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.
Sherwood Oaks Post Acute sits in Thousand Oaks with 99 certified beds, run by a for-profit limited liability company. The nursing hours tell a decent story on paper, 4.27 per resident day, roughly 11 percent above the national average, but weekends dip about 11 percent below the home's own weekday levels, so coverage isn't evenly spread across the week. Staff turnover runs 30.4 percent, noticeably better than the 45.8 percent national figure, which matters for familiarity with residents. Inspectors gave a 4-out-of-5 health inspection rating at the most recent visit in February 2025, with 49 deficiencies on record, none at harm or jeopardy level, though two are abuse-related.
Gordon Lane Care Center runs on 4.14 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 26% sits well under the 45.8% national figure, a real plus for consistency of care. The tradeoff shows up in the inspection history: 101 deficiencies on record, five of them abuse-related, though none at the harm or jeopardy level, and the health inspection rating sits at 2 out of 5. Weekend staffing drops about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. The last inspection was August 2025.
Plaza Healthcare Center sits in Santa Ana with 145 certified beds and a for-profit LLC structure. Its 4.14 nurse hours per resident day runs about 7% above the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage, so the staffing picture is better than many homes on paper but not evenly spread across the week. The inspection record is the harder read: 159 deficiencies currently on file, 25 of them abuse-related and two at the harm or jeopardy level, with a 2-out-of-5 health inspection rating and a last survey in June 2025. Fines total just $4,587 across two events, which is modest against the deficiency count.
Windsor Gardens runs 98 beds in Los Angeles under for-profit LLC ownership, and the inspection record is where families should focus first. Ninety deficiencies sit on the current record, including three at the harm or jeopardy level and five tied to abuse, that's a pattern, not a one-time slip. The 1-out-of-5 health inspection rating reflects it, and the last inspection in April 2026 was recent enough that this picture is current. Staffing is thin in a quieter way: 3.84 nurse hours per resident day, just under the national average, with weekends running about 5% below weekdays. Annual turnover of 51.9% means more than half the nursing staff leaves each year, well above the national 45.8%.
Feather River Care Center runs 50 beds in Oroville under for-profit LLC ownership, and its nurse staffing comes in at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage drops about 12% below its own weekday level. That staffing edge is undercut by churn: annual turnover sits at 58.2% against a national 45.8%, meaning the people providing that care keep changing. The inspection record is the real concern, 81 deficiencies, including one at the harm level and eight tied to abuse, plus a $59,794 fine and a one-star health inspection rating. The quality measure rating of four stars reflects resident care metrics, but the staffing star and inspection history tell a different story.
Hawthorne Healthcare & Wellness Centre runs about 4.21 nurse hours per resident day, roughly 9% above the national average of 3.86, but weekends drop about 13% below its own weekday level, so coverage isn't as steady as the headline number suggests. The 88-bed for-profit partnership carries 35 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its most recent inspection dated March 27, 2026. CMS gives it middling marks on health inspections and just one star each for quality measures and staffing, which is a lot of recent survey activity without any serious harm finding.
Adventist Health Delano runs a nonprofit home in Kern County with 51 certified beds, and its staffing is genuinely unusual: 6.42 nurse hours per resident day, roughly 66% above the national average, with weekend coverage only about 6% below weekdays. Turnover sits at 25% against a national average near 46%, so the same caregivers tend to stay. The trouble is everything else. Inspectors cited 62 deficiencies on the current record, three of them at harm or jeopardy level and six abuse-related, with two fines totaling $123,442 and the most recent inspection in April 2025. High staffing can't offset that inspection history, and the federal stars split the difference: three for staffing, two each for health inspections and quality measures.
Gem Tcu has 75 certified beds in Pasadena and runs a for-profit operation under an LLC. Total nurse staffing comes in at 4.47 hours per resident day, roughly 16% above the national average, but that number looks less steady when you see weekends run about 12% below weekdays, and annual turnover hits 59.7% against a national average of 45.8%. More than half the nursing staff leaves each year. The inspection record is where this home really struggles: 87 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, drawing a $27,808 fine. CMS rated its last inspection 1 out of 5 stars, and that inspection was recent, November 2025.
Foundation Skilled Nursing in Fresno runs 59 beds under limited liability ownership, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.74 hours per resident day, roughly 3% under the national average, and weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection history is the heavier concern: 51 deficiencies on file, four of them at harm or jeopardy level and four abuse-related, with two fines totaling $96,763. Its most recent inspection was December 2025, so the record is current, not stale. Between the harm-level findings and thin weekend staffing, this is a home to question closely.
Colonial Care Center has 196 certified beds and enough nursing staff, 4.36 hours per resident day, about 13% above the national average, with turnover at 36.6% that beats the typical home. That part isn't the problem. The problem is the inspection record: 82 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and $140,904 in fines across four penalties. The most recent inspection was February 2026, so the record is current. Weekend staffing dips about 6% below weekday levels, and the quality measure rating sits at 2 out of 5. In a for-profit corporate chain, staffing hours alone don't offset that kind of enforcement history.
California Nursing & Rehabilitation Center has 81 deficiencies on its current record, including three tied to abuse and two that rose to the level of harm or jeopardy. That's a lot for an 80-bed home, and it lines up with the one-out-of-five inspection rating. Staffing hours look decent on paper at 4.16 per resident day, but weekends run about 9% thinner than weekdays, and the federal staffing rating still lands at two stars. Three fines totaling $82,845 are on file. The last inspection was May 7, 2026, so the record is current. For a for-profit LLC operating in Riverside County, the pattern here is thin coverage when it matters and repeated citations that haven't gone away.
East Terrace is a for-profit LLC with 99 beds in Los Angeles, and its record is a hard one to read. State inspectors have cited 85 deficiencies, five of them at harm or jeopardy level and 13 tied to abuse, with six fines totaling $176,430. The federal inspection rating sits at one star out of five, and the last survey was recent, December 2025, so the findings aren't old history. Total nurse staffing of 4.04 hours per resident day edges just past the 3.86 national average, but weekends run about 7% thinner than weekdays, so coverage isn't steady across the week. If you're weighing this one, ask what those abuse citations involved and how the home has changed since December.
Arvin Post Acute runs 81 beds under a for-profit LLC, and its current record carries 53 deficiencies, three at the harm or jeopardy level, three tied to abuse. Federal fines total $80,498 across two penalties. Nurse staffing sits at 3.73 hours per resident day, roughly 4% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays. All three CMS star ratings land at the low end: two stars for health inspections, one for quality measures, one for staffing. The most recent inspection is dated March 26, 2026. For a family weighing this home against others in Kern County, the abuse-related findings and the weekend staffing dip are the two things worth asking about directly.
Artesia Palms runs 296 beds under for-profit LLC ownership, and its nurse staffing sits at 4.00 hours per resident day, roughly 4% above the national average. That's the one number working in its favor. Everything else on the record pulls the other way: 70 deficiencies, 9 of them serious enough to risk harm or jeopardy, plus 12 tied to abuse. CMS has fined the home six times for a total of $267,056 and placed it in the Special Focus Facility program, the agency's watchlist for the country's most troubled homes. Weekend staffing also drops about 8% below weekday levels. Turnover, at 45.5%, is essentially the national norm, so it explains nothing here. The last inspection was May 29, 2026.
California Post-Acute Care in Lynwood carries one of the heaviest deficiency records you'll see: 144 total, including 11 tied to abuse and two serious enough to put residents in immediate harm's way. Every CMS rating category lands at one star, inspections, quality measures, staffing, so there's no strong area offsetting the weak ones.
Being named a Special Focus Facility means federal regulators have singled this home out for closer monitoring, a step they reserve for the worst performers. The last inspection was in May 2026, and a $33,120 fine is on record. With 130 beds, that's a lot of residents in a building the government is actively watching.
Greenfield Care Center Of Fairfield runs 90 certified beds under for-profit limited liability ownership, and its nurse staffing of 4.71 hours per resident day sits about 22% above the national average of 3.86, so there are real people on the floor most days. The catch is that weekends run roughly 10% leaner than weekdays, and annual turnover of 48.6% tops the national 45.8%, meaning the staff you meet in March may not be there by fall. The current record carries 78 deficiencies, eight at harm or jeopardy level and four abuse-related, plus four CMS fines totaling $455,702. Federal regulators have placed it in the Special Focus Facility program, and its last inspection was March 12, 2026.
Providence St Elizabeth Care Center has real strengths in its staffing: 4.76 nurse hours per resident day, well above the national average, and turnover at 27.8% that's notably lower than the typical home. But that's where the good news largely ends. The health inspection record is poor, 82 deficiencies on file, including four at the harm level and one abuse-related citation, plus two fines totaling over $54,000. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and the most recent inspection was in January 2026. Strong bedside staffing can't offset a documented pattern of serious health and safety failures.
California Post Acute sits in a tough spot for a family trying to decide. The raw staffing number, 4.03 hours per resident day, actually edges past the national average, but that average hides a lot, weekends run about 5% thinner than weekdays, and nearly half the nursing staff turns over each year, so the people providing care keep changing. What the record shows is harder to look past: 131 deficiencies, 13 of them serious enough to put residents in harm's way, 12 tied to abuse, and four fines totaling more than $215,000. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes. The most recent inspection was in July 2025.
Shasta View Care Center has a staffing number that looks good on its face, 4.53 nurse hours per resident day, about 17 percent above the national average. But that number comes with a 69.7 percent annual turnover rate, well above the 45.8 percent national figure, and weekend coverage sits roughly 8 percent below weekdays. The inspection record is where the real trouble shows: 107 deficiencies on file, five at the harm or jeopardy level, 12 abuse-related, plus two fines totaling $189,423. CMS has placed this for-profit LLC home in its Special Focus Facility program, and the most recent inspection was June 2025.
Bay Crest Care Center is an 80-bed for-profit home in Torrance, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but it drops roughly 8% on weekends, so care can thin out exactly when families tend to show up. Staff turnover of 56.4% runs well above the national 45.8%, meaning the people caring for your relative are likely to change often. On the inspection side, CMS counts 124 deficiencies, five of them at the harm or jeopardy level and five abuse-related, with four fines totaling $124,336. The home is currently in CMS's Special Focus Facility program.
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?