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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 81 to 100 of 842, best-graded first.

A

90/100

Redwood Terrace Health Center

Escondido, CA · San Diego County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
35%
Serious cites
0

Redwood Terrace runs on a nonprofit model in Escondido, and the staffing numbers show it: 4.45 nurse hours per resident per day, roughly 15% above the national average, with a 5/5 CMS staffing rating to match. Weekend coverage dips about 11% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 34.9%, noticeably better than the 45.8% national figure, so caregivers tend to stick around here. The current record carries 17 deficiencies, none at harm or jeopardy level, though two are abuse-related, a category you should ask administrators to explain directly. The last inspection was August 2025.

A

90/100

Danville Post-Acute Rehab

Danville, CA · Contra Costa County

CMS 4/554 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Danville Post-Acute Rehab runs 54 beds under corporate ownership, and its nurse staffing sits at 4.53 hours per resident day, roughly 17% above the national average. Weekend coverage dips about 12% below its own weekday numbers, so the hours aren't evenly spread across the week, but the overall staffing picture holds up. Turnover runs 30.6%, well below the national 45.8%, which suggests a steadier workforce than most. The record shows 17 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was October 2024, and the 5/5 quality measure score stands out against a 3/5 inspection rating, strong day-to-day care numbers, a more mixed regulatory history.

A

90/100

Fountains, The

Yuba City, CA · Sutter County

CMS 5/5145 bedsNon-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
15%
Serious cites
0

The Fountains runs on a non-profit model in Yuba City, and the numbers behind its A grade point to steady, well-funded care. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and weekend coverage drops only about 6% from weekday levels, a gap far smaller than what many homes show. What stands out most is the 15% annual turnover against a national rate near 46%, suggesting a workforce that largely stays put. Inspections in March 2025 turned up 28 deficiencies, none at the harm level, though four were abuse-related. Quality and inspection ratings both land high, so the record is solid with that one caveat worth asking about directly.

A

90/100

River Valley Care Center

Live Oak, CA · Sutter County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
32%
Serious cites
0

River Valley Care Center runs a 99-bed for-profit operation in Live Oak, and the staffing picture is genuinely better than most: 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dipping about 7% below its own weekday levels. Turnover sits at 32.3%, well under the 45.8% national figure, which matters for whether aides know residents' routines. The trouble is the inspection record, 53 deficiencies, including one at harm level and one abuse-related, with the most recent inspection in June 2025. Quality measures score well, but that's largely self-reported data. The gap between how this home charts and how it performs under surveyor scrutiny is the real story.

A

90/100

Terrace View Care Center

Fullerton, CA · Orange County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.86 /day
Staff turnover
24%
Serious cites
0

Terrace View runs 4.86 nurse hours per resident day against a national average of 3.86, and weekend coverage dips only about 11% below its own weekday level, so the floor doesn't empty out on Saturdays. Annual turnover of 24.3% is roughly half the national rate, which matters more than any single number here: experienced aides tend to know the residents. The catch is the inspection record, 58 deficiencies, six tied to abuse, none reaching harm or jeopardy. A 5/5 on quality measures sits next to a 3/5 on inspections, and that gap is worth asking about directly. Last inspection was February 2026, so the record is current. Corporate-owned, 59 beds.

A

90/100

Huntington Healthcare Center

Los Angeles, CA · Los Angeles County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
30%
Serious cites
0

Huntington Healthcare Center runs 99 certified beds in Los Angeles under corporate for-profit ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.03 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 8% below weekday levels. Turnover is the real bright spot at 30%, well under the national 45.8%, that kind of retention matters for consistent care. The inspection record shows 26 deficiencies with none at harm or jeopardy level and no abuse findings, plus one fine of $13,635. A December 2025 inspection keeps that picture current. Quality and staffing star ratings both come in at 1 out of 5 despite the decent raw staffing hours, which suggests the numbers behind those measures don't track as favorably.

A

89/100

Fairfield Post Acute Rehabilitation

Fairfield, CA · Solano County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
39%
Serious cites
0

Fairfield Post Acute runs 99 beds under for-profit LLC ownership, and the numbers suggest a home that's better staffed than most. Its 4.31 nurse hours per resident day sits about 12% above the national average of 3.86, and turnover at 38.7% beats the 45.8% national figure, meaning fewer caregivers are walking out the door here than elsewhere. Weekend coverage dips roughly 11% below weekday levels, so ask how that plays out on Saturdays. The health inspection side is where it gets uneven: 26 deficiencies on record, one tied to abuse, though none reached harm or jeopardy, and the last inspection closed in January 2026.

A

89/100

Yuba City Post Acute

Yuba City, CA · Sutter County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
29%
Serious cites
0

Yuba City Post Acute runs on 4.22 nurse hours per resident day, roughly 9% above the national average, and weekend staffing dips only about 5% below its own weekday level, a fairly small drop compared to what many homes show. Staff turnover sits at 28.6%, well under the national 45.8%, which matters for whether caregivers actually know the residents. The tradeoff is a long deficiency record: 43 citations on file, though none reached harm or jeopardy, and two are abuse-related. State inspectors visited as recently as November 2025 and still rated health inspections 4 out of 5. For-profit, limited liability ownership, 59 beds.

A

89/100

Watsonville Nursing Center

Watsonville, CA · Santa Cruz County

CMS 4/587 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
27%
Serious cites
0

Watsonville Nursing Center runs 87 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, which is worth asking about if your family visits on Saturdays. The standout number is turnover: 27.1%, well under the national 45.8%, meaning the aides and nurses who'd be caring for your relative tend to stick around. Against that, the home carries 42 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $44,488 fine. Its last inspection was January 9, 2026.

A

89/100

Oceanview Post Acute

Pacific Grove, CA · Monterey County

CMS 5/551 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Oceanview Post Acute sits on the higher end of what you'll find in Pacific Grove, and the numbers back that up. Nurse staffing runs 4.04 hours per resident day, about 5% above the national average, though weekends drop roughly 10% below the home's own weekday level, worth asking about if your family member needs more attention on Saturdays and Sundays. Turnover is 38.5%, better than the 45.8% national figure, which suggests a relatively stable crew. The catch is the deficiency record: 47 total, including one at the harm level and two abuse-related, from an inspection dated December 2025. That's a lot of paperwork for a 51-bed building, even with strong marks on inspections and quality measures.

A

89/100

Dinuba Healthcare

Dinuba, CA · Tulare County

CMS 4/597 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
33%
Serious cites
0

Dinuba Healthcare runs on 3.94 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip about 6% below its own weekday staffing. Turnover sits at 33.3%, well under the 45.8% national figure, which matters for whether residents see the same faces. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations; the most recent inspection was January 8, 2026. This for-profit partnership has 97 certified beds and earns 4 of 5 stars on both health inspections and quality measures, but only 3 of 5 on staffing.

A

89/100

Stonebrook Health And Rehabilitation

Los Gatos, CA · Santa Clara County

CMS 5/573 bedsFor-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
21%
Serious cites
0

Stonebrook runs on 4.40 nurse hours per resident day, about 14% above the national average, and it earns a five-star staffing rating partly because of that. Weekend coverage dips roughly 8% below weekday levels, so ask how that plays out on Sundays. Turnover sits at 21.4%, less than half the national rate of 45.8%, which matters for whether you see the same faces month to month. The current record shows 32 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Inspectors were last on site in August 2025, so the findings are recent.

A

89/100

Plymouth Village

Redlands, CA · San Bernardino County

CMS 4/548 bedsNon-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
27%
Serious cites
0

Plymouth Village runs 4.53 nursing hours per resident per day, about 17% above the national average, and its staff turnover of 26.5% is well under the national 45.8%. Weekend coverage dips roughly 11% from weekday levels, which is common but worth asking about if your family visits on Saturdays or Sundays. The 23 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in June 2025, so the picture is fairly current. This is a nonprofit operation with 48 beds, and smaller nonprofits often hold onto staff longer than the for-profit chains do.

A

89/100

La Crescenta Healthcare Center

La Crescenta, CA · Los Angeles County

CMS 5/592 bedsFor-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
34%
Serious cites
0

La Crescenta Healthcare Center runs a genuine staffing advantage: 4.38 nurse hours per resident day sits about 13% above the national average, and turnover at 34.4% is well below the 45.8% national figure. That consistency matters more than the raw hours, though weekend coverage does dip roughly 8% below its own weekday level. The concern is the inspection record, 54 deficiencies, including 2 at the harm or jeopardy level and 3 abuse-related, with one fine of $17,122. The most recent inspection was May 2026, so the record is current. Strong daily staffing, a thinner safety and compliance picture.

A

89/100

Pacific Hills Post Acute

Morgan Hill, CA · Santa Clara County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
42%
Serious cites
0

Pacific Hills Post Acute runs 4.08 nurse hours per resident day, roughly 6% above the national average, and its staff turnover of 41.6% sits below the national figure of 45.8%, both signs of a stable floor. Weekend coverage dips about 9% from weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The 47 deficiencies on record include three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in December 2025. Quality measures score well; the inspection history is where the unevenness shows.

A

89/100

West Haven Healthcare

West Covina, CA · Los Angeles County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
37%
Serious cites
0

West Haven Healthcare sits in West Covina with 99 certified beds under for-profit LLC ownership, and its nurse staffing runs about 11% above the national average at 4.28 hours per resident day. Weekend coverage dips roughly 10% below its own weekday level, and turnover sits at 36.5%, lower than the 45.8% national figure, meaning fewer caregivers are cycling out the door. The catch is the inspection record: 55 deficiencies, including one abuse-related citation, and a 2/5 health inspection rating despite strong quality measure scores. That gap between how residents' clinical measures look and how the building performs under surveyor scrutiny is worth asking about directly before you decide.

A

89/100

Berkley Post-Acute

Van Nuys, CA · Los Angeles County

CMS 3/5125 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
23%
Serious cites
0

Berkley Post-Acute runs 4.20 nurse hours per resident day, roughly 9% above the national average, and its staff retention is unusually good, 22.5% turnover against a national 45.8%. Weekends dip about 9% below its own weekday staffing, so coverage is thinner then. The tradeoff sits in inspections: 66 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level, and the last visit was July 2025. That volume of paperwork findings against a for-profit limited liability company is a pattern worth asking about directly. Quality measures look better than the inspection history does.

A

89/100

Greenridge Post Acute

El Sobrante, CA · Contra Costa County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Greenridge Post Acute runs 4.41 nurse hours per resident day, roughly 14% above the national average of 3.86, and its weekend staffing dips only about 8% below its own weekday level, a modest drop by industry standards. Staff turnover sits at 39.5%, better than the 45.8% national figure. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none related to abuse, with its last inspection in January 2024. For a 60-bed for-profit LLC, that combination of above-average staffing, low turnover, and a clean harm-free inspection record is doing the heavy lifting behind its marks.

A

89/100

Casa Coloma Health Care Center

Rancho Cordova, CA · Sacramento County

CMS 2/5138 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
22%
Serious cites
0

Casa Coloma runs about 4.18 nurse hours per resident day, roughly 8% above the national average, and its staff turnover of 22.2% is less than half the national rate of 45.8%, a combination that usually points to a stable, adequately covered floor. Weekend coverage does dip about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The 40 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the last inspection was in January 2025. For-profit LLC ownership and a 3/5 inspection rating are the main things pulling the score down.

A

89/100

Windsor The Ridge Rehabilitation Center

Salinas, CA · Monterey County

CMS 5/5103 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
31%
Serious cites
0

Windsor The Ridge runs 103 certified beds in Salinas under for-profit LLC ownership, and its staffing sits at 3.83 nurse hours per resident day, just a hair under the national average, with weekends running about 5% lighter than weekdays. That thin margin matters more than the rounding suggests, though the home holds a 4/5 staffing star and a strong 5/5 on quality measures. Staff turnover is the real bright spot at 30.6%, well below the 45.8% national figure, which suggests less churn than most places. The 52 deficiencies on record include two abuse-related citations, but none rose to harm or jeopardy level, and the last inspection came in November 2025.

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