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.
Staffing at Hollywood Premier is genuinely better than most: 4.11 nurse hours per resident day, roughly 6% above the national average, and turnover of 19.8% is less than half the national rate. Weekend coverage dips about 10% below weekdays, but that's a modest gap. The problem sits on the inspection side. The current record carries 81 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $17,342. The last inspection was in August 2025, so this is a recent picture, not old history. Good staffing can't offset that many serious findings, tour it, but ask hard questions about the abuse citations.
Valley View Care Center runs 53 beds in Delano under corporate for-profit ownership, and its staffing is genuinely above average: 4.60 nurse hours per resident day against a national norm of 3.86. Weekend coverage dips about 12% below weekday levels, though, and turnover sits at 35.4%, better than the 45.8% national figure, but still a third of the staff leaving each year. The inspection record is where the concern concentrates: 67 deficiencies on file, including one at the harm level and six tied to abuse, with the most recent inspection in December 2025. Staffing holds up reasonably well here; the survey history is the part worth pressing the administrator on.
Las Flores Convalescent Hospital has real staffing depth, 4.30 nurse hours per resident day, roughly 11% above the national average, and turnover at 31.7% beats the 45.8% national figure, which matters for continuity of care. But the inspection record is where this home falls apart: 82 deficiencies on file, including 5 at harm or jeopardy level and 9 tied to abuse, plus four fines totaling $107,406. A 4-out-of-5 staffing rating next to a 1-out-of-5 inspection rating tells you the people are there but the systems around them aren't holding. Weekend coverage drops about 17% below weekday levels, so care thins out exactly when families tend to visit. The most recent inspection was May 2026.
White Blossom Care Center runs 153 beds in San Jose under for-profit LLC ownership, and its headline staffing number, 4.03 nurse hours per resident day, sits only about 4% above the national average. That thin margin doesn't hold up on weekends, when coverage drops roughly 11% below the home's own weekday level, and annual turnover of 54.3% runs well past the national 45.8%. The inspection record is where the real weight sits: 49 deficiencies, two at harm or jeopardy level, one tied to abuse, and $97,997 in fines, with the most recent inspection dated March 2026. Strong quality-measure scores don't offset a record that heavy.
Fidelity Health Care sits in El Monte with 90 certified beds, run by a for-profit limited liability company. What stands out first is the nursing staff: 4.19 hours per resident day, roughly 9% above the national average, with a 5-out-of-5 staffing rating from CMS. Turnover is the real bright spot, 14.3% a year, far below the national 45.8%, which means the people caring for residents tend to stay. Weekend coverage dips about 7% below the home's own weekday level, so ask how that plays out on Saturdays and Sundays. The concern is inspections: a 2-out-of-5 health inspection rating, 44 deficiencies on the current record, including four abuse-related citations, none at the harm level. The state inspected most recently in April 2025, so the record is current.
Greenhaven runs on a for-profit LLC structure with 148 beds, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average. Weekend coverage dips about 7% below its own weekday levels, and turnover is 33.7%, noticeably better than the 45.8% national rate. The trouble shows up in inspections: 71 deficiencies on record, including one at the harm level and nine tied to abuse, with the most recent inspection dated February 2026. That's a wide gap between how the place is staffed and how it's actually being run day to day. Strong quality scores don't cancel out a harm-level finding or nine abuse citations. Ask to see the plan of correction before you decide anything.
Concord Post Acute runs 190 beds under for-profit LLC ownership, and its staffing picture is genuinely mixed. Total nurse coverage sits at 3.87 hours per resident day, essentially dead even with the national average, while weekend staffing dips about 6% below its own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The real strength is retention: 28.4% turnover against a national 45.8% means far fewer unfamiliar faces than at most homes. The inspection record is the problem. Thirty-eight deficiencies, four tied to abuse and one serious enough to reach harm or jeopardy level, with the most recent survey in April 2025. A 2/5 inspection rating against 4/5 for staffing and quality measures tells you where the trouble lives.
Noble Care Center runs 99 certified beds in Stockton under for-profit limited liability ownership. Its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, and weekends dip about 6% below its own weekday coverage, small gaps that add up over time. What stands out more is the inspection record: a 1-out-of-5 health inspection rating, 88 deficiencies on the current record including one at the harm level and nine tied to abuse, with the last inspection in March 2025. Staff turnover at 32% is actually better than the 45.8% national average, but that's doing less work than it sounds given everything else. Worth asking hard questions before you decide.
Cedar Pine Post Acute runs 4.10 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 10% below its own weekday coverage. Staff turnover sits at 35.4%, better than the 45.8% national figure, and the last inspection was recent, in May 2025. The trouble is what those inspections keep finding: 89 deficiencies on the current record, including 7 tied to abuse and 2 serious enough to put residents in harm's way. A single $9,113 fine looks light against that pattern, and under a for-profit corporation, the staffing strength isn't offsetting a 1-out-of-5 inspection rating. Strong quality scores can't carry a home with this citation history.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.
North Pointe Care Center is a 161-bed for-profit home in Sacramento, and its numbers pull in different directions. Nurse staffing sits at 3.69 hours per resident day, slightly under the national average, and weekends run about 6% thinner than weekdays, a gap families often feel on Saturday and Sunday. Turnover is 37.7%, actually better than the 45.8% national figure, so the crew is steadier than most. The concern is the inspection record: 68 deficiencies, including 13 tied to abuse and 3 at harm or jeopardy level, with a $24,115 fine and a January 2026 inspection.
Glendora Canyon runs 3.94 nurse hours per resident day, a bit above the national average of 3.86, and its staff turnover of 39.1% actually beats the 45.8% national figure, so the people caring for residents tend to stay longer than is typical. The problem isn't the workforce; it's the record. Seventy-three deficiencies, including one at the harm level and three tied to abuse, with a January 2026 inspection that turned up a one-star health inspection rating. Weekend coverage also dips about 6% below weekday levels. For a for-profit LLC with 120 beds, that inspection history is the thing to ask about directly before deciding.
Kei-Ai Los Angeles Healthcare Center runs 300 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.45 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 40.1%, under the national figure. The inspection record tells a different story. There are 122 deficiencies on file, including six at the harm or jeopardy level and eight tied to abuse, plus two fines totaling $184,989. A recent inspection in February 2026 hasn't wiped that history clean. Plenty of hands on deck, but a documented pattern of serious problems those hands haven't solved.
Capital Post Acute runs 121 beds in Sacramento under for-profit LLC ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average. Turnover is 38.2%, better than the 45.8% national figure, though weekend coverage drops about 11% below weekday levels, so care may thin out when families visit. What pulls the record down is the inspection side: a 2/5 health inspection rating and 71 deficiencies on file, 11 of them abuse-related, none at the harm level. The most recent inspection was February 2026. Quality measures score well at 4/5, but that paperwork strength doesn't erase 71 citations.
Gramercy Court runs 120 certified beds in Sacramento under for-profit LLC ownership, and its staffing numbers are genuinely strong: 4.16 nurse hours per resident day, roughly 8% above the national average, with weekend staffing dipping about 11% below its own weekday levels. Turnover sits at 43.1%, slightly better than the 45.8% national figure. The trouble is the inspection record, 49 deficiencies, 11 of them abuse-related, and a 2/5 health inspection rating, all as of a December 2025 survey. That's a lot of cited problems for a home this size, and the abuse category is the kind of thing families should ask about directly before touring. Strong staffing and a shaky inspection history can coexist, but they tell different stories.
Meadowood runs 4.13 nurse hours per resident day, about 7% above the national average, but that edge thins out on weekends, when staffing drops roughly 6% below its own weekday level. Turnover sits at 44.9%, essentially the national rate, so the crew is not unusually stable. The trouble is the inspection record: 64 deficiencies, including six at harm or jeopardy level and eight tied to abuse, with $91,067 in fines and a January 2026 inspection that earned one star out of five. Quality measures score five stars, but those are largely self-reported, and corporate ownership gives no reason to expect the pattern to change.
Pioneer House runs 4.13 nurse hours per resident day, which is about 7% above the national average, and turnover at 44.8% is basically in line with the country as a whole. The staffing picture isn't the problem. The current record shows 59 deficiencies, including one at the harm or jeopardy level and seven flagged as abuse-related, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, so the day-to-day clinical numbers look strong even as the inspection history does not. Weekend staffing drops roughly 11% below its own weekday level, which is worth asking about directly. It's a 50-bed for-profit LLC, last inspected in December 2025.
San Diego Post-Acute Center runs 240 beds in El Cajon under for-profit LLC ownership, and its staffing is the strongest thing it has going: 4.16 nurse hours per resident day, about 8 percent above the national average, with turnover at 36.5 percent, meaningfully better than the 45.8 percent norm. Weekend coverage dips roughly 6 percent below weekdays, which is worth asking about. The inspection record is where the picture darkens. Eighty-seven deficiencies sit on the current record, three of them at harm or jeopardy level and seven tied to abuse, plus two fines totaling $46,495. The most recent inspection was February 27, 2025. Strong daily care numbers do not cancel out that history.
Santa Fe Heights sits in Compton with 99 certified beds and a for-profit LLC owner. The staffing numbers look solid on paper, 3.87 nurse hours per resident day, just a hair above the national average, and turnover at 27.8% is well below the 45.8% national figure. But weekends run about 7% thinner than weekdays, so coverage isn't as steady as the average suggests. What drags this home down is its record: 126 deficiencies, including 17 tied to abuse and 4 serious enough to put residents in harm's way, plus three fines totaling $113,169. The most recent inspection was February 9, 2026.
Bayshire Riverwalk runs on a for-profit corporate model with 120 beds, and its staffing numbers are the strongest thing it has going: 4.51 nurse hours per resident day, roughly 17% above the national average, though weekend coverage drops about 9% below its own weekday level and annual turnover sits at 49%, a bit worse than the 45.8% national figure. The trouble is everything on the inspection side. Sixty-six deficiencies are on the current record, including three at the harm or jeopardy level and five tied to abuse. Two fines total $80,668, and the most recent inspection was December 4, 2025. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you where the risk sits.
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?