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Why trust this guide?
Our editorial team analyzed 347 nursing homes in CA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CA
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 60.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 347 on this page. See how we rank facilities
A Grace Subacute & Skilled Care, in the Castlemont neighborhood of San Jose, CA, provides skilled nursing and nursing home care. A named program, 24 hour License Nurse Care, means licensed nursing here is always available. That service suits someone in need of continuous care and nursing attention. Rehabilitation is also available through a stay here. There are 166 beds, and the nursing record shows 3 hours and 25 minutes per resident, per day, on average.
Physician Services, rehabilitation services, Dietary Services, and Social & Recreational Services are all listed. Rehabilitation here means therapy is accessible, while the social and recreational side organizes activities in the building. Two payment routes are accepted, Medicare and private pay.
Windsor Skyline Care Center offers nursing home care, hospice care, respite care, and skilled nursing in Salinas, California. Nursing home care supports residents who need ongoing nursing supervision and help with daily needs, while skilled nursing provides licensed nursing care on site around the clock.
Hospice care focuses on comfort near the end of life. Respite care provides a short stay when a usual caregiver needs to travel or recover, giving the resident a temporary place to receive care during that period.
The center has 80 beds and is in the Laurel West neighborhood. Payment options include Medicare, Medicaid, and private pay: Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means the family pays directly. Total nurse staffing is 4 hours and 20 minutes per resident each day, representing the daily nursing time allocated to each resident. The combination of skilled nursing, hospice care, and respite care can suit a resident who needs nursing support, end of life care, or a temporary stay while a usual caregiver is unavailable.
The Bridgeview Post Acute is a nursing home in Yuba City, California, offering skilled nursing care. Licensed nurses are on site around the clock, so residents have access to clinical care throughout the day and night. The home has 130 beds.
Care after a hospital stay is a central part of the setting. Nursing, rehabilitation, and therapy services support people recovering after discharge, making recovery focused care available while they regain strength and function. The Bridgeview Post Acute may be a good fit for someone who needs rehabilitation alongside skilled nursing care after a hospital stay.
Total nurse staffing is 4 hours and 16 minutes per resident per day, representing the daily hands on nursing time available for each resident. Medicare, Medicaid, and private pay are accepted. Medicare covers short term skilled care after a hospital stay, while Medicaid may help when savings do not cover a long stay. Pets are allowed, so residents may keep pets at the community.
Conveniently located near trusted hospitals like Loma Linda University Medical Center and Community Hospital of San Bernardino in San Bernardino, CA, Valley Healthcare Center is an esteemed community that offers short-term and long-term care. Featuring 109 cozy and specially designed accommodations, the community ensures comfort and safety, especially with top-notch care and assistance tailored to residents’ special needs. Medicare is also accepted in the community, easing residents’ financial challenges.
With state-of-the-art amenities and innovative approaches, residents keep peace of mind and enjoy the highest quality of life. The community also offers continued care from home to ensure a worry-free recovery. Mealtimes are also something to look forward to, with delightful and healthy meals catering to residents’ dietary needs and preferences. Find the care you need with the community’s wide range of care and round-the-clock assistance.
Overview of Asbury Park Nursing and Rehabilitation Center
Asbury Park Nursing and Rehabilitation Center is a nursing home and skilled nursing facility in Sacramento, CA. Skilled nursing provides licensed nursing care on site around the clock, and the facility has 139 beds. The community may be a good fit for someone who needs ongoing nursing care alongside rehabilitation services.
Rehabilitation services give residents access to therapy within the facility, while the Restorative Nursing Program supports care focused on maintaining or rebuilding daily abilities. A dedicated transport van provides services for medical appointments, so residents can receive transportation for those visits. A doctor is on staff.
Payment options include Medicaid, Medicare, and private pay. Total nurse staffing is 4h 27m per resident per day, representing the daily hands-on nursing time assigned to each resident.
The Sequoias San Francisco is a continuing care retirement community in San Francisco, CA, offering assisted living, memory care, nursing home care, hospice care, respite care, and skilled nursing. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident lives in an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing provides licensed nursing care around the clock. Hospice care supports end of life needs, and respite care offers a short stay when a usual caregiver needs to travel or recover.
The range of care can follow changing needs. A resident may be able to receive a higher level of care over time without moving to a different community. With 400 beds, the community is among the larger communities, with more residents and staff.
Housing includes studios, one bedroom units, and two bedroom units, with the larger layouts able to suit a resident moving with a partner. Total nurse staffing is 5 hours and 32 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. In the Japantown neighborhood, the community has a Walk Score of 99 out of 100, meaning daily errands do not require a car and a resident who no longer drives can still get out independently. Payment options are Medicare and private pay. Terence Tumbale is the administrator, and Sequoia Living operates the community.
Ideally set in the harmonious neighborhood of Magnolia Avenue, Riverside, CA, Extended Care Hospital of Riverside is a unique community that offers rehabilitation and skilled nursing. Dedicated to enhancing residents’ quality of life, the community provides 24/7 care and assistance to meet their special needs and preferences. As a 99-bed skilled care home, the community strives to provide the utmost attention for Here, residents enjoy the finest quality of life with its warm and welcoming environment.
Enrich your retirement with a jam-packed calendar of fun activities and engaging programs for their leisure and wellness. The community also assists residents and families with their social needs to ensure a smooth transition from planning to discharge. Make the most out of your best years with the community taking care of your healthcare and personal needs.
Acacia Creek in Union City, California, accommodates independent living, assisted living, memory care, and skilled nursing care. Independent apartments suit seniors seeking a private residence without routine personal assistance, whereas assisted living programs aid with daily activities like bathing, dressing, and managing medication. Memory care operates within secure quarters designed for individuals facing cognitive decline, and respite admissions provide temporary stays while a family caregiver takes time off.
Leadership rests with administrator Chuck Major, alongside operators Masonic Homes California and Acacia Creek Masonic Senior Living. Records indicate a capacity of 376 beds with a 47% occupancy rate. Residents have access to specialized programs including Successful Aging, Assisted Living, and Memory Care. Facilities feature a fitness center, an indoor pool and spa, a garden area, and a hair and nail salon.
Dining choices encompass restaurant-style service with custom breakfast options, private dining, and dietary accommodations such as heart-healthy, low-sodium, low-sugar, and vegetarian meals. Pets are welcomed on campus. Surrounding neighborhoods carry a 58 walk score, permitting some errands to be managed without driving. Financial options cover Medicare, Medicaid, and private payment.
Interested individuals exploring continuous care options can contact Acacia Creek to inquire about active waitlists, verify coverage choices, or arrange a campus tour.
Roseville Care Center is a nursing home in Roseville, CA, offering hospice care, palliative care, respite care, and skilled nursing. Nursing home and skilled nursing care provide ongoing residential support with licensed nursing available around the clock. Hospice care addresses end of life needs, while palliative care focuses on comfort and symptom management for serious illness; respite care offers a short stay when a usual caregiver needs time away or recovery.
The center has 210 beds, placing it in the larger community range, with more residents and staff along with usually more programming. Total nurse staffing is 3h 40m per resident per day, representing the daily hands on nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay, with Medicare covering short term skilled care after a hospital stay rather than long term residence, while Medicaid may help families whose savings may not cover a long stay.
In the Cirby Side neighborhood, residents can use an on site rehabilitation gym for therapy and spacious courtyards for outdoor time. Private bathrooms with showers support personal bathing, and pets are allowed so residents can live with a pet. The range of care options may be a good fit for someone whose needs may range from short term rehabilitation or respite to ongoing skilled nursing or end of life support.
Grand Park Convalescent Hospital is a nursing home in Los Angeles, in the Westlake neighborhood. It has 151 beds for residents who need ongoing nursing care and support with daily needs.
Residents stay in semi-private or shared rooms, so the arrangement suits someone who is comfortable sharing living space. Nearly all beds were filled at the time measured, with a 97% occupancy rate, so availability may be limited. The home may be a good fit for a resident who needs nursing home support and can live in a shared-room setting.
Families can use Medicare, Medicaid, or private pay to cover care, providing public-benefit or personal-fund options. Total nurse staffing is 4 hours and 5 minutes per resident per day, which represents the combined nursing time allocated to each resident over a day.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in California
What's the difference between assisted living and a nursing home in California?
Assisted living in California is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does California Medicaid cover nursing home care?
Yes — California Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 347 nursing homes in California. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in California?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in California, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in California?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in California at a glance
Avg Overall CMS Rating:3.2/ 5The average Overall CMS Rating for all CMS-certified nursing homes in California. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.3/ 5The average Staffing Rating across all CMS-certified nursing homes in California. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in California. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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