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.
Northvine Postacute Care is a 62-bed for-profit home in Santa Rosa, and the staffing numbers alone tell you something: 3.59 nurse hours per resident day, roughly 7% under the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 47.5%, slightly above the national rate, so the people caring for residents keep changing. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with persistent problems, and its inspection record shows 76 deficiencies, including 4 at the harm level and 10 tied to abuse. Seven fines total $50,050. The last inspection was October 2024.
Bixby Towers runs 99 certified beds in Long Beach, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average, though weekends dip about 7% below its own weekday levels. Staff turnover is 53.8%, well above the 45.8% national figure, and the inspection record carries 82 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $114,270. The most recent inspection was August 1, 2025, so the picture is current. Ownership is a for-profit limited liability company. Strong quality measure scores sit alongside a single-star inspection rating, worth asking about directly.
Inland Valley runs 221 beds in Pomona under for-profit LLC ownership, and its staffing numbers are genuinely better than most: 4.60 nurse hours per resident day, roughly 19% above the national average, with weekend coverage holding within about 4% of weekdays. Turnover sits at 27.8%, well under the 45.8% national figure. The problem is everything else. That staffing hasn't translated into safe care, 197 deficiencies on the current record, seven of them at harm or jeopardy level and six tied to abuse, plus four fines totaling $204,818. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the most recent inspection was August 2025. Good ratios can't offset a record like that.
Nurse staffing at Hyde Park Healthcare Center runs about 4.35 hours per resident day, roughly 13% above the national average of 3.86, but that's the one number here that looks good. The rest is harder: 64.6% annual turnover against a 45.8% national average means nearly two-thirds of the nursing staff left within a year, and weekend coverage drops about 9% below the home's own weekday level. On the current record are 91 deficiencies, including 4 at the harm or jeopardy level and 10 related to abuse, plus five fines totaling $264,318. A 1-out-of-5 inspection rating and a 2-out-of-5 on quality measures rounds it out.
Rio Hondo runs 4.64 nurse hours per resident per day, about 20 percent above the national average, but weekends drop roughly 13 percent below its own weekday staffing, so the coverage families see on a Tuesday isn't what shows up on a Sunday. Turnover sits at 63.4 percent against a national 45.8, meaning most of the people caring for your relative were hired within the past year. The record shows 195 deficiencies, 16 of them serious enough to endanger residents, 18 tied to abuse, and eight fines totaling $411,481. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Sunnyside Nursing Center runs 299 certified beds in Torrance under nonprofit corporate ownership, and the staffing numbers are the one bright spot: 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86. That staffing comes with churn, 52.2% annual turnover against a 45.8% national figure, and it thins out on weekends, dropping about 12% below the home's own weekday level.
The inspection record is where the real weight sits. Eighty-seven deficiencies are on file, nine of them at the harm or jeopardy level and four tied to abuse, drawing five fines totaling $214,020. CMS has placed Sunnyside in its Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was April 10, 2026.
Lakewood Healthcare Center in Downey is a 290-bed for-profit home with 4.15 total nurse staffing hours per resident day, roughly 8% above the national average, but that one bright spot is doing a lot of heavy lifting. The inspection record is where the trouble sits: 124 deficiencies, four at harm or jeopardy level, 16 abuse-related, and three fines totaling $128,597, which is why CMS has placed it in the Special Focus Facility program. Staffing also thins on weekends, dropping about 8% below its own weekday level, and the last inspection was December 18, 2025. If you're considering this home, ask specifically what the abuse-related findings involved and how the facility is addressing them.
Majestic Mountain Care Center runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage slips a bit further below its own weekday levels. That staffing gap shows up in a 69% annual turnover rate, well above the 45.8% national figure, and a two-star staffing rating. The inspection record is the harder read: 63 deficiencies, six at harm or jeopardy level, five tied to abuse, and $252,683 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, and the most recent inspection was July 2025.
Valley Vista runs 72 beds in North Hollywood under for-profit LLC ownership, and the inspection record is the first thing that stands out: 114 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. The last inspection was this past July, so that record is current, not stale. Staffing looks decent on paper at 4.07 hours per resident day, about 5% above the national average, but weekends run roughly 12% below weekdays, and turnover sits at 60.6% against a national average of 45.8%, meaning the people caring for residents keep changing.
Riverside Postacute Care holds 188 certified beds and runs on nurse staffing that lands at 3.84 hours per resident day, essentially even with the national average, not above it in any meaningful way, and weekends dip about 4% below what the home staffs on weekdays. The bigger issue is who stays: annual turnover hits 61.3% against a national 45.8%, so a large share of the people providing care are new to the building. That instability shows up in the record: 170 deficiencies, five at harm or jeopardy level, 15 tied to abuse, and $76,211 in CMS fines. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Antelope Valley Care Center holds 199 certified beds in Lancaster under for-profit LLC ownership, and its record carries real weight: 170 deficiencies, five at harm or jeopardy level and eleven tied to abuse, with $124,690 in fines and a place in CMS's Special Focus Facility program. Staffing sits at 4.11 nurse hours per resident day, about 7% above the national average, but weekends run roughly 10% thinner than weekdays, and the staffing star rating is only 2 of 5. Annual turnover of 44.3% is slightly better than the 45.8% national figure, yet the inspection rating remains 1 of 5 despite a recent survey in August 2025.
Ararat Nursing Facility has real staffing strength, 4.79 nurse hours per resident day, about a quarter above the national average, with turnover at 41.7% that's actually a bit better than the typical home. That's the good news, and it matters. The problem is everything else. A one-star inspection rating, 145 deficiencies on record including 12 at the harm or jeopardy level and 17 tied to abuse, and $469,538 in fines across eight penalties. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of serious problems. Weekend staffing also drops about 12% below weekdays, so the coverage families see on a Tuesday isn't what they get on a Saturday. Good aides can't offset a record like that.
Maclay Healthcare Center has 141 certified beds in Sylmar, and it's owned by a for-profit limited liability company. Nurse staffing runs about 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage about 9% thinner than weekdays, and staff turnover at 43.5% sits just under the national figure. Those numbers aren't the problem. The inspection record is: 185 deficiencies, 12 at harm or jeopardy level, 23 abuse-related, and $384,678 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was January 16, 2026. Strong quality scores can't offset that inspection history.
Studio City Rehabilitation Center has real staffing strength: 4.60 nurse hours per resident day against a national average of 3.86, with turnover at 29.3% compared to 45.8% nationally. That's a workforce that mostly stays put, and it shows up in the quality measure rating.
The inspection record tells a different story. CMS has this for-profit, 181-bed home in its Special Focus Facility program, the designation reserved for the most persistently troubled homes, with 108 deficiencies on the current record, three at harm or jeopardy level and seven tied to abuse. Two fines totaling $45,604 are on file, and the last inspection was August 2025. Good staffing alone hasn't produced a safe building here.
The Metropolitan State Hospital SNF in Norwalk runs on unusually heavy nurse staffing, 9.80 hours per resident day, roughly two and a half times the national average, and its 22.6% turnover is about half the national rate. Those numbers are real, and they matter. But look at the record: 55 deficiencies, five of them at harm or jeopardy level, ten tied to abuse, and $83,093 in fines. It sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems, and its last inspection was December 2025. Weekend coverage drops about 8% below weekdays. Strong staffing alone hasn't translated into safe care here.
Santa Monica Rehabilitation Center has 170 deficiencies on its current record, including 18 tied to abuse and seven at the level where residents were actually harmed or put in immediate jeopardy. That record, plus four fines totaling $156,799, is why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst sustained inspection histories. Staffing looks decent on paper at 4.02 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays and turnover sits at 55.8% against a 45.8% national rate. High turnover and a one-star inspection rating mean the people caring for residents are often new and the oversight has been failing.
Mesa Glen runs a for-profit operation with 96 certified beds, and 144 deficiencies sit on its current record, a number worth pausing on, since 18 of those are abuse-related and three rose to the level of actual harm or jeopardy. Federal inspectors have flagged the Glendora home as a Special Focus Facility, a designation reserved for the small share of nursing homes with a pattern of persistent problems; two fines totaling $103,080 are also on file. Nurse staffing averages 4.11 hours per resident day, which beats the national figure, but turnover sits at 63.2 percent and weekend coverage drops about 8 percent below weekdays, so the hours look better on paper than they likely feel on a Sunday.
Parkview Julian runs 3.90 nurse hours per resident day, which barely edges out the national average of 3.86, and weekend staffing drops about 5% below its own weekday level. The bigger concern is turnover: 65.3% of staff leave each year, well above the 45.8% national figure, and CMS rates staffing at just one star. Inspections tell a harder story, 81 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, with a $59,560 fine. The last inspection was December 2025. This is a for-profit LLC, and families should ask directly how it plans to keep consistent, trained aides on the floor.
Crescent City Care Center runs on thinner nursing coverage than most homes in the country, 3.53 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends. Keeping nurses is the bigger problem: turnover sits near 69%, well above the 45.8% national figure, and the federal staffing rating reflects it at 1 out of 5. The inspection record is heavier still: 69 deficiencies on file, including three at the harm level and four tied to abuse, with two fines totaling $205,566. CMS has placed this for-profit, limited-liability home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. If you're considering it, ask what's changed since the June 2024 inspection.
A clean federal record is genuinely uncommon, and Pacific Villas Post Acute has one: zero deficiencies on its current CMS record, none at the harm or immediate-jeopardy level, and nothing abuse-related. Its most recent inspection closed out in March 2025, so that record is recent rather than a stale snapshot from years ago. The catch is that this is a for-profit limited liability company, and a spotless inspection file tells you what surveyors found on one visit, not what daily staffing looks like between visits. Before you commit, ask for the direct-care hours per resident per day and the nursing turnover rate, because those are the numbers a good inspection can't speak to.