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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 621–640 of 842, best-graded first.

B

73/100

River View Post Acute

Modesto, CA · Stanislaus County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
56%
Serious cites
0

River View Post Acute runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That looks decent on paper until you notice weekends run about 7% leaner than weekdays, and annual turnover hits 55.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the bigger concern: 74 deficiencies, including one at harm or jeopardy level and five tied to abuse. CMS scored health inspections 2 out of 5 stars, and the last survey was December 19, 2025. Quality measures rate 4 stars, but that's the softer side of the picture.

B

73/100

San Gabriel Conv Center

Rosemead, CA · Los Angeles County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
38%
Serious cites
0

San Gabriel Conv Center runs on a for-profit, limited liability setup with 151 certified beds, and its nurse staffing sits at 4.84 hours per resident day, roughly a quarter above the national average of 3.86. Staff turnover lands at 37.9%, better than the 45.8% national figure, though weekend coverage dips about 5% below the home's own weekday level. The inspection record is where things get harder to square: 47 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. A May 2025 inspection is recent, but federal ratings put health inspections and quality measures at 2 out of 5 each.

B

73/100

Heritage Gardens Health Care Center

Loma Linda, CA · San Bernardino County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
100%
Serious cites
0

Heritage Gardens runs 110 beds in Loma Linda under corporate ownership, and its inspection record is the first thing to weigh: 45 deficiencies on file, three of them abuse-related, though none rose to the level of actual harm or jeopardy. The May 2026 inspection is recent, so that count reflects current conditions rather than old problems. Staffing is where the numbers get harder to ignore. At 3.81 nurse hours per resident day, it trails the national average slightly, and weekends run about 9% thinner than weekdays, which matters when families visit less and eyes are fewer. The turnover figure is the real outlier: 100% annual staff turnover against a national average of 45.8%. That's essentially a new workforce every year, and it's difficult to build consistent care on that kind of churn.

B

73/100

The Springs Post-Acute

Norwalk, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
28%
Serious cites
0

The Springs Post-Acute runs a for-profit LLC with 99 beds in Norwalk, and its staffing is genuinely a cut above: 4.96 nurse hours per resident day, roughly 28% over the national average, with turnover at 27.6% compared to the 45.8% norm. That consistency holds even on weekends, when hours dip only about 8% below weekdays. Then you hit the inspection record. Seventy-one deficiencies, four serious enough to cause harm, ten tied to abuse, and a $66,866 fine, all on a one-out-of-five health inspection rating, despite the four-out-of-five quality measure score. The last inspection closed April 23, 2026, so this isn't old history. Good hands on deck matter, but they're working inside a documented pattern of serious problems.

B

73/100

Valley View Post Acute

El Monte, CA · Los Angeles County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
50%
Serious cites
0

Valley View Post Acute runs about 3.97 nurse hours per resident per day, a hair above the national average of 3.86, but weekends dip roughly 7% below its own weekday coverage. The bigger issue is the inspection record: 60 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $24,668 fine. Staff turnover sits at 50% against a national 45.8%, and the health inspection and staffing ratings both land at 2 out of 5. That combination, thin weekend coverage, high turnover, and a serious deficiency history, is what pulls the overall picture down despite strong marks on quality measures.

B

73/100

Jacob Healthcare Center

San Diego, CA · San Diego County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
59%
Serious cites
0

Jacob Healthcare Center in San Diego runs 128 certified beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.60 hours per resident day, roughly 19% above the national average of 3.86, but weekends dip about 3% below the home's own weekday level, so the floor isn't as steady as the top-line figure suggests. Annual turnover is 58.9% against a national 45.8%, meaning a large share of the staff you'd meet is relatively new. The inspection record shows 36 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent survey was in January 2026, so the picture is current.

B

73/100

Highland Palms Healthcare Center

Highland, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Highland Palms runs a for-profit operation with 99 certified beds, and its inspection and quality scores both come in at 4 out of 5, that's a solid record on paper, with 29 deficiencies logged but none rising to harm or jeopardy, and the most recent inspection done in April 2026. Staffing tells a different story: 2 out of 5 stars, with total nurse hours sitting just under the national average and weekends running roughly 4% thinner than weekdays. Turnover at 39.3% is better than the 45.8% national figure, which suggests people tend to stay. Three abuse-related deficiencies are on the record, so ask about those directly before you decide.

B

73/100

Heartwood Avenue Healthcare

Vallejo, CA · Solano County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
56%
Serious cites
0

Heartwood Avenue Healthcare runs 60 beds in Vallejo under for-profit LLC ownership, and its staffing is the weak spot: 3.83 nurse hours per resident day sits just under the national average, and weekends drop about 7% below its own weekday levels. Staff turnover is 55.7% against a national 45.8%, roughly a quarter more churn than typical. The inspection record is where the real concerns show: 34 deficiencies, four at harm or jeopardy level, two abuse-related, and $16,988 in fines. A recent May 2026 inspection means the record is current. The quality measure rating looks better than the staffing one, but that gap between reported care quality and actual bedside coverage is worth asking about directly.

B

73/100

Villa Valencia Healthcare Center

Laguna Hills, CA · Orange County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
45%
Serious cites
0

Villa Valencia sits in Laguna Hills with 59 certified beds, run by a for-profit limited liability company. Nurse staffing runs 4.47 hours per resident day, about 16% above the national average of 3.86, though weekends drop roughly 9% below the home's own weekday coverage, so care can thin out when families visit. The 42 deficiencies on record include nothing flagged at the harm or jeopardy level and nothing abuse-related. Annual turnover of 45.3% tracks right at the national figure of 45.8%, meaning roughly half the staff still turns over each year. A May 2025 inspection is recent enough to trust, and the county's Orange County market gives you plenty of alternatives worth comparing on weekend coverage alone.

B

73/100

All Saint's Subacute & Transitional Care

San Leandro, CA · Alameda County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
6.54 /day
Staff turnover
53%
Serious cites
0

All Saint's runs one of the heavier staffing operations you'll see in Alameda County, 6.54 nurse hours per resident per day, well above the national figure, and weekends dip only slightly from that level. What pulls the record down sits elsewhere: 19 deficiencies, including one at the harm level, plus two fines totaling $163,127, with the last inspection in July 2024. Staff turnover runs at 52.8%, more than the national average, which matters for residents who rely on consistent caregivers. A for-profit limited liability company owns the building. Strong daily coverage, but the compliance history and churn are the parts worth asking about directly.

B

73/100

Evergreen Care Center

Fresno, CA · Fresno County

CMS 3/5 49 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
52%
Serious cites
0

Evergreen Care Center sits in Fresno with 49 certified beds and for-profit LLC ownership. Its 4.20 nurse staffing hours per resident day beat the national average of 3.86 by roughly 9%, but that headline number hides weaker weekends, about 7% below the home's own weekday coverage, and 51.5% annual turnover, higher than the 45.8% national figure, which means unfamiliar faces are routine. The current record shows 35 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited May 17, 2024. Staffing quantity looks decent, but consistency and safety history are where the concerns stack up.

B

72.5/100

Eureka Rehabilitation & Wellness Center, Lp

Eureka, CA · Humboldt County

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

Eureka Rehabilitation & Wellness Center runs 99 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That cushion thins on weekends, when coverage drops about 5% below the home's own weekday level. The inspection record is where the concern concentrates: 43 deficiencies on file, including one at the harm or jeopardy level and five tied to abuse, with a single fine of $8,416. The last inspection was January 29, 2026. Given the staffing numbers, the deficiencies are what pull the overall picture down.

B

72.5/100

Montecito Heights Healthcare & Wellness Centre, Lp

Los Angeles, CA · Los Angeles County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
—
Serious cites
0

Montecito Heights runs a for-profit, individually owned 90-bed operation in Los Angeles, and the raw staffing number looks good on paper, 4.35 nurse hours per resident day, roughly 13 percent above the national average of 3.86. But that average hides a real gap: weekends run about 12 percent leaner than weekdays, which is when families tend to visit and when problems surface. The inspection record shows 37 deficiencies, though none at harm level and none abuse-related, and the most recent inspection was in May 2025, so the picture is current. Federal inspectors rated quality measures 4 out of 5, which suggests the care itself isn't the issue, consistency of coverage is where this home loses ground.

B

72.5/100

The Pavilion At Ocean Point

San Diego, CA · San Diego County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
—
Serious cites
0

The Pavilion At Ocean Point runs 4.13 total nurse hours per resident day, roughly 7% above the national average of 3.86, but the coverage thins on weekends, dropping about 14% below its own weekday level. Its inspection record shows 68 deficiencies, including one at the harm or jeopardy level and two tied to abuse, and the health inspection star rating sits at 2 out of 5. It's a for-profit LLC with 133 certified beds, last inspected March 2026. The staffing number looks fine on paper; the deficiency count is where the concern lives.

B

72.5/100

Claremont Heights Post Acute

Claremont, CA · Los Angeles County

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

Claremont Heights Post Acute has 99 certified beds and is owned by a for-profit individual. Its total nurse staffing comes in at 4.00 hours per resident day, slightly above the national average of 3.86, though weekend coverage drops about 5% below its own weekday level. What stands out is the inspection record: 85 deficiencies, including one at the harm or jeopardy level and four abuse-related findings, with the most recent inspection on February 27, 2026. The staffing star rating sits at 2/5, and the health inspection rating matches at 2/5, even as the quality measure rating reaches 4/5. Those deficiency numbers and the abuse findings are the real story here, not the quality measure score.

B

72.5/100

Overland Terrace Healthcare & Wellness Centre, Lp

Los Angeles, CA · Los Angeles County

CMS 3/5 87 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Overland Terrace runs 4.09 nurse hours per resident day, about 6 percent above the national average, and weekends dip roughly 7 percent below its own weekday coverage. That staffing edge doesn't carry through to outcomes: the home holds 48 deficiencies on its current record, including four tied to abuse, with none flagged at the harm or jeopardy level. State inspectors were last in on March 6, 2025, so the findings are recent. The federal stars split the picture, four out of five on quality measures, two on staffing, which suggests the clinical numbers chart well even as daily coverage and compliance draw scrutiny. It's a for-profit partnership operating 87 beds.

B

72.5/100

Chico Terrace Care Center

Chico, CA · Butte County

CMS 2/5 76 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
—
Serious cites
0

Chico Terrace runs 4.42 nurse hours per resident day, roughly 15% above the national average, but weekends dip about 8% below its own weekday level, so the coverage your family member gets depends on the day. The inspection record is where the concern sits: 48 deficiencies, two tied to abuse, and four fines totaling $34,573, with the most recent inspection in March 2025. None of those deficiencies reached harm or jeopardy level, and the quality measure score is strong. This is a for-profit partnership with 76 beds and a mixed record, decent daily care numbers undercut by a heavy citation history.

B

72.5/100

Ontario Grove Healthcare & Wellness Centre, Lp

Ontario, CA · San Bernardino County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
—
Serious cites
0

Ontario Grove Healthcare & Wellness Centre runs 59 certified beds under for-profit partnership ownership in San Bernardino County. Its total nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86, but the CMS staffing star comes in at just 1 out of 5, and weekend coverage drops about 8% below the home's own weekday level. Inspections look steadier: a 4/5 health inspection star, most recently surveyed June 5, 2025, with 29 deficiencies on record but none at the harm or jeopardy level and nothing abuse-related. Quality measures also rate 4/5. The tension between that above-average raw staffing number and the bottom-tier staffing star is worth asking about directly.

B

72.5/100

Amaya Springs Health Care Center

Spring Valley, CA · San Diego County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
—
Serious cites
0

Amaya Springs runs 4.29 total nurse hours per resident day, roughly 11% above the national average, and weekends dip about 11% below its own weekday level, a real drop, though not a collapse. What stands out is the split in the federal ratings: five stars on health inspections and four on quality measures, against one star on staffing, which is unusual given that the raw hours look decent. The 31 deficiencies on record include one abuse-related finding, but none rose to harm or jeopardy, and the last inspection was recent, in January 2026. This is a small for-profit limited liability home, 50 beds, in Spring Valley.

B

72.5/100

Catered Manor Care Center

Long Beach, CA · Los Angeles County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
—
Serious cites
0

Catered Manor Care Center runs about 4.45 nurse hours per resident each day, roughly 15% above the national average, but that number thins out on weekends, dropping about 11% below its own weekday staffing. The bigger concern sits in the inspection record: 61 deficiencies, three at the harm or jeopardy level and two tied to abuse, plus four fines totaling $98,005. Federal inspectors last visited in May 2026. The star ratings split sharply, five stars for quality measures, but only two for both health inspections and staffing, which tells you the day-to-day care numbers look better on paper than the oversight history does.

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