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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 581–600 of 842, best-graded first.

B

75/100

Sunset Villa Post Acute

Long Beach, CA · Los Angeles County

CMS 2/5 199 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
45%
Serious cites
0

Sunset Villa Post Acute sits in Long Beach with 199 certified beds and a for-profit LLC owner. Nurse staffing runs 4.00 hours per resident day, slightly above the national average, but weekends drop about 7% below its own weekday level, and turnover sits at 44.8%, roughly in line with the national rate. The staffing star rating is 3/5. The bigger concern is the inspection record: 89 deficiencies, 6 at harm or jeopardy level, 10 abuse-related, and three fines totaling $207,206. The last inspection was April 9, 2026. Its quality measure rating is 5/5, but that's derived from resident assessments, not from how safely the home is actually run day to day.

B

75/100

Stanley Healthcare Center

Westminster, CA · Orange County

CMS 3/5 30 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
56%
Serious cites
0

Stanley Healthcare Center runs 30 beds in Westminster under for-profit LLC ownership, and its nurse staffing sits a bit above the national average, 4.05 hours per resident day against 3.86. That cushion thins on weekends, though, when coverage drops about 7% below its own weekday level, and annual turnover of 55.6% tops the national 45.8%, so the faces around a resident change often. The inspection record carries 64 deficiencies, none flagged at harm or jeopardy level, but one tied to abuse. State surveyors last visited in April 2026, and the health inspection rating landed at 3 out of 5, with quality measures at 4 and staffing at 3.

B

75/100

Terrace Post Acute

Van Nuys, CA · Los Angeles County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
26%
Serious cites
0

Terrace Post Acute runs 133 beds in Van Nuys under corporate for-profit ownership, and its staffing sits almost exactly at the national average, 3.87 nurse hours per resident day against 3.86, though weekends dip about 5% below its own weekday coverage. Turnover is the real bright spot at 25.7%, well under the 45.8% national figure, which suggests a steadier workforce than most. What drags the record down is inspection history: 89 deficiencies, three of them at harm or jeopardy level, four tied to abuse, plus a $94,094 fine and a one-star health inspection rating despite the four-star quality measures and a January 2026 inspection.

B

74.5/100

Tulare Healthcare & Wellness Center, Lp

Tulare, CA · Tulare County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
—
Serious cites
0

Tulare Healthcare & Wellness Center runs 97 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average. That headline number looks reassuring until you notice weekends run roughly 8% leaner than weekdays, which is when families tend to visit and when problems often surface. The inspection record is the bigger concern: 72 deficiencies on file, including 4 tied to abuse, though none rose to the harm or jeopardy level. Federal inspectors last visited in March 2026, and CMS rated the health inspection and staffing stars at 2 out of 5 each. Weigh the staffing figure against that deficiency count before deciding.

B

74.5/100

Hayward Healthcare & Wellness Center

Hayward, CA · Alameda County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
—
Serious cites
0

Hayward Healthcare & Wellness Center runs 99 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average of 3.86. That's the strongest part of the picture, though weekend coverage drops about 9% below what the home staffs on weekdays. The inspection record is where the numbers get harder to shrug off: 24 deficiencies on the current record, including one at the harm or jeopardy level and one flagged as abuse-related. The last full inspection was July 2023, so that record has had time to age without a fresh look. Worth asking the administrator directly what changed after that harm-level finding.

B

74.5/100

La Jolla Post-Acute

La Jolla, CA · San Diego County

CMS 4/5 161 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
49%
Serious cites
0

La Jolla Post-Acute runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a percentage point above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 7% below the home's own weekday levels. Staff turnover is the bigger concern: 49.3% annually against a national average of 45.8%, meaning nearly half the nursing workforce turns over each year. The inspection record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2025. Four stars on health inspections but three on staffing tells you the clinical care is holding up better than the workforce stability behind it.

B

74.5/100

Napa Post Acute

Napa, CA · Napa County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Napa Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.07 nurse hours per resident day against a national average of 3.86, with turnover at 38.6% versus 45.8% nationally. That's real, and it shows up in the four-out-of-five staffing star. The problem is what inspections keep finding. Forty-nine deficiencies on the current record, four of them at harm or jeopardy level and one tied to abuse, plus two fines totaling $173,323. Weekends run about 16% lighter than weekdays, so the coverage that looks solid on paper thins out when families visit. Good aides, recurring serious findings, that combination is worth asking about directly before you sign anything.

B

74.5/100

Kit Carson Nursing & Rehabilitation Center

Jackson, CA · Amador County

CMS 1/5 199 beds For-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
55%
Serious cites
0

Kit Carson runs a for-profit, 199-bed operation where the nurse staffing numbers look strong on paper, 4.64 hours per resident day, roughly 20% above the national average, but that average hides a weekend dip of about 17%. Staff turnover sits at 54.6%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. The current inspection record is the harder problem: 72 deficiencies, five at harm or jeopardy level, three tied to abuse, and three fines totaling $28,327. The most recent inspection was August 2025, so the findings are fresh.

B

74.5/100

River Valley Healthcare & Wellness Centre, Lp

Redding, CA · Shasta County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
—
Serious cites
0

River Valley runs 4.45 nurse hours per resident day against a national average of 3.86, which is a real margin in a county where a lot of homes sit under four. That staffing holds up reasonably well on weekends, dipping only about 6% from weekday levels. The tradeoff shows up in the inspection record: 45 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. A recent inspection date of May 2026 means the record reflects current conditions rather than old findings. Know that the state inspected it recently, that nurse coverage is genuinely above average, and that the deficiency count and abuse citations are the things worth asking about directly on a tour.

B

74.5/100

San Pablo Healthcare & Wellness Center

San Pablo, CA · Contra Costa County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
—
Serious cites
0

San Pablo Healthcare & Wellness Center runs 108 certified beds under corporate ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average. Weekend coverage dips about 8% below its own weekday levels, so the weekday numbers look better than a Saturday actually does. The inspection record is where the picture sours. Forty-three deficiencies are on file, including nine tied to abuse and one serious enough to involve harm or jeopardy. A single fine totaling $10,036 has been levied, and the most recent inspection was June 26, 2025. All three CMS star ratings land at 3 out of 5. Solid staffing, but that abuse count and harm-level finding are what a family should ask about directly.

B

74.5/100

North Point Healthcare & Wellness Centre Lp

Fresno, CA · Fresno County

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

North Point Healthcare & Wellness Centre runs about 99 certified beds in Fresno under for-profit partnership ownership, and its last health inspection was in March 2025, so what you're seeing is reasonably fresh. The inspection record is the strongest part of the picture: 20 deficiencies on file, but none at the harm or jeopardy level and none related to abuse. Nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average, though weekends run about 8% below the home's own weekday level, which is where gaps tend to show up. The tradeoff is consistency, quality measures score well, staffing is only decent against peers, and ownership structure means you should ask who's actually on the floor on a Saturday.

B

74.5/100

The Rehabilitation Center Of Oakland

Oakland, CA · Alameda County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
—
Serious cites
0

The Rehabilitation Center Of Oakland runs on a for-profit LLC structure with 70 certified beds, and its nurse staffing sits at 4.35 hours per resident day, roughly 13% above the national average, though weekend coverage dips about 7% below its own weekday level. The staffing star rating reflects that strength, but the inspection record tells a different story: a 1/5 health inspection rating, 39 deficiencies on file including two at the harm or jeopardy level and three tied to abuse, plus three fines totaling $30,562. Its most recent inspection was September 13, 2024. Quality measures land mid-range at 3/5, but the deficiency history is what weighs most heavily here.

B

74/100

The Earlwood

Torrance, CA · Los Angeles County

CMS 1/5 87 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
51%
Serious cites
0

The Earlwood has 91 deficiencies on its current record, four of them at the harm or jeopardy level and two abuse-related, that's a lot of paperwork documenting problems, not just minor ones. The most recent inspection was January 8, 2026, so this isn't stale history. Staffing sits at 4.08 nurse hours per resident day, about 6% above the national average, but weekend coverage drops roughly 9% below its own weekday level, and turnover runs 50.6% against a national 45.8%. It's a for-profit LLC with 87 beds and $30,531 in fines from two separate penalties. The inspection rating of 1 out of 5 is the number that should give you pause.

B

74/100

Spring Valley Post Acute Llc

Victorville, CA · San Bernardino County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
41%
Serious cites
0

Spring Valley Post Acute runs a for-profit operation with 126 beds, and its 4.66 nurse hours per resident day sits about 21% above the national average, but weekends drop roughly 15% below its own weekday levels, so coverage thins out when families are most likely to visit. Turnover at 41.4% is slightly better than the national 45.8%, though that still means plenty of new faces. The trouble sits in inspections: 31 deficiencies on record, including 2 at harm or jeopardy level and 5 abuse-related, plus 13 fines totaling $76,963. The last inspection was March 2026. Strong staffing numbers are doing a lot of work here; the enforcement history is the bigger story.

B

74/100

Madera Post Acute Center

El Monte, CA · Los Angeles County

CMS 1/5 148 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
50%
Serious cites
0

Madera Post Acute Center runs 148 certified beds in El Monte under corporate for-profit ownership, and the staffing numbers land just above the national average, about 3.99 nurse hours per resident day, roughly 3% higher. That edge narrows on weekends, when hours drop about 14% below the home's own weekday levels, and turnover sits at 49.7%, a few points above the national 45.8%. The bigger concern is the inspection record: 70 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $29,517 in fines across two penalties. A July 2025 inspection is recent, but that volume of findings is what drags the health inspection rating down to 1 out of 5.

B

74/100

Loma Linda Post Acute

Loma Linda, CA · San Bernardino County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
46%
Serious cites
0

Loma Linda Post Acute runs 83 beds as a for-profit LLC, and its staffing numbers are a mixed picture. Total nurse coverage sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86, but weekends drop about 10% below what the home itself staffs on weekdays, and turnover of 46.4% is essentially the national rate of 45.8%. CMS gives it 4 stars for health inspections and 4 for quality measures, with a recent inspection dated July 2025. The 28 deficiencies on record include none tied to harm, jeopardy, or abuse, which matters more than the raw count suggests. The weak spot is the 2-star staffing rating, undercutting otherwise solid marks.

B

74/100

Kyakameena Care Center

Berkeley, CA · Alameda County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
57%
Serious cites
0

Kyakameena runs 3.93 nurse hours per resident day, just above the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. The bigger concern is turnover: 57.4% of staff leave each year, against a national average of 45.8%. Its record shows 40 deficiencies, including one at the harm level and two tied to abuse, with eight fines totaling $38,848. The last inspection was November 2025, and the quality measure rating sits at 4 out of 5, the clinical picture looks steadier than the staffing churn suggests.

B

74/100

Westwood Post Acute

San Jose, CA · Santa Clara County

CMS 2/5 258 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
46%
Serious cites
0

Westwood Post Acute runs 258 beds in San Jose under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.44 nurse hours per resident day, roughly 15% above the national average, though weekends dip about 5% below its own weekday level. Turnover sits at 45.8%, right at the national mark, no advantage there either way. What pulls the record down is the inspection history: 93 deficiencies on file, two serious enough to reach harm or jeopardy, six tied to abuse, and a $18,871 fine. The most recent inspection was April 2025, so it's current, not stale. High nurse hours don't cancel out that many problems.

B

74/100

Sharon Care Center

Los Angeles, CA · Los Angeles County

CMS 2/5 86 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
52%
Serious cites
0

Sharon Care Center runs 86 certified beds in Los Angeles under for-profit limited liability ownership, and the staffing picture is thinner than it first looks. Total nurse hours sit at 3.89 per resident day, barely a percentage point above the national average, but weekend coverage drops roughly 7% below the home's own weekday levels, and annual turnover of 52% runs well past the national 45.8%, meaning the people showing up are frequently new. The bigger issue is the inspection record: a 1-out-of-5 health inspection rating, 117 deficiencies total, including 3 at harm or jeopardy level and 6 tied to abuse. One fine of $49,162 is on file. The last inspection was April 30, 2026. Strong quality measure scores don't offset that history.

B

74/100

Whittier Pacific Care Center

Whittier, CA · Los Angeles County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
44%
Serious cites
0

Whittier Pacific runs 105 beds under corporate for-profit ownership, and its nurse staffing comes in at 5.02 hours per resident day, roughly 30% above the national average of 3.86. Turnover sits at 43.9%, a touch better than the 45.8% national figure, though weekend coverage dips about 6% below its own weekday level. What pulls the record down is the inspection side: 80 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. The last inspection was March 13, 2026. Staffing hours look strong on paper, but that deficiency history is the part I'd want to ask about directly before deciding.

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