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.
Rancho Seco Care Center has a staffing edge on paper, 4.16 nurse hours per resident day, roughly 8% above the national average, but weekends run about 10% thinner than its own weekdays, so the coverage a family sees on a Tuesday isn't what they get on a Sunday. Turnover sits at 43.7%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. What overrides all of that is the record: 72 deficiencies, including 3 at harm or jeopardy level and 16 abuse-related, plus two fines totaling $490,205 and placement in CMS's Special Focus Facility program. The most recent inspection was January 8, 2026.
Sunray Healthcare Center has enough hands on deck, 5.05 nurse hours per resident day, roughly a third above the national average, but that staffing cushion is doing a lot of work against a rough record elsewhere. The home carries 80 deficiencies, including 6 at the harm or jeopardy level and 9 tied to abuse, plus $147,893 in CMS fines across four penalties, and it currently sits in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. Staff turnover, at 41.4%, is actually a bit better than the 45.8% national figure, so the trouble isn't retention alone. Ownership is for-profit, through a limited liability company, and the last inspection was April 19, 2026.
Four Seasons Healthcare & Wellness Center runs 201 beds in North Hollywood under for-profit LLC ownership, and the numbers tell two different stories. Resident care measures look decent, but the inspection record is where this home falls apart: 141 deficiencies on file, including 9 tied to abuse and 4 serious enough to put residents in harm's way, plus $87,215 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Staffing sits at 4.23 hours per resident day, about 9% above the national average, though weekends drop roughly 9% below the home's own weekday levels. The most recent inspection was April 2025.
Mirage Post Acute runs 299 beds in Lancaster under for-profit partnership ownership, and its staffing numbers look decent on paper, 4.56 nurse hours per resident day, about 18% above the national average. But the inspection record tells a different story: 262 deficiencies, including 6 at the harm or jeopardy level and 21 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and there are three fines totaling $153,991. Staff turnover sits at 50.4%, above the 45.8% national average, and weekend staffing drops roughly 11% below weekday levels. With a 1-out-of-5 inspection rating and a 2026 inspection date already on record, the high staffing figure isn't translating into safe care.
Woodland Care Center's numbers pull in opposite directions, and the split tells you where to look. Nurse staffing sits at 3.83 hours per resident day, roughly a percent under the national average, with weekends about 5% thinner than weekdays, but turnover is 20.9%, less than half the national rate, which means the people who are there tend to stay. The problem is what inspections keep finding: 110 deficiencies on the current record, two at harm level, five tied to abuse, and $30,972 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Quality scores look strong, but a 1-out-of-5 inspection rating and a fresh April 2025 survey carry more weight.
Astoria Healthcare Center has real staffing strength: 4.16 nurse hours per resident day, roughly 8% above the national average, and turnover at 33.9% is better than the 45.8% norm. Weekend coverage dips about 6% below weekdays. The problem is everything else. A 1-out-of-5 inspection rating sits alongside 124 deficiencies, three at harm or jeopardy level and eight abuse-related, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Its last inspection was in May 2025, so the record is current. Good staffing numbers can't offset that pattern.
Griffith Park Healthcare Center runs 3.94 nurse hours per resident day, a bit above the national average, and its 42.9% turnover is slightly better than typical. But weekend staffing drops about 8% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger issue sits in the inspection record: 96 deficiencies currently on file, including 10 abuse-related citations and 3 at the harm or jeopardy level, with $63,605 in fines across three penalties. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure rating suggests the clinical scores look better than the day-to-day compliance picture. The most recent inspection was December 15, 2025.
Burbank Healthcare & Rehab is a 188-bed for-profit run by a limited liability company, and the numbers pull in opposite directions. Nurse staffing is genuinely better than most homes, about 4.06 hours per resident day, roughly 5% above the national average, and its 41% turnover is slightly better than the 45.8% national figure, though weekend coverage drops about 6% below its own weekday level. What outweighs all of that is the inspection record: 142 deficiencies, four at harm or jeopardy level, twelve abuse-related, two fines totaling $31,803, and a current place in CMS's Special Focus Facility program, with the last inspection in March 2026. Staffing can be adequate and the care still unsafe. That's the tension here.
Sherman Village Hcc has the staffing most families say they want, 4.98 nurse hours per resident day, roughly 29% above the national average, and turnover at 26.7% against a national 45.8% suggests workers tend to stay. Now the other side: a 1-out-of-5 inspection rating, 106 deficiencies on the current record, three of them at harm or jeopardy level and four abuse-related, plus a $202,260 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of serious problems. Staffing can be strong and a building can still be failing; here, state and federal inspectors have documented the second repeatedly.
Northvine Postacute Care is a 62-bed for-profit home in Santa Rosa, and the staffing numbers alone tell you something: 3.59 nurse hours per resident day, roughly 7% under the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 47.5%, slightly above the national rate, so the people caring for residents keep changing. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with persistent problems, and its inspection record shows 76 deficiencies, including 4 at the harm level and 10 tied to abuse. Seven fines total $50,050. The last inspection was October 2024.
Bixby Towers runs 99 certified beds in Long Beach, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average, though weekends dip about 7% below its own weekday levels. Staff turnover is 53.8%, well above the 45.8% national figure, and the inspection record carries 82 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $114,270. The most recent inspection was August 1, 2025, so the picture is current. Ownership is a for-profit limited liability company. Strong quality measure scores sit alongside a single-star inspection rating, worth asking about directly.
Rio Hondo runs 4.64 nurse hours per resident per day, about 20 percent above the national average, but weekends drop roughly 13 percent below its own weekday staffing, so the coverage families see on a Tuesday isn't what shows up on a Sunday. Turnover sits at 63.4 percent against a national 45.8, meaning most of the people caring for your relative were hired within the past year. The record shows 195 deficiencies, 16 of them serious enough to endanger residents, 18 tied to abuse, and eight fines totaling $411,481. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Lakewood Healthcare Center in Downey is a 290-bed for-profit home with 4.15 total nurse staffing hours per resident day, roughly 8% above the national average, but that one bright spot is doing a lot of heavy lifting. The inspection record is where the trouble sits: 124 deficiencies, four at harm or jeopardy level, 16 abuse-related, and three fines totaling $128,597, which is why CMS has placed it in the Special Focus Facility program. Staffing also thins on weekends, dropping about 8% below its own weekday level, and the last inspection was December 18, 2025. If you're considering this home, ask specifically what the abuse-related findings involved and how the facility is addressing them.
Majestic Mountain Care Center runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage slips a bit further below its own weekday levels. That staffing gap shows up in a 69% annual turnover rate, well above the 45.8% national figure, and a two-star staffing rating. The inspection record is the harder read: 63 deficiencies, six at harm or jeopardy level, five tied to abuse, and $252,683 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, and the most recent inspection was July 2025.
Valley Vista runs 72 beds in North Hollywood under for-profit LLC ownership, and the inspection record is the first thing that stands out: 114 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. The last inspection was this past July, so that record is current, not stale. Staffing looks decent on paper at 4.07 hours per resident day, about 5% above the national average, but weekends run roughly 12% below weekdays, and turnover sits at 60.6% against a national average of 45.8%, meaning the people caring for residents keep changing.
Riverside Postacute Care holds 188 certified beds and runs on nurse staffing that lands at 3.84 hours per resident day, essentially even with the national average, not above it in any meaningful way, and weekends dip about 4% below what the home staffs on weekdays. The bigger issue is who stays: annual turnover hits 61.3% against a national 45.8%, so a large share of the people providing care are new to the building. That instability shows up in the record: 170 deficiencies, five at harm or jeopardy level, 15 tied to abuse, and $76,211 in CMS fines. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Antelope Valley Care Center holds 199 certified beds in Lancaster under for-profit LLC ownership, and its record carries real weight: 170 deficiencies, five at harm or jeopardy level and eleven tied to abuse, with $124,690 in fines and a place in CMS's Special Focus Facility program. Staffing sits at 4.11 nurse hours per resident day, about 7% above the national average, but weekends run roughly 10% thinner than weekdays, and the staffing star rating is only 2 of 5. Annual turnover of 44.3% is slightly better than the 45.8% national figure, yet the inspection rating remains 1 of 5 despite a recent survey in August 2025.
Maclay Healthcare Center has 141 certified beds in Sylmar, and it's owned by a for-profit limited liability company. Nurse staffing runs about 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage about 9% thinner than weekdays, and staff turnover at 43.5% sits just under the national figure. Those numbers aren't the problem. The inspection record is: 185 deficiencies, 12 at harm or jeopardy level, 23 abuse-related, and $384,678 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was January 16, 2026. Strong quality scores can't offset that inspection history.
Studio City Rehabilitation Center has real staffing strength: 4.60 nurse hours per resident day against a national average of 3.86, with turnover at 29.3% compared to 45.8% nationally. That's a workforce that mostly stays put, and it shows up in the quality measure rating.
The inspection record tells a different story. CMS has this for-profit, 181-bed home in its Special Focus Facility program, the designation reserved for the most persistently troubled homes, with 108 deficiencies on the current record, three at harm or jeopardy level and seven tied to abuse. Two fines totaling $45,604 are on file, and the last inspection was August 2025. Good staffing alone hasn't produced a safe building here.
Crescent City Care Center runs on thinner nursing coverage than most homes in the country, 3.53 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends. Keeping nurses is the bigger problem: turnover sits near 69%, well above the 45.8% national figure, and the federal staffing rating reflects it at 1 out of 5. The inspection record is heavier still: 69 deficiencies on file, including three at the harm level and four tied to abuse, with two fines totaling $205,566. CMS has placed this for-profit, limited-liability home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. If you're considering it, ask what's changed since the June 2024 inspection.
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?