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.
Gordon Lane Care Center runs on 4.14 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 26% sits well under the 45.8% national figure, a real plus for consistency of care. The tradeoff shows up in the inspection history: 101 deficiencies on record, five of them abuse-related, though none at the harm or jeopardy level, and the health inspection rating sits at 2 out of 5. Weekend staffing drops about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. The last inspection was August 2025.
Lawndale Healthcare & Wellness Centre runs 59 certified beds under for-profit, limited-liability ownership, and its nurse staffing sits at 4.73 hours per resident day, roughly 22 percent above the national average of 3.86. That's real coverage on paper. But weekends drop about 14 percent below the home's own weekday level, so the weekday numbers don't tell the whole story. The bigger problem is the inspection record: 68 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse, plus two fines totaling $62,004. A 1-out-of-5 health inspection rating against 4-out-of-5 marks for staffing and quality measures is a wide gap, and with the last inspection dated January 2026, the record is recent. Ask about those 14 abuse-related deficiencies directly before you visit.
San Marino Healthcare Center runs on 4.10 nurse hours per resident day, about 6% above the national average, and its staff retention is unusually strong, turnover of 25.5% against a national average near 46%. Weekend coverage dips roughly 12% below weekday levels, so ask how that plays out on Saturdays. The inspection record is the weak spot: 45 deficiencies, 5 tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in January 2026. Quality measures score well and staffing holds up, but the compliance history is heavy for a 59-bed for-profit home.
Pasadena Nursing Center runs 52 beds as a for-profit LLC, and its nurse staffing averages 4.73 hours per resident day, about 22% above the national average of 3.86. That's a real strength, though weekends dip roughly 10% below the home's own weekday levels, and annual turnover sits at 60.7% against a national 45.8%. The inspection record is where the concern lives: 82 deficiencies, one at harm or jeopardy level, and 11 abuse-related, drawing three fines totaling $23,160. Its most recent inspection was in April 2026. High bedside hours paired with heavy turnover and that deficiency history is a mixed picture, worth asking about staff retention and how the abuse-related findings were resolved.
Plaza Healthcare Center sits in Santa Ana with 145 certified beds and a for-profit LLC structure. Its 4.14 nurse hours per resident day runs about 7% above the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage, so the staffing picture is better than many homes on paper but not evenly spread across the week. The inspection record is the harder read: 159 deficiencies currently on file, 25 of them abuse-related and two at the harm or jeopardy level, with a 2-out-of-5 health inspection rating and a last survey in June 2025. Fines total just $4,587 across two events, which is modest against the deficiency count.
Windsor Gardens runs 98 beds in Los Angeles under for-profit LLC ownership, and the inspection record is where families should focus first. Ninety deficiencies sit on the current record, including three at the harm or jeopardy level and five tied to abuse, that's a pattern, not a one-time slip. The 1-out-of-5 health inspection rating reflects it, and the last inspection in April 2026 was recent enough that this picture is current. Staffing is thin in a quieter way: 3.84 nurse hours per resident day, just under the national average, with weekends running about 5% below weekdays. Annual turnover of 51.9% means more than half the nursing staff leaves each year, well above the national 45.8%.
Feather River Care Center runs 50 beds in Oroville under for-profit LLC ownership, and its nurse staffing comes in at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage drops about 12% below its own weekday level. That staffing edge is undercut by churn: annual turnover sits at 58.2% against a national 45.8%, meaning the people providing that care keep changing. The inspection record is the real concern, 81 deficiencies, including one at the harm level and eight tied to abuse, plus a $59,794 fine and a one-star health inspection rating. The quality measure rating of four stars reflects resident care metrics, but the staffing star and inspection history tell a different story.
Healthcare Centre Of Fresno runs 155 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so the thinnest shifts land when families often visit.
The inspection record is where the real weight sits: 47 deficiencies, three at harm or jeopardy level, one tied to abuse, and $88,049 in fines across three events. A 2/5 inspection rating against a 4/5 quality measure score tells you the day-to-day care metrics look better than what surveyors actually found on the ground. The most recent inspection was May 2026.
Hawthorne Healthcare & Wellness Centre runs about 4.21 nurse hours per resident day, roughly 9% above the national average of 3.86, but weekends drop about 13% below its own weekday level, so coverage isn't as steady as the headline number suggests. The 88-bed for-profit partnership carries 35 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its most recent inspection dated March 27, 2026. CMS gives it middling marks on health inspections and just one star each for quality measures and staffing, which is a lot of recent survey activity without any serious harm finding.
Seacrest runs 4.28 nurse hours per resident per day, roughly 11% above the national average, and weekend staffing only dips about 9% below weekdays, so direct care hours aren't the weak spot here. The inspection record is. Seventy-four deficiencies, six serious enough to put residents in harm's way, three tied to abuse, plus two fines totaling $109,708, and the most recent inspection is from March 2026. Staff turnover sits at 57.7% against a 45.8% national average, which means more than half the nursing staff leaves each year. For a family weighing a post-acute stay, the staffing numbers look better than the record they're attached to.
Adventist Health Delano runs a nonprofit home in Kern County with 51 certified beds, and its staffing is genuinely unusual: 6.42 nurse hours per resident day, roughly 66% above the national average, with weekend coverage only about 6% below weekdays. Turnover sits at 25% against a national average near 46%, so the same caregivers tend to stay. The trouble is everything else. Inspectors cited 62 deficiencies on the current record, three of them at harm or jeopardy level and six abuse-related, with two fines totaling $123,442 and the most recent inspection in April 2025. High staffing can't offset that inspection history, and the federal stars split the difference: three for staffing, two each for health inspections and quality measures.
Vermont Healthcare Center runs 200 certified beds in Torrance under for-profit LLC ownership, and the staffing picture is mixed. Total nurse hours come in at 4.31 per resident day, about 12% above the national average, but weekends drop roughly 5% below the home's own weekday level, and annual turnover sits at 51.1% against a national 45.8%. The bigger problem is the inspection record: 96 deficiencies, seven at harm or jeopardy level and seven abuse-related, with five fines totaling $158,506. The most recent inspection was April 2026. High raw staffing hours often attract families, but here they coexist with a one-star health inspection rating and a long, serious deficiency history.
The staffing numbers look decent on paper, 4.24 nurse hours per resident day, about 10% above the national average, but that's where the good news mostly stops. Weekend coverage drops roughly 7% below the home's own weekday level, and a 1-out-of-5 inspection rating with 139 deficiencies on record, including 12 tied to abuse and four at harm or jeopardy level, tells you regulators have found serious problems repeatedly. Four fines totaling $151,463 back that up. This is a 231-bed for-profit run by a limited liability company, and its last inspection was in July 2025. Quality measures score middle-of-the-road, so the clinical picture isn't the concern, the oversight history is.
Gem Tcu has 75 certified beds in Pasadena and runs a for-profit operation under an LLC. Total nurse staffing comes in at 4.47 hours per resident day, roughly 16% above the national average, but that number looks less steady when you see weekends run about 12% below weekdays, and annual turnover hits 59.7% against a national average of 45.8%. More than half the nursing staff leaves each year. The inspection record is where this home really struggles: 87 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, drawing a $27,808 fine. CMS rated its last inspection 1 out of 5 stars, and that inspection was recent, November 2025.
Foundation Skilled Nursing in Fresno runs 59 beds under limited liability ownership, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.74 hours per resident day, roughly 3% under the national average, and weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection history is the heavier concern: 51 deficiencies on file, four of them at harm or jeopardy level and four abuse-related, with two fines totaling $96,763. Its most recent inspection was December 2025, so the record is current, not stale. Between the harm-level findings and thin weekend staffing, this is a home to question closely.
Novato Healthcare Center has 181 certified beds and enough nurses on weekdays, 3.99 hours per resident day, a touch above the national average. Weekends run about 9% thinner, so ask how that gap gets covered. The real problem sits in its inspection history: 95 deficiencies on the current record, three serious enough to put residents in harm's way and 13 tied to abuse. Two fines total $90,488, and the most recent inspection was November 2025. For-profit, individually owned, with a one-star health inspection rating against a four-star staffing score. Good weekday staffing can't offset that record on its own. Ask to see the plan of correction before you decide anything.
Colonial Care Center has 196 certified beds and enough nursing staff, 4.36 hours per resident day, about 13% above the national average, with turnover at 36.6% that beats the typical home. That part isn't the problem. The problem is the inspection record: 82 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and $140,904 in fines across four penalties. The most recent inspection was February 2026, so the record is current. Weekend staffing dips about 6% below weekday levels, and the quality measure rating sits at 2 out of 5. In a for-profit corporate chain, staffing hours alone don't offset that kind of enforcement history.
California Nursing & Rehabilitation Center has 81 deficiencies on its current record, including three tied to abuse and two that rose to the level of harm or jeopardy. That's a lot for an 80-bed home, and it lines up with the one-out-of-five inspection rating. Staffing hours look decent on paper at 4.16 per resident day, but weekends run about 9% thinner than weekdays, and the federal staffing rating still lands at two stars. Three fines totaling $82,845 are on file. The last inspection was May 7, 2026, so the record is current. For a for-profit LLC operating in Riverside County, the pattern here is thin coverage when it matters and repeated citations that haven't gone away.
Villa Del Rio is a twelve-bed for-profit home in Bell Gardens, and its record is one of the most troubled you'll find in Los Angeles County. The nurse staffing number looks fine on paper, but that average hides a 57.3% annual turnover rate, well above the national 45.8%, and weekend coverage that drops about 8% below its own weekday level, meaning care gets thinner exactly when families tend to visit. The inspection history is the real problem: 99 deficiencies on the current record, including 4 at the harm or jeopardy level and 8 tied to abuse, plus four fines totaling $147,028. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
East Terrace is a for-profit LLC with 99 beds in Los Angeles, and its record is a hard one to read. State inspectors have cited 85 deficiencies, five of them at harm or jeopardy level and 13 tied to abuse, with six fines totaling $176,430. The federal inspection rating sits at one star out of five, and the last survey was recent, December 2025, so the findings aren't old history. Total nurse staffing of 4.04 hours per resident day edges just past the 3.86 national average, but weekends run about 7% thinner than weekdays, so coverage isn't steady across the week. If you're weighing this one, ask what those abuse citations involved and how the home has changed since December.