture is current.

A

92/100

Victoria Care Center

Ventura, CA · Ventura County

CMS 5/5188 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
30%
Serious cites
0

Victoria Care Center in Ventura runs 4.53 nurse staffing hours per resident day, roughly 17% above the national average of 3.86, and weekend coverage dips only about 10% below its own weekday level. Staff turnover sits at 30.1%, well under the 45.8% national figure, which matters for residents who depend on consistent caregivers. The tradeoff shows up in its record: 24 deficiencies, including 2 abuse-related, though none at the harm or jeopardy level, and the most recent inspection was February 27, 2025. Under for-profit LLC ownership, you're looking at a home that's well-staffed on paper but has accumulated some compliance issues worth asking about directly.

A

92/100

Leisure Court Nursing Center

Anaheim, CA · Orange County

CMS 3/5115 bedsFor-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
28%
Serious cites
0

Leisure Court runs on a for-profit individual owner in Anaheim, and the numbers here are mostly working in residents' favor. Nurse staffing sits at 4.50 hours per resident day, about 17% above the national average, and the 28.2% annual turnover is well below the 45.8% national figure, that kind of stability matters more than people realize, since aides who stay learn the residents. The tradeoff shows up in the inspection record: 46 deficiencies, none at harm or jeopardy level but two tied to abuse, and the last full inspection was January 2025. Weekend staffing dips roughly 8% from weekdays, so ask how coverage looks on Saturdays and Sundays.

A

92/100

Driftwood Healthcare Center - Hayward

Hayward, CA · Alameda County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
30%
Serious cites
0

Driftwood Healthcare Center runs on more nursing hours than most homes, 4.93 per resident day against a national average of 3.86, and staff tend to stay, with turnover at 30.3% versus 45.8% nationally. Weekend coverage slips only slightly below weekday levels. The trouble sits on the inspection side: 39 deficiencies on the current record, including one at the harm level and two tied to abuse, plus five fines totaling $24,666 and a two-star health inspection rating. That last inspection was August 2024, so the record is fairly recent. Quality measures score well, but the enforcement history is the part 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