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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 601–620 of 842, best-graded first.

B

74/100

Cornerstone Care Center

Sanger, CA · Fresno County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Cornerstone Care Center runs 99 beds in Sanger under for-profit LLC ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average, though weekends drop about 13% below its own weekday numbers, so coverage isn't evenly spread across the week. Staff turnover lands at 47%, a touch above the 45.8% national figure. The inspection record is the heavier concern: 52 deficiencies, four of them serious enough to put residents at harm or jeopardy, and one fine of $27,612, with the most recent inspection in May 2025. Quality measures score well, but that gap between measured care and inspection findings is worth asking about directly.

B

74/100

Camino Healthcare

Hawthorne, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
51%
Serious cites
0

Camino Healthcare runs 99 certified beds in Hawthorne under for-profit LLC ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. That cushion shrinks on weekends, when staffing drops about 13% below the home's own weekday level. Turnover is the harder number: 51.3% of nursing staff leave annually against a national average of 45.8%. The inspection record carries 66 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one fine of $9,110. The most recent inspection was March 13, 2026. CMS rates health inspections 2 out of 5 stars, quality measures 3, and staffing 3.

B

74/100

Casa Bonita Convalescent Hospital

San Dimas, CA · Los Angeles County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
5.04 /day
Staff turnover
49%
Serious cites
0

Casa Bonita runs 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86, and weekends only dip about 6% below its own weekday staffing. Turnover is the problem hiding in the good numbers: 49.2% of staff leave annually, above the 45.8% national rate. The current record carries 38 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors last visited in June 2025, and the for-profit LLC ownership structure is worth knowing about. A 4/5 on health inspections and quality measures suggests care is fundamentally sound, but that turnover rate means the people delivering it keep changing.

B

74/100

Grand Valley Health Care Center

Van Nuys, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
37%
Serious cites
0

Grand Valley runs a 99-bed for-profit operation in Van Nuys, and the numbers pull in two directions. The nursing staff puts in 4.54 hours per resident day, roughly 18 percent above the national average, and turnover sits at 36.9 percent against a national 45.8, so the people caring for residents are comparatively stable, though weekend coverage drops about 13 percent below weekday levels. The trouble is the inspection record: 70 deficiencies, one at harm or jeopardy level, four tied to abuse, and two fines totaling $78,830, with the most recent inspection in January 2026. A 1-out-of-5 inspection rating against 4s for quality measures and staffing is the whole story here, steady care on paper, serious compliance problems in practice.

B

74/100

Greenfield Care Center Of South Gate

South Gate, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
43%
Serious cites
0

Greenfield Care Center Of South Gate runs a for-profit operation under a limited liability company, licensed for 99 beds. The nursing hours look decent on paper, 4.07 per resident day, about 5% above the national average, and turnover at 42.9% is slightly better than the 45.8% norm. But the inspection record is where things fall apart: 97 deficiencies on file, including 12 tied to abuse and two serious enough to put residents in harm's way, along with a $57,906 fine. Weekend staffing drops roughly 7% below weekday levels, meaning the hours you see aren't always the hours your family member gets. The most recent inspection was July 2025, so the record is current, not stale. Worth asking hard questions before you decide.

B

74/100

College Vista Post-Acute

Los Angeles, CA · Los Angeles County

CMS 3/5 49 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
46%
Serious cites
0

College Vista Post-Acute runs about 4.37 nurse hours per resident day, roughly 13% above the national average, but weekend staffing drops about 11% below its own weekday level. The inspection record is where the trouble sits: 36 deficiencies, three at harm or jeopardy level and one abuse-related, with two fines totaling $43,568 and a May 2025 inspection still fresh. Staff turnover of 46.4% is essentially the national rate, so continuity isn't a strength here. The 4/5 quality measure score reflects chart-based measures, not the survey findings, for-profit corporate ownership and a 2/5 inspection rating mean you should read the full survey report before deciding.

B

74/100

Pacific Coast Post Acute

Salinas, CA · Monterey County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
36%
Serious cites
0

Pacific Coast Post Acute runs 149 certified beds in Salinas under corporate ownership, and the staffing numbers are the first thing to notice: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running slightly leaner than weekdays. Turnover sits at 36.3%, which is actually better than the 45.8% national figure, that matters, because consistent caregivers know residents. The inspection record is heavier: 39 deficiencies, including one at the harm level and two tied to abuse, plus $19,786 in fines across two penalties. The most recent inspection was February 2025, so the picture is current. Strong quality measures and a solid survey history don't erase what those deficiency numbers mean for daily life.

B

74/100

Almond Vista Healthcare

Modesto, CA · Stanislaus County

CMS 1/5 175 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
48%
Serious cites
0

Almond Vista runs 4.29 nurse hours per resident day, about 11% above the national average, but that cushion thins on weekends, when staffing drops roughly 8% below its own weekday level. The bigger issue is what inspectors have found: 63 deficiencies on the current record, including six at the harm or jeopardy level and three tied to abuse, with five fines totaling $25,881 and a health inspection rating of 1 out of 5. Staff turnover sits at 47.7%, slightly above the national average, so even the decent overall staffing number reflects a workforce that keeps cycling through. The quality measure score looks fine, but that's built from resident assessments, not from how the place is actually run day to day.

B

74/100

Poway Healthcare Center

Poway, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
43%
Serious cites
0

Poway Healthcare Center sits in San Diego County with 99 certified beds under for-profit LLC ownership. Nurse staffing averages 3.97 hours per resident day, a bit above the national average of 3.86, though weekends run roughly 8% lighter than weekdays. Annual turnover at 42.5% is slightly better than the 45.8% national figure, and its last inspection was recent, in May 2025. What complicates the picture is the deficiency record: 35 total, including one abuse-related citation, though none reached the harm or jeopardy level. The two four-star ratings for health inspections and quality measures look stronger than the two-star staffing rating, which is where the tension sits.

B

74/100

Mountain View Post Acute

Barstow, CA · San Bernardino County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
55%
Serious cites
0

Mountain View Post Acute sits in Barstow with 59 certified beds and a corporate for-profit owner. The raw staffing number looks decent, 4.40 nurse hours per resident day, roughly 14% above the national average, but weekends run about 9% thinner than weekdays, and turnover hits 54.9% against a national 45.8%. That churn matters more than the headline hours, which is likely why CMS gives staffing just 2 out of 5 stars. Inspections are the bright spot: a 5-star health inspection rating, last survey in June 2025, and 21 deficiencies with none at harm or jeopardy level, though one is abuse-related. Quality measures land mid-pack at 3 stars. Solid oversight, shaky workforce stability.

B

74/100

Ahmc Seton Medical Center

Daly City, CA · San Mateo County

CMS 1/5 186 beds For-profit Medicaid
Nurse hours
5.81 /day
Staff turnover
34%
Serious cites
0

Ahmc Seton Medical Center has real strengths in its daily care numbers. Nurse staffing sits at 5.81 hours per resident day, roughly half again the national average, and the 34.1% turnover rate is meaningfully better than the 45.8% typical elsewhere, which matters for whether you see the same faces week to week. Weekend coverage dips only slightly, about 6% below weekdays, so care doesn't fall off a cliff on Saturdays. The trouble is the inspection record. Sixty-one deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $41,019. A for-profit limited liability company running 186 beds with a one-star health inspection rating carries real risk, no matter how well the place is staffed.

B

74/100

Cedar Mountain Post Acute

Yucaipa, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
47%
Serious cites
0

Cedar Mountain Post Acute runs 99 beds in Yucaipa under limited-liability, for-profit ownership, and its most recent health inspection came in late November 2025. Inspectors have logged 24 deficiencies on the current record, though none rose to harm or jeopardy level and none involved abuse, a meaningful distinction if you're weighing what actually went wrong here. Nurse staffing sits at 4.65 hours per resident day, roughly 20 percent above the national average of 3.86, but weekends dip about 5 percent below the home's own weekday coverage. Annual turnover is 46.5 percent, essentially tracking the national rate of 45.8 percent, so continuity of caregivers is average at best. Ask specifically how weekend coverage holds up on the shift you'd be visiting.

B

74/100

Imperial Crest Health Care Center

Hawthorne, CA · Los Angeles County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
36%
Serious cites
0

Imperial Crest runs 4.75 nurse hours per resident day, roughly 23% above the national average of 3.86, and weekend staffing dips only about 8% below its own weekday level, a modest drop. Staff turnover sits at 35.5%, better than the national 45.8%, which suggests the payroll is somewhat stable. What holds the record down is the inspection side: 47 deficiencies, four of them abuse-related, with a last visit in April 2025. None of those 47 rose to harm or jeopardy level, so the problems are serious enough to count but not the worst category CMS tracks. A 3/5 on health inspections, quality measures, and staffing across the board.

B

74/100

Bel Vista Healthcare Center

Long Beach, CA · Los Angeles County

CMS 4/5 41 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
52%
Serious cites
0

Bel Vista runs 4.65 nurse hours per resident day, roughly 20% above the national average of 3.86, and weekends dip about 13% below its own weekday coverage. The clinical numbers look strong, but staffing churns at 51.9% a year against a 45.8% national rate, and the inspection record carries 64 deficiencies, including one at the harm level and three tied to abuse. State inspectors were last in on May 18, 2025, and one fine totaling $29,543 sits on the books. It's a for-profit corporate home with 41 beds. Solid day-to-day care measures, a rougher paper trail.

B

74/100

Grand Oaks Care

Tulare, CA · Tulare County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
50%
Serious cites
0

Grand Oaks Care runs a 99-bed for-profit home in Tulare, and the staffing picture is mixed. The 4.25 nurse hours per resident day sits about 10% above the national average, which sounds good until you notice weekends run roughly 10% leaner than weekdays and turnover hits 50.4% against a national 45.8%, meaning a lot of the people providing that care are new or on their way out. Inspections from February 2026 turned up 55 deficiencies, none at the harm level but one tied to abuse. Ownership is a limited liability company, and the quality measure score looks stronger than the staffing score.

B

73.5/100

San Rafael Healthcare & Wellness Center, Lp

San Rafael, CA · Marin County

CMS 2/5 54 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

San Rafael Healthcare & Wellness Center runs 54 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, just barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend staffing drops about 9% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Saturday. The bigger concern is the inspection record: 53 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,278. The last inspection was March 20, 2025. Quality and staffing both rate 4 out of 5, but the health inspection side tells a different story.

B

73.5/100

Valley Healthcare Center

San Bernardino, CA · San Bernardino County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
—
Serious cites
0

Valley Healthcare Center runs 109 certified beds in San Bernardino, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average, though weekends dip roughly 7% below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The inspection record is where things get harder to ignore: 44 deficiencies, one of them serious enough to reach harm or jeopardy level, plus a single fine of $37,151. No abuse citations appear on the current record, and the most recent inspection was March 2025, so the picture is fairly current. Quality measures score well, but that's family and resident surveys, not the surveyors who walked the building.

B

73.5/100

Montrose Springs Skilled Nursing & Wellness Center

Montrose, CA · Los Angeles County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Montrose Springs runs 109 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, with weekends dipping about 5% below weekdays. That thin cushion matters less than the inspection record: 79 deficiencies on file, three at harm or jeopardy level and three tied to abuse, plus a $32,139 fine. The 5/5 quality measure rating reflects reported clinical metrics, but the 2/5 health inspection rating and the July 2025 survey tell you regulators have found real problems here, not paperwork slips.

B

73.5/100

Apple Valley Care Center

Apple Valley, CA · San Bernardino County

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

Apple Valley Care Center runs 99 certified beds under for-profit LLC ownership, and the staffing picture is genuinely strong on paper: 4.85 total nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 17% below weekday levels, so ask how that plays out on a Sunday. Turnover sits at 35.1%, noticeably better than the 45.8% national figure, which matters for continuity. The inspection record is where things get mixed, a 5-star health inspection rating and zero harm-level or abuse-related deficiencies, but 23 deficiencies total and one fine of $8,021. The most recent inspection was December 2025, so the record is current.

B

73.5/100

Kings Healthcare & Wellness Center Lp

Hanford, CA · Kings County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
—
Serious cites
0

Kings Healthcare & Wellness Center in Hanford runs 4.36 nurse hours per resident day, about 13% above the national average of 3.86, yet CMS still scores its staffing at the lowest level, largely because weekend coverage drops roughly 9% below what the home provides on weekdays. The inspection record is heavier than the star ratings suggest: 23 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, plus one fine of $8,824, with the most recent inspection on January 16, 2025. Ownership is for-profit, individual. Strong marks on health inspections and quality measures sit alongside a thin staffing picture and a deficiency count that a family should ask 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