Every Medicare-certified nursing home in California, graded on inspections, staffing, turnover
and enforcement history.
36 homes
in the state sit in the federal Special Focus programme.
St. Pauls Health Care Center sits in San Diego with 59 certified beds and a nonprofit corporation behind it. The nurse staffing number is genuinely strong, 4.78 hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below what the home staffs on weekdays. That staffing strength is offset by a 62.5% annual turnover rate, well above the 45.8% national figure, and by 58 deficiencies on the current record, including one at the harm level and three tied to abuse. The most recent inspection was in June 2025. High direct-care hours and a troubling inspection history are both true here at once.
Cedar Pine Post Acute runs 4.10 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 10% below its own weekday coverage. Staff turnover sits at 35.4%, better than the 45.8% national figure, and the last inspection was recent, in May 2025. The trouble is what those inspections keep finding: 89 deficiencies on the current record, including 7 tied to abuse and 2 serious enough to put residents in harm's way. A single $9,113 fine looks light against that pattern, and under a for-profit corporation, the staffing strength isn't offsetting a 1-out-of-5 inspection rating. Strong quality scores can't carry a home with this citation history.
Valley of the Moon runs a small house, 27 beds, and staffs it well above average, about 5.05 nurse hours per resident day against a national 3.86. That's real coverage, though weekends thin out roughly 11% below the weekday level, and turnover sits at 47.2%, a touch worse than the national 45.8%.
The problem is the inspection record. Twenty-nine deficiencies, three serious enough to put a resident in harm's way, one tied to abuse, and a $13,065 fine. The state's last look was in October 2024.
So you have a home that's well staffed on paper and scores 5/5 on quality measures, but its last two years of inspections tell a messier story. Ask about staffing on Saturdays and what changed since that October visit.
Oroville Hospital Post-Acute Center runs 126 certified beds as a nonprofit, and its nurse staffing sits at 5.44 hours per resident day, roughly 41% above the national average of 3.86. That's a real strength, and it's why staffing earns a mid-tier rating. But look at what the extra hours are covering for: 46 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. Inspections and quality measures each land at the lowest star rating, and the most recent survey came in December 2024. One fine of $45,500 is on file. Weekend staffing also drops about 11% below its own weekday level, so the coverage thins out when families tend to visit.
Desert Springs Post Acute runs 178 beds in Palm Desert under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 49% against a national 45.8%. The health inspection record is where things get serious: 128 deficiencies on file, including 3 at harm or jeopardy level and 13 tied to abuse, with two fines totaling $74,424. Quality measures score well, but staffing and inspection ratings don't match. If you're considering this one, ask pointed questions about weekend coverage and how the abuse-related findings were resolved.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.
Alameda Hospital D/P SNF runs 5.11 nursing hours per resident day, roughly a third more than the national average, and its quality measure score sits at the top of CMS's scale. That part of the picture looks strong. What pulls it back is stability: annual staff turnover of 86.5% is nearly double the national rate, weekend coverage dips about 9% below weekdays, and the inspection history shows 17 deficiencies, including two tied to abuse, with a 2-out-of-5 inspection rating. County ownership means public accountability, but it doesn't fix a workforce that keeps cycling through. If you're considering this one, ask how they hold staffing steady on weekends and what's changed since September 2024.
North Pointe Care Center is a 161-bed for-profit home in Sacramento, and its numbers pull in different directions. Nurse staffing sits at 3.69 hours per resident day, slightly under the national average, and weekends run about 6% thinner than weekdays, a gap families often feel on Saturday and Sunday. Turnover is 37.7%, actually better than the 45.8% national figure, so the crew is steadier than most. The concern is the inspection record: 68 deficiencies, including 13 tied to abuse and 3 at harm or jeopardy level, with a $24,115 fine and a January 2026 inspection.
Glendora Canyon runs 3.94 nurse hours per resident day, a bit above the national average of 3.86, and its staff turnover of 39.1% actually beats the 45.8% national figure, so the people caring for residents tend to stay longer than is typical. The problem isn't the workforce; it's the record. Seventy-three deficiencies, including one at the harm level and three tied to abuse, with a January 2026 inspection that turned up a one-star health inspection rating. Weekend coverage also dips about 6% below weekday levels. For a for-profit LLC with 120 beds, that inspection history is the thing to ask about directly before deciding.
Kei-Ai Los Angeles Healthcare Center runs 300 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.45 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 40.1%, under the national figure. The inspection record tells a different story. There are 122 deficiencies on file, including six at the harm or jeopardy level and eight tied to abuse, plus two fines totaling $184,989. A recent inspection in February 2026 hasn't wiped that history clean. Plenty of hands on deck, but a documented pattern of serious problems those hands haven't solved.
Capital Post Acute runs 121 beds in Sacramento under for-profit LLC ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average. Turnover is 38.2%, better than the 45.8% national figure, though weekend coverage drops about 11% below weekday levels, so care may thin out when families visit. What pulls the record down is the inspection side: a 2/5 health inspection rating and 71 deficiencies on file, 11 of them abuse-related, none at the harm level. The most recent inspection was February 2026. Quality measures score well at 4/5, but that paperwork strength doesn't erase 71 citations.
Gramercy Court runs 120 certified beds in Sacramento under for-profit LLC ownership, and its staffing numbers are genuinely strong: 4.16 nurse hours per resident day, roughly 8% above the national average, with weekend staffing dipping about 11% below its own weekday levels. Turnover sits at 43.1%, slightly better than the 45.8% national figure. The trouble is the inspection record, 49 deficiencies, 11 of them abuse-related, and a 2/5 health inspection rating, all as of a December 2025 survey. That's a lot of cited problems for a home this size, and the abuse category is the kind of thing families should ask about directly before touring. Strong staffing and a shaky inspection history can coexist, but they tell different stories.
Meadowood runs 4.13 nurse hours per resident day, about 7% above the national average, but that edge thins out on weekends, when staffing drops roughly 6% below its own weekday level. Turnover sits at 44.9%, essentially the national rate, so the crew is not unusually stable. The trouble is the inspection record: 64 deficiencies, including six at harm or jeopardy level and eight tied to abuse, with $91,067 in fines and a January 2026 inspection that earned one star out of five. Quality measures score five stars, but those are largely self-reported, and corporate ownership gives no reason to expect the pattern to change.
Coalinga Regional Medical Center's skilled nursing unit runs 99 beds under for-profit LLC ownership, and the federal numbers show strain on multiple fronts. Staffing is the weakest area, CMS gives it one star out of five, well below what you'd want for a resident needing daily help. The inspection record carries 40 deficiencies, including four that caused actual harm or put residents in immediate jeopardy and two tied to abuse. That's a serious pattern, not a paperwork problem. The most recent inspection was April 10, 2025, so the findings are current, not stale. Quality measures also sit at two stars. If you're considering this home, ask directly what changed after those harm-level citations and how they're staffing the floor now.
Pioneer House runs 4.13 nurse hours per resident day, which is about 7% above the national average, and turnover at 44.8% is basically in line with the country as a whole. The staffing picture isn't the problem. The current record shows 59 deficiencies, including one at the harm or jeopardy level and seven flagged as abuse-related, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, so the day-to-day clinical numbers look strong even as the inspection history does not. Weekend staffing drops roughly 11% below its own weekday level, which is worth asking about directly. It's a 50-bed for-profit LLC, last inspected in December 2025.
River Walk Care Center reports 4.14 total nurse hours per resident day, about 7% above the national average of 3.86, but that staffing advantage thins on weekends, when hours drop roughly 10% below the home's own weekday levels. Turnover sits at 47.8%, slightly above the 45.8% national figure, and the limited liability company that owns the 99-bed home carries 51 deficiencies on its current record, including three at the harm or jeopardy level and two tied to abuse, plus $164,778 in fines across three penalties. The last inspection was February 26, 2026, so the record is recent. A 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.
San Diego Post-Acute Center runs 240 beds in El Cajon under for-profit LLC ownership, and its staffing is the strongest thing it has going: 4.16 nurse hours per resident day, about 8 percent above the national average, with turnover at 36.5 percent, meaningfully better than the 45.8 percent norm. Weekend coverage dips roughly 6 percent below weekdays, which is worth asking about. The inspection record is where the picture darkens. Eighty-seven deficiencies sit on the current record, three of them at harm or jeopardy level and seven tied to abuse, plus two fines totaling $46,495. The most recent inspection was February 27, 2025. Strong daily care numbers do not cancel out that history.
Santa Fe Heights sits in Compton with 99 certified beds and a for-profit LLC owner. The staffing numbers look solid on paper, 3.87 nurse hours per resident day, just a hair above the national average, and turnover at 27.8% is well below the 45.8% national figure. But weekends run about 7% thinner than weekdays, so coverage isn't as steady as the average suggests. What drags this home down is its record: 126 deficiencies, including 17 tied to abuse and 4 serious enough to put residents in harm's way, plus three fines totaling $113,169. The most recent inspection was February 9, 2026.
Bayshire Riverwalk runs on a for-profit corporate model with 120 beds, and its staffing numbers are the strongest thing it has going: 4.51 nurse hours per resident day, roughly 17% above the national average, though weekend coverage drops about 9% below its own weekday level and annual turnover sits at 49%, a bit worse than the 45.8% national figure. The trouble is everything on the inspection side. Sixty-six deficiencies are on the current record, including three at the harm or jeopardy level and five tied to abuse. Two fines total $80,668, and the most recent inspection was December 4, 2025. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you where the risk sits.
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.