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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 101 to 120 of 842, best-graded first.

A

89/100

Rosewood Health Facility

Bakersfield, CA · Kern County

CMS 4/579 bedsNon-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
24%
Serious cites
0

Rosewood Health Facility runs on unusually strong staffing for a 79-bed nonprofit home in Bakersfield, 4.82 nurse hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 9% below weekdays. Turnover sits at 24.1%, well under the national 45.8%, which matters because consistent caregivers know the residents. The catch is the inspection record: 47 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. That mix, excellent staffing and quality scores against a long, sometimes serious deficiency history, is why this lands at a solid B rather than higher.

A

89/100

Fair Oaks Healthcare Center

Fair Oaks, CA · Sacramento County

CMS 3/5149 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
30%
Serious cites
0

Fair Oaks Healthcare Center runs on a genuinely strong staffing model, 4.36 nurse hours per resident day, roughly 13% above the national average, with weekend coverage dipping only modestly below weekdays. Turnover sits at 30.4%, well under the 45.8% national rate, which matters for consistency of care. The trouble is the inspection record: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, with a health inspection rating of just 2 out of 5. Fines are modest at $8,990, and the most recent inspection was February 2026. Strong staffing and quality scores are pulling against a thin inspection history at this for-profit, limited-liability operation.

A

89/100

Boulder Creek Post Acute

Poway, CA · San Diego County

CMS 4/5149 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
26%
Serious cites
0

Boulder Creek Post Acute runs 149 beds in Poway under for-profit LLC ownership, and its numbers tell a mixed story worth sorting through. Nurse staffing sits at 3.83 hours per resident day, just under the national average, and weekends dip about 4% below weekdays, so coverage gets thinnest exactly when families tend to visit. The standout figure is turnover: 26.4% against a national average of 45.8%, meaning this building keeps its caregivers far longer than most. Inspections landed at a 3 out of 5, with 59 deficiencies on record, none at harm or jeopardy level but one tied to abuse. The last full inspection was February 2025, so the picture is reasonably current. Strong retention and quality scores are doing real work here; the deficiency count is the counterweight.

A

89/100

Villa Rancho Bernardo Care Center

San Diego, CA · San Diego County

CMS 5/5299 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
33%
Serious cites
0

Villa Rancho Bernardo runs a 299-bed for-profit operation, and the numbers behind its grade are mostly about staffing consistency. Nurse coverage sits at 4.05 hours per resident day, roughly 5% above the national average, and weekends dip only about 6% below weekdays, a smaller drop than many homes show. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a long deficiency record: 37 citations, including 2 tied to abuse, though none rose to harm or jeopardy level. The last inspection was November 2024.

A

89/100

Monterey Palms Health Care Center

Palm Desert, CA · Riverside County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
41%
Serious cites
0

Monterey Palms runs about 4.21 nurse hours per resident per day, roughly 9% above the national average, and its staff turnover of 41% sits a little below the national figure of 45.8%. The trade-off shows up on weekends, when staffing drops about 7% below its own weekday level. Its inspection record carries 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was January 31, 2025. This is a for-profit limited liability company with 99 certified beds. The staffing and quality measure ratings both land at 4 and 5 out of 5, which is what's carrying the score despite the deficiency count.

A

89/100

Royal Oaks Manor-Bradbury Oaks

Duarte, CA · Los Angeles County

CMS 4/548 bedsNon-profitMedicaid
Nurse hours
4.81 /day
Staff turnover
31%
Serious cites
0

Royal Oaks Manor-Bradbury Oaks runs on a small 48-bed nonprofit campus, and its staffing is the headline: 4.81 nurse hours per resident day, roughly a quarter more than the national average, with a 5/5 staffing rating to match. Turnover sits at 30.8% against a 45.8% national figure, which suggests people stay. Weekends dip about 8% below weekday coverage, so ask how that plays out on a Sunday. The caution is inspection history: 42 deficiencies on record, two of them at harm or jeopardy level, and a 3/5 inspection rating despite a January 2026 survey.

A

89/100

Heritage Park Nursing Center

Upland, CA · San Bernardino County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
42%
Serious cites
0

Heritage Park runs lean on direct care: 3.79 nurse hours per resident per day sits just under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover at 42% is better than the 45.8% national figure, which matters for continuity. The inspection history is the harder read, 21 deficiencies on record, including one at the harm level and five tied to abuse. Its most recent inspection was June 2025, so that record is current, not stale.

A

89/100

The Cove At La Jolla

La Jolla, CA · San Diego County

CMS 5/559 bedsFor-profit
Nurse hours
4.95 /day
Staff turnover
45%
Serious cites
0

The Cove at La Jolla runs on a fairly rich staffing budget, 4.95 nurse hours per resident day, roughly 28% above the national average, and that shows up in its four-out-of-five staffing star. Weekend coverage dips about 15% below its own weekday level, so care may thin out on Saturdays and Sundays. Staff turnover sits at 44.6%, essentially in line with the national 45.8%, so there's no unusual churn problem here. The home carries 21 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was in May 2025, and it's a for-profit corporation with 59 certified beds.

A

89/100

Arroyo Grande Care Center

Arroyo Grande, CA · San Luis Obispo County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
21%
Serious cites
0

Arroyo Grande Care Center sits in a county with plenty of options, and its numbers hold up well against them. Nurse staffing runs 4.48 hours per resident day, comfortably above the national mark, and the weekend dip is modest enough that care doesn't appear to fall off a cliff every Saturday. Ten deficiencies on record with none at harm or jeopardy level and nothing abuse-related, plus a clean five-star inspection rating and a survey from July 2025, suggest a home that stays on top of its obligations. Staff turnover of 21% is less than half the national rate, which matters more than any single score when you're thinking about who will actually be there month to month.

A

89/100

Bayshire Yorba Linda Post-Acute

Yorba Linda, CA · Orange County

CMS 3/545 bedsFor-profit
Nurse hours
4.89 /day
Staff turnover
26%
Serious cites
0

Bayshire Yorba Linda runs on 4.89 nurse hours per resident day, about 27% more than the national average, and its staff stick around, 26% turnover against a national rate near 46%. Weekend coverage holds steady rather than thinning out. The trade-off sits in its inspection history: 62 deficiencies on the current record, one tied to abuse, though none reached the level of actual harm or jeopardy, and fines total just $4,368. Its last inspection was in April 2026. With 45 beds and individual for-profit ownership, this is a small house where the care hours and the record don't tell the same story. Ask about that abuse citation directly.

A

89/100

Camden Postacute Care, Inc

Campbell, CA · Santa Clara County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
32%
Serious cites
0

Camden Postacute Care runs 60 beds in Campbell under for-profit LLC ownership, and its nursing hours sit right at the national average, 3.84 per resident day, with weekends dipping only about 3% below weekdays, which is a smaller drop-off than many homes show. The standout number is turnover: 31.6% versus a national average of 45.8%, meaning far fewer aides and nurses are walking out the door each year. On the record side, 41 deficiencies sounds like a lot until you see none reached harm or jeopardy level, though two were abuse-related. State inspectors were last in on May 16, 2025. Quality measures score well; staffing and inspections land in the middle.

A

89/100

Sherman Oaks Hospital Snf Dp

Sherman Oaks, CA · Los Angeles County

CMS 4/522 bedsFor-profitMedicaid
Nurse hours
8.71 /day
Staff turnover
5%
Serious cites
0

Sherman Oaks Hospital Snf Dp runs 22 certified beds under corporate for-profit ownership, and its nurse staffing sits at 8.71 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, but that's a minor wobble against a turnover rate of 4.5%, which is dramatically lower than the national 45.8% and suggests a stable crew rather than a revolving door. The tradeoff shows up in its record: 33 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent April 2025 inspection and solid marks on quality measures round out a home that's clearly well-staffed but not spotless on compliance.

A

89/100

Arrowhead Healthcare Center, Llc

San Bernardino, CA · San Bernardino County

CMS 4/558 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Arrowhead Healthcare Center runs 58 certified beds in San Bernardino under for-profit LLC ownership. Nurse staffing sits at 4.65 hours per resident day, roughly 20% above the national average, though weekends drop about 14% below the home's own weekday levels. Staff turnover is 30.6%, lower than the 45.8% national figure, which matters for consistency of care. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 2026. All three CMS star categories, health inspections, quality measures, and staffing, land at 4 out of 5. The picture is a smaller home with solid staffing and a clean harm record.

A

88.5/100

Bayside Care Center

Morro Bay, CA · San Luis Obispo County

CMS 5/5145 bedsFor-profitMedicaid
Nurse hours
4.81 /day
Staff turnover
43%
Serious cites
0

Bayside runs a five-star health inspection and a five-star quality measure rating, and its 17 deficiencies on file carry no harm or jeopardy findings and nothing abuse-related, a clean record, especially with an inspection as recent as December 2025. Nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average, though weekends drop about 17% below its own weekday coverage, which matters if your family visits on Saturdays. Turnover at 43.3% edges just under the national figure, unremarkable for a for-profit limited liability company. The weak spot is staffing depth relative to the rest.

A

88.5/100

West Anaheim Medical Center D/P Snf

Anaheim, CA · Orange County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
11.28 /day
Staff turnover
12%
Serious cites
0

West Anaheim Medical Center's skilled nursing unit runs on unusually heavy staffing, 11.28 nurse hours per resident day, roughly triple the national figure, and its staff actually stay, with turnover near 12% against a national rate closer to 46%. Weekend coverage dips about 9% below its own weekday level, a modest drop given the overall cushion. The tradeoff shows up in its record: 46 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors were last in on March 27, 2026, and the home holds four stars for inspections and five for staffing.

A

88/100

Driftwood Healthcare Center - Santa Cruz

Santa Cruz, CA · Santa Cruz County

CMS 3/592 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
46%
Serious cites
0

Driftwood Healthcare Center in Santa Cruz carries 92 certified beds under for-profit LLC ownership. Its total nurse staffing sits at 3.98 hours per resident day, a hair above the national average of 3.86, though weekends run about 6% thinner than weekdays, so coverage isn't perfectly even across the week. Turnover lands at 46.2%, essentially matching the national 45.8%. The inspection record is where things get harder to ignore: 51 deficiencies on file, three of them serious enough to cause harm, plus one tied to abuse. Its most recent inspection was December 2025. Quality measures score well, but that paperwork record tells a more complicated story than the stars suggest.

A

88/100

Beachside Post Acute

Long Beach, CA · Los Angeles County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
32%
Serious cites
0

Beachside Post Acute runs 4.48 nurse hours per resident per day, about 16% above the national average, and its staff turnover of 31.9% sits well below the 45.8% national figure, that combination matters more than most single numbers here. Weekend staffing dips roughly 11% below its own weekday level, so coverage is thinner on Saturdays and Sundays. The 41 deficiencies on record is a lot of paperwork, but none reached harm or jeopardy level and none involved abuse, and inspectors were last in on May 29, 2026, so the record is current. A for-profit corporation operates the 90-bed home.

A

88/100

Grand Terrace Health Care Center

Grand Terrace, CA · San Bernardino County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
32%
Serious cites
0

Grand Terrace Health Care Center runs about 4.69 nurse hours per resident per day, roughly 21% above the national average, and its weekend staffing only dips about 11% below weekdays, a smaller drop than many homes show. Turnover sits at 32.4%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The 27 deficiencies on record include none tied to harm or abuse, and the most recent inspection was March 2026. It's a for-profit corporate home with 59 beds, but the staffing consistency and clean harm record are what stand out.

A

88/100

Montrose Healthcare Center

Montrose, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
36%
Serious cites
0

Montrose Healthcare Center runs on more nursing hours than most homes, 4.16 per resident per day against a national average of 3.86, and its staff stick around better than the typical facility, with turnover at 35.7% versus 45.8% nationally. Weekends dip about 10% below its own weekday coverage, which is worth knowing if your visits would fall on Saturdays or Sundays. The tradeoff sits in its inspection history: 40 deficiencies on the current record, though none reached the harm or jeopardy level and none involved abuse. State inspectors were last in the building on April 30, 2026, so the record is current. Ownership is a for-profit corporation.

A

88/100

Springs Road Healthcare

Vallejo, CA · Solano County

CMS 5/565 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
20%
Serious cites
0

Springs Road Healthcare in Vallejo runs 65 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.97 hours per resident day, slightly above the national average, though weekend coverage drops about 8% below its own weekday level. The standout number is turnover: 19.7% annually against a national average of 45.8%, meaning far fewer caregivers are cycling through the building than at most homes. Inspections in March 2025 produced a 4-out-of-5 health inspection rating and 28 deficiencies on record, including two tied to abuse, but none at the harm or jeopardy level. Quality measures rate 5 out of 5, so the clinical picture holds up even where the inspection record has some dents.

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