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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 161 to 180 of 842, best-graded first.

A

87/100

Pleasanton Nursing And Rehabilitation Center

Pleasanton, CA · Alameda County

CMS 5/5139 bedsFor-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
43%
Serious cites
0

Pleasanton Nursing and Rehabilitation Center runs on more nurse hours per resident than most homes in the country, 4.45 a day against a national average of 3.86, and its inspection record shows a 5/5 rating with 14 deficiencies on file, none of them causing harm. Weekend staffing sits roughly 9% below its own weekday level, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 42.9%, slightly better than the national 45.8% but still meaning nearly half the nursing staff turns over in a year. The one abuse-related deficiency and the fact that this is a for-profit limited liability company are the other things to press on during a tour.

A

87/100

Medical Center Convalescent Hospital

San Bernardino, CA · San Bernardino County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
28%
Serious cites
0

Medical Center Convalescent Hospital runs 99 certified beds in San Bernardino under for-profit LLC ownership, and the staffing picture is its strongest card: 4.06 nurse hours per resident day, roughly 5% above the national figure, though weekends dip about 8% below the home's own weekday levels. Turnover sits at 28.4% against a national average near 46%, which matters for whether you see the same faces on repeat visits. The inspection record shows 34 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dated February 2026. All three CMS star ratings land at 4 out of 5. The numbers describe a home that is stable and adequately staffed rather than exceptional.

A

87/100

Valley Village Care Center

North Hollywood, CA · Los Angeles County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
19%
Serious cites
0

Valley Village Care Center runs on unusually steady staffing for a for-profit home, 4.53 nurse hours per resident day, roughly 17% above the national average, with weekend coverage dipping only about 12% below weekdays. Turnover sits at 19.4%, well under the 45.8% national figure, which suggests aides and nurses tend to stay. The catch is the inspection record: 79 deficiencies on file, including three tied to abuse, and a two-star health inspection rating despite a four-star quality measure score. The most recent inspection was in May 2026. Consistent hands on deck, but a paper trail that warrants questions before you sign anything.

A

87/100

Greenfield Care Center Of Fillmore, Llc

Fillmore, CA · Ventura County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
5.09 /day
Staff turnover
34%
Serious cites
0

Greenfield Care Center Of Fillmore runs on 5.09 nurse hours per resident per day, roughly a third more than the national average, and its staff turnover of 33.7% sits well under the typical 45.8%. Weekend coverage dips about 10% below weekday levels, so ask how that plays out on Saturdays. The record shows 35 deficiencies, one serious enough to reach harm or jeopardy, plus a single $8,018 fine; the last inspection was March 2026. This is a for-profit LLC with 99 beds, and the staffing is the clearest strength here, worth weighing against that one harm-level finding.

A

87/100

Arbor Rehabilitation & Nursing Center

Lodi, CA · San Joaquin County

CMS 4/5149 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
44%
Serious cites
0

Arbor Rehabilitation & Nursing Center runs 149 certified beds in Lodi under corporate ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average, though weekends dip about 7% below its own weekday levels. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows 48 deficiencies, none at the harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was January 9, 2026, so the findings are recent. Quality measures score well; the inspection side is more mixed.

A

87/100

San Gabriel Valley Medical Ctr D/P Snf

San Gabriel, CA · Los Angeles County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
7.66 /day
Staff turnover
20%
Serious cites
0

San Gabriel Valley Medical Ctr D/P Snf runs on unusually heavy staffing for a 44-bed for-profit home, 7.66 nurse hours per resident day, roughly double the national figure, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 20% against a national average near 46%, so the people providing that care tend to stay. The trade-off shows up in its inspection record: 34 deficiencies, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. Quality measures score at the top of CMS's scale, and ownership is corporate for-profit. Families weighing a small, well-staffed home against a longer paper trail should ask what those 34 citations actually involved.

A

87/100

Encino Hospital Medical Center D/P Snf

Encino, CA · Los Angeles County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
7.62 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at this Encino home runs 7.62 hours per resident day, roughly double the national average of 3.86, and turnover sits at 32.7%, well under the 45.8% norm. Those are real strengths, and they show up in the staffing and quality stars. The inspection record tells a different story: 25 deficiencies on file, including one at the harm level and three tied to abuse, plus a $24,030 fine. State inspectors were last on site in December 2025, so the picture is current. Corporate ownership and 28 beds mean a small operation where a single bad incident carries proportionally more weight.

A

87/100

Vista Knoll Specialized Care Facility

Vista, CA · San Diego County

CMS 5/5119 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
40%
Serious cites
0

Vista Knoll runs a for-profit operation under a limited liability company, with 119 certified beds in San Diego County. The numbers here are decent overall: a 4-out-of-5 inspection rating, a perfect 5 on quality measures, and turnover at 39.8%, better than the national average of 45.8%. Total nurse staffing sits at 3.79 hours per resident day, slightly under the national 3.86, and weekends run about 13% leaner than weekdays, so families should ask how coverage holds up on Saturdays and Sundays. The record shows 31 deficiencies, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. The last inspection was September 26, 2025, so the picture is recent.

A

87/100

Park Vista At Morningside

Fullerton, CA · Orange County

CMS 4/599 bedsFor-profit
Nurse hours
5.52 /day
Staff turnover
38%
Serious cites
0

Park Vista At Morningside runs a for-profit operation with 99 certified beds, and its nurse staffing sits at 5.52 hours per resident day, roughly 43% above the national average, though weekends dip about 10% below its own weekday levels. Turnover lands at 38.2%, better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The caution is in the inspection record: 45 deficiencies, including one at the harm level and one abuse-related, with a single fine of $8,278 and a December 2025 inspection. That's a meaningful gap between how the place is staffed day to day and how it has performed when regulators show up.

A

87/100

Marysville Post-Acute

Marysville, CA · Yuba County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
35%
Serious cites
0

Marysville Post-Acute runs 86 beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That margin is thin enough to disappear on weekends, when coverage drops roughly 10% below the home's own weekday level. Staff turnover is the genuine bright spot at 35.2%, well under the 45.8% national figure, which suggests people tend to stay. The tradeoff shows up in the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent inspection was April 2025, so the picture is current. Quality and staffing star ratings both land at 4 or 5 out of 5.

A

87/100

Tice Valley Post Acute

Walnut Creek, CA · Contra Costa County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
37%
Serious cites
0

Tice Valley Post Acute runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, and its staff turnover is 36.5% against a national 45.8%, both real positives. Weekend staffing drops about 11% below its own weekday level, so coverage thins on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Inspectors last visited in December 2025, so the picture is recent.

A

87/100

Camarillo Healthcare Center

Camarillo, CA · Ventura County

CMS 5/5114 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
39%
Serious cites
0

Camarillo Healthcare Center runs 114 beds under corporate ownership, and its nurse staffing sits at 3.89 hours per resident day, just a hair above the national average of 3.86. Weekend coverage drops roughly 7% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover lands at 39.1%, which is meaningfully better than the 45.8% national figure, and its last inspection was recent, in February 2025. The 33 deficiencies on record include none tied to harm or jeopardy and none related to abuse. Quality measures scored well, and the health inspection record is solid. The staffing edge over average is thin, though, that's the number worth watching.

A

87/100

Providence Little Comp Of Mary Subacute Care Ctr

San Pedro, CA · Los Angeles County

CMS 4/5125 bedsNon-profitMedicaid
Nurse hours
8.67 /day
Staff turnover
25%
Serious cites
0

Providence Little Company of Mary Subacute Care Center sits in San Pedro with 125 certified beds, run by a nonprofit corporation. The staffing numbers stand out: 8.67 nurse hours per resident day is roughly two and a quarter times the national average, and weekend coverage only dips about 6% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover runs 25.2%, well under the 45.8% national figure, which suggests people stick around. The record isn't clean, though. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, plus a single $11,170 fine. The most recent inspection was January 30, 2026. Strong staffing and low turnover, but a deficiency count that deserves a hard look before you decide.

A

87/100

Kindred Hospital Brea D/P Snf

Brea, CA · Orange County

CMS 3/538 bedsFor-profitMedicaid
Nurse hours
7.13 /day
Staff turnover
26%
Serious cites
0

Kindred Hospital Brea runs a 38-bed skilled nursing unit in Orange County under corporate ownership, and the staffing numbers are genuinely unusual: 7.13 nurse hours per resident day, roughly 85 percent above the national average, with weekend coverage dipping only about 7 percent below weekdays. Turnover sits at 26.2 percent against a national 45.8, so the people caring for residents tend to stay. What pulls the record down is inspections, a 2 out of 5 star rating, 50 deficiencies on file, and 2 tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was February 2026, so the picture is current. Families weighing heavy care needs against regulatory history have a real tradeoff here.

A

87/100

Forest Hill Manor Health Center

Pacific Grove, CA · Monterey County

CMS 4/526 bedsFor-profitMedicaid
Nurse hours
5.04 /day
Staff turnover
44%
Serious cites
0

Forest Hill Manor runs a 26-bed operation in Pacific Grove, and the staffing numbers are its strongest card: 5.04 nurse hours per resident day, roughly a third above the national average. That margin matters in a small building, though weekend coverage drops about 14% from weekday levels, so care can thin out when families visit most. Turnover sits at 44.4%, essentially the national rate, and the quality measure score is perfect while health inspections land mid-range. The record shows 28 deficiencies, one serious enough to cause harm, and a single fine of $8,278, not alarming for a for-profit LLC, but worth asking about directly.

A

86/100

Magnolia Gardens Convalescent Hospital

Granada Hills, CA · Los Angeles County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
36%
Serious cites
0

Magnolia Gardens runs 99 certified beds in Granada Hills, corporate-owned and for-profit. Nurse staffing sits at 3.84 hours per resident day, essentially even with the national average, though weekends dip about 8% below its own weekday levels. Turnover is a real strength here: 35.6% against a national 45.8% means aides and nurses are staying longer than at the typical home. The catch is inspections. A one-star health inspection rating with 82 deficiencies on record, two of them abuse-related, points to problems that staffing numbers alone don't capture. No deficiency reached harm or jeopardy level, and the most recent inspection was April 2026. Quality and staffing measures both score well; the inspection history is what pulls this one down.

A

86/100

Fallbrook Skilled Nursing

Fallbrook, CA · San Diego County

CMS 4/593 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
41%
Serious cites
0

Fallbrook Skilled Nursing runs 93 certified beds under for-profit LLC ownership, and its staffing sits right at the national mark, 3.84 nurse hours per resident day against an average of 3.86. Weekends dip about 12% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover runs 40.9%, a bit better than the 45.8% national figure, so the team is somewhat more stable than most. Inspections are recent, from May 2025, and the home carries 20 deficiencies, none at harm or jeopardy level, though one is abuse-related. Health and quality measure ratings both land at 4 out of 5 stars, staffing at 3.

A

86/100

Santa Monica Health Care Center

Santa Monica, CA · Los Angeles County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
37%
Serious cites
0

Santa Monica Health Care Center runs on 4.64 nurse hours per resident day, roughly 20% more than the national average, and its staff turnover of 37.1% beats the national figure of 45.8%, real signs of a stable floor. Weekend staffing dips about 10% below weekday levels, which matters if your family visits on Saturdays or Sundays. The trouble sits in the inspection record: 38 deficiencies, three of them serious enough to put residents in harm's way. The last survey was April 2025, so the picture is current, not stale. For-profit partnership ownership and that deficiency count are what pull the grade down despite solid staffing.

A

86/100

Sierra Valley Rehab Center

Porterville, CA · Tulare County

CMS 4/5139 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Sierra Valley Rehab Center runs 139 certified beds in Porterville under for-profit LLC ownership, and the staffing picture is genuinely better than average: 4.08 nurse hours per resident day against a national 3.86, with turnover at 33.3% compared to the 45.8% norm. Weekends dip about 8% below weekday coverage, so care can thin out on Saturdays and Sundays. The trade-off shows up in inspection history, 62 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a single fine of $8,190. The last inspection was February 27, 2025, so the record is recent. Quality measures score well; the inspection side is where the concerns live.

A

86/100

Buena Park Nursing Center

Buena Park, CA · Orange County

CMS 2/5143 bedsFor-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
29%
Serious cites
0

Buena Park Nursing Center runs on a split personality. Nurse staffing sits at 5.43 hours per resident day, roughly 41% above the national average, and the 29% turnover rate is well below the typical 45.8%, that's a stable crew delivering more hands-on care than most homes. But the inspection record is ugly: 75 deficiencies, including one at the harm or jeopardy level and five tied to abuse, against just a single $8,278 fine. A one-star health inspection rating means the government found real, repeated problems. The quality measures look great at 5 stars, but those come largely from resident assessments the home reports itself, while surveys come from outside inspectors. High staffing is a real strength; the survey history is the reason to ask hard questions before moving anyone in.

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