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.
Bakersfield Post Acute runs a for-profit corporate operation with 99 certified beds, and its staffing numbers are the one bright spot: 4.01 nurse hours per resident day, roughly 4% above the national average, with turnover at 38.6%, noticeably better than the 45.8% national figure. Weekends thin out about 11% below weekday coverage, which is worth asking about.
The inspection record is where the story turns. A 1-out-of-5 health inspection rating sits behind 113 deficiencies, including two at the harm or jeopardy level and eight tied to abuse. Two fines totaling $25,940 are on file, and the most recent inspection was in May 2026. Good staffing alone doesn't offset that kind of citation history.
Country Hills runs 305 beds in El Cajon under for-profit LLC ownership, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86. That thin margin gets thinner on weekends, which run about 6% below the home's own weekday levels, and annual turnover hits 58.2% against a national 45.8%. The inspection record is where the real concern lives: 73 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $122,210 fine. The last inspection was March 2025, so the record is current. Quality measure scores look strong on paper, but that's a different measure than the ones families feel day to day.
Covina Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. That's real coverage, though weekends dip about 7% below weekdays, and annual turnover sits at 52.9% against a national 45.8%, so the same faces aren't always there.
The inspection record is where the picture darkens. Eighty deficiencies, including two at harm or jeopardy level and four tied to abuse, with three fines totaling $29,228. The last inspection was April 2025. Stronger hours on paper, but a troubled enforcement history worth asking about directly.
River Bend Nursing Center has real staffing depth: 4.90 nurse hours per resident day, roughly 27% above the national average of 3.86, and turnover at 43.4% actually edges below the national rate of 45.8%. That combination matters, since consistent hands usually show up in day-to-day care.
The trouble sits elsewhere. Forty-seven deficiencies on the current record, two of them serious enough to involve harm or jeopardy, plus a $21,879 fine. Quality measure scores land at 2 out of 5 stars, and the last inspection was August 2025. Weekend staffing also dips about 5% below weekday levels, so coverage isn't perfectly even across the week.
Imperial Care Center runs 130 certified beds in Studio City under a for-profit limited liability company, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86. That's the good news. The rest is harder. Staff turnover is 54.8% a year, well above the 45.8% national figure, and weekend coverage drops about 6% below the home's own weekday levels. The inspection record shows 99 deficiencies, including 8 at harm or jeopardy level and 15 tied to abuse, with four fines totaling $212,749. The most recent inspection was June 20, 2025. When you visit, ask directly how they've addressed the abuse-related findings and what weekend staffing actually looks like.
Golden Sonora Care Center runs 210 certified beds in Tuolumne County under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.91 hours per resident day, just barely above the national average, though weekends drop about 6% below the home's own weekday coverage, and with annual turnover at 52.2% against a national 45.8%, that thin margin depends on a workforce that keeps changing. The harder problem is the inspection record: 89 deficiencies, two of them serious enough to put residents at harm or jeopardy, one fine of $56,843, and a 2025 inspection that left both the health inspection and quality measure ratings at one star out of five.
Kern River Transitional Care runs 140 beds in Bakersfield under for-profit LLC ownership, and its numbers pull in two directions. Nurse staffing averages 4.52 hours per resident day, roughly 17% above the national figure, but weekends run about 12% thinner than weekdays and annual turnover sits at 48.3%, slightly worse than the 45.8% national average, so the coverage you get depends heavily on which day you visit. The bigger concern is the inspection record: 94 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, with a $77,720 fine and a survey as recent as April 2025. Quality measures score well; the compliance history is what drags this home down.
Los Feliz Healthcare & Wellness Center runs 131 certified beds in Los Angeles under for-profit LLC ownership, and its nurse staffing sits at 3.94 hours per resident day, just barely above the national average of 3.86. That thin margin narrows further on weekends, when staffing drops about 6% below the home's own weekday levels. The inspection record is where the real concern sits: 107 deficiencies, including 2 at the harm or jeopardy level and 9 tied to abuse, plus two fines totaling $58,006. A 1-out-of-5 health inspection rating alongside those numbers tells you regulators have found repeated, serious problems across multiple visits, not a single bad day.
Arbor Post Acute runs 144 beds in Chico as a for-profit corporation. Its nurse staffing sits just barely above the national average, and weekend coverage dips about 7% below its own weekday level, so the thinnest shifts are the ones when families tend to visit. Turnover lands at 42.5%, a touch better than the 45.8% national figure.
The inspection record is the real story here: 94 deficiencies, including 4 at harm or jeopardy level and 11 tied to abuse. Two fines total $61,825, and the most recent inspection was January 24, 2025. A four-out-of-five quality measure score doesn't offset a one-out-of-five on health inspections, those 94 findings describe care that was actually delivered, not how residents were assessed.
Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.
York Healthcare & Wellness Centre sits on 107 certified beds in Los Angeles, run by an individual for-profit owner. The raw staffing number looks decent, 4.36 nurse hours per resident day, about 13% above the national average, but weekend coverage drops roughly 12% below its own weekday level, and CMS still rates staffing at just 2 out of 5 stars. The inspection record is the real problem: 56 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with a $99,206 fine and the most recent inspection in May 2025. Quality measures land mid-range at 3 stars, but that paperwork score doesn't offset what surveyors actually found in the building.
Norwalk Skilled Nursing & Wellness Centre runs 99 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That sounds fine until you look at weekends, when coverage drops about 9% below the home's own weekday level. The bigger problem is the inspection record: 81 deficiencies, including 6 at the harm or jeopardy level and 4 tied to abuse, with three fines totaling $72,794 and a health inspection rating of 1 out of 5. The most recent inspection was in July 2025. Staffing volume alone doesn't offset that pattern.
Mar Vista Country Villa reports 4.21 total nurse hours per resident day, which sounds solid next to the national average of 3.86, but weekend staffing drops about 9% from its own weekday level. The bigger issue is what inspectors have found: 64 deficiencies on the current record, including 4 at the harm or jeopardy level and 6 tied to abuse, with $96,569 in fines across four penalties. That inspection record explains the 2/5 health inspection rating despite a 4/5 on quality measures. This is a for-profit limited liability company with 68 certified beds, last inspected November 1, 2024. The staffing number alone doesn't tell the story here.
Westwood Post Acute Care sits in Los Angeles with 93 certified beds and a for-profit LLC owner. Its overall nurse staffing of 4.07 hours per resident day runs about 5% above the national average, but that edge fades on weekends, when coverage drops roughly 7% below its own weekday level, and CMS rates staffing just 2 out of 5, with the same score on health inspections. The inspection record is the real weight here: 87 deficiencies, including 5 at harm or jeopardy level and 1 tied to abuse, plus 2 fines totaling $110,919. Quality measures score 4 out of 5, and the most recent inspection was April 2025.
Pelican Ridge runs 167 beds in Newport Beach under for-profit LLC ownership, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though the weekend gap means coverage thins out when families tend to visit. Turnover at 40.1% beats the national 45.8%, so the crew is comparatively stable for this industry. What drags the picture down is the inspection record: 90 deficiencies, four tied to abuse, and a 2/5 health inspection rating despite a perfect 5/5 on quality measures. The last full inspection was August 2025, so the record is current. Good daily care numbers, uneven oversight.
Chino Valley Health Care Center runs 102 beds in Pomona under limited-liability, for-profit ownership, and its inspection record is the thing to look at first. Forty-eight deficiencies are on the current record, including one at the harm or jeopardy level and seven tied to abuse, that combination is what drives the one-star health inspection rating. Nurse staffing sits at 3.74 hours per resident day, slightly under the national average, and weekends run about 5% thinner than weekdays. Annual turnover of 45.1% is essentially the national norm, so the instability here isn't unusually bad, but the last inspection was May 2025, and a $10,361 fine is on file.
North Valley Nursing Center sits in Tujunga with 92 certified beds, run by a for-profit corporation. The staffing numbers look strong on paper, 4.35 nurse hours per resident day, about 13% above the national average, with weekend coverage running roughly 12% lighter than weekdays. Turnover is just 17%, far below the 45.8% national figure, which suggests a stable workforce. The trouble shows up in inspections: 63 deficiencies on the current record, including six at the harm or jeopardy level and two tied to abuse, plus a $64,102 fine. The most recent inspection was May 22, 2026. Good staffing and a clean quality-measure score can't offset that kind of inspection history.
Diablo Valley Post Acute runs 190 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day against a national average of 3.86, with turnover at 39.8% versus 45.8% nationally. Weekends dip about 10% below weekday coverage, so ask how that plays out on a Sunday. The trouble sits in inspections: 40 deficiencies on the current record, three serious enough to cause harm, four tied to abuse, and a $30,420 fine, all reflected in a 1-out-of-5 health inspection rating. Quality measures score 5 out of 5 and staffing 4 out of 5, which makes the inspection record the real question to press on when you visit.
Vernon Healthcare Center has a staffing number that looks fine on paper, 4.23 nurse hours per resident day, about 10% above the national average, but it drops roughly 10% on weekends, so the coverage your family sees Monday isn't what shows up Saturday. The inspection record is where this home really struggles: 103 deficiencies on file, four serious enough to put residents in harm's way, and 15 tied to abuse. Three fines total $178,438, and the most recent inspection was in January 2026. This is a for-profit LLC with 99 beds operating under a 1-star health inspection rating despite decent quality scores. Ask hard questions about the abuse deficiencies and weekend staffing before you consider it.
Oak Grove Post Acute has enough nurses on paper, 3.93 hours per resident day, just above the national average, but that's the one number that holds up. Weekend staffing drops roughly 8% below its own weekday level, and turnover sits at 48.4%, higher than the national rate. The real trouble is the inspection record: 135 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of serious problems, and the four fines total $40,283. Roughly 119 beds, for-profit, limited liability ownership. The last inspection was April 9, 2026.
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?