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Why trust this guide?
Our editorial team analyzed 346 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.
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.
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.
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.
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: 61.1% 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 346 on this page. See how we rank facilities
Arroyo Vista Nursing Center in San Diego, California is a welcoming and lively community that provides exceptional care to its residents. Cleanliness is a top priority at Arroyo Vista Nursing Center, as it plays a vital role in the residents’ overall health and well-being. The team includes physical therapists, occupational therapists, physical therapy assistants, speech pathologists, and other skilled professionals. Rehab therapists work on-site, allowing them to develop meaningful relationships with the residents. They feature a state-of-the-art therapy gym, where highly skilled therapists utilize both cutting-edge technology and hands-on techniques to ensure the best possible outcomes for the residents. The facility also boasts outdoor spaces, including a lovely patio area, that provides a serene and lush environment to relax and unwind. The dining room is filled with natural light and the interior is adorned with beautiful artwork, creating an ambiance of comfort and elegance.
A Grace Sub Acute and Skilled Care is nestled in a homey neighborhood on Winchester Boulevard that exudes diversity and positive energy. This facility is constantly improving and growing to meet the highest standards of healthcare. Currently, they provide around-the-clock ventilator and tracheostomy services, as well as a comprehensive range of rehabilitation, dietary, and physician services. Their team is very dedicated to ensuring that their residents receive the best care possible and achieve optimum recovery through the most effective methods. Seniors can also enjoy a variety of fun activities that keep them engaged and entertained. They can participate in morning exercises, arts and crafts, parties, and even visit the salon and barber for some pampering. The smiles on their faces are a testament to the warm and welcoming environment that the facility provides. If you’re looking for a place that truly cares about its residents and offers top-notch healthcare services, look no further than A Grace Sub Acute and Skilled Care.
Situated in San Diego, California, Casa De Las Campanas envisions a vibrant community where residents thrive in a maintenance-free, independent senior living lifestyle. They prioritize individual choice and freedom, fostering an environment where residents can pursue their passions and interests without worry. With a commitment to a complete continuum of care, including assisted living, skilled nursing, memory care, and rehabilitation, Casa ensures residents’ health needs are met seamlessly as they age.
Casa De Las Campanas boasts a range of senior living amenities and facilities to enhance residents’ quality of life. From stylish floor plans with patios or balconies to modern amenities, a residence suits every preference. Additionally, 24/7 nursing supervision, social services, daily activities, routine housekeeping, and salon services keep residents occupied and pampered while maintaining independence. With resources for independent living, senior care services, and community events, Casa provides a supportive and engaging environment where residents thrive.
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 Walnut Creek Skilled Nursing & Rehabilitation Center
Surrounded by delightful local amenities in Rossmoor Parkway, Walnut Creek, CA, Walnut Creek Skilled Nursing & Rehabilitation Center is an esteemed community that offers skilled nursing, rehabilitation, and sub-acute care. Dedicated to improving residents’ well-being, the community provides exceptional care 24/7 with a compassionate and highly qualified team. Residents can rest their worries and meet their complex needs with the community’s clinical capabilities provided in a cozy and nurturing environment.
Residents’ holistic wellness is prioritized, conducting fun recreational activities and enriching programs to keep them physically active and socially engaged. Mealtimes are also something to look forward to, with delightful and healthy meals that cater to their dietary needs and preferences. The community is an enticing option for those seeking exceptional care for their unique needs, especially with its top-notch services and purposely designed amenities.
Claremont Manor Care Center in Claremont, California, provides nursing home, assisted living, hospice care, respite care, and skilled nursing. Assisted living supports daily tasks while residents maintain their own living spaces. Nursing home and skilled nursing services provide licensed nursing care around the clock, while hospice care addresses end of life needs and respite care offers a short stay when a resident’s usual caregiver needs time away. The combination of assisted living and skilled nursing can suit someone whose care needs may grow over time without requiring a move to another community.
The community has 360 beds, so residents live among a larger group with more staff and usually more programming. Total nurse staffing is 5 hours and 24 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care costs based on eligibility and available resources.
Rehabilitation services are available through the center, allowing residents to receive rehabilitation as part of their care. Restaurant style dining, gardens, music therapy, and pet therapy provide places to spend time and activities to take part in within the community. A Walk Score of 90 makes the area a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently. Robert Barton serves as administrator, and Front Porch Communities And Services operates the community.
Country Oaks Care Center is a facility located in the heart of Pomona, CA, that provides compassionate, skilled nursing, and sub-acute care. As part of their services they provide their residents with 24/7 skilled nursing services, and an array of rehabilitation services to help residents stay healthy, as well as regain their mobility and independence if possible. These services include wound care and pain management, restorative nursing, as well as diabetic management.
Country Oaks also ensure that residents not only get the healthcare their body needs, but also their psychosocial needs. Fitness activities, stretching exercises help enhance physical wellness, while outings, musical performances and outside entertainment enhance mental wellbeing and promote socialization.
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.
Overview of English Oaks Convalescent & Rehabilitation Hospital
English Oaks Convalescent & Rehabilitation Hospital, is a facility by Generations Healthcare located in Modesto, CA, providing long-term skilled nursing and short-term habilitation services. English Oaks offers a variety of specialty programs within their skilled nursing and rehabilitation services. Such programs include stroke rehabilitation, IV therapy, wound care, diabetes management, dialysis, and other chronic disease management. Apart from long-term care, they also offer respite and hospice care and services. To ensure that the residents receive the right nutrition they need to either get back on their feet, or continue living a fulfilling life, they serve freshly cooked meals that are prepared with consideration to the patients’ and residents’ dietary needs. They also host recreational garden activities to ensure that each resident is physically and mentally active, promoting their overall health and well being.
Experience the dedicated care and warmth at Arlington Gardens Care Center in Riverside, CA, where exceptional support and a vibrant, compassionate environment come together to offer a truly enriching living experience. This community provides a comprehensive range of services, including short-term rehabilitation and skilled nursing, ensuring that each resident receives personalized care tailored to their unique needs. The committed team is passionate about providing quality support, creating an uplifting and joyful atmosphere. Residents can also select from thoughtfully designed, comfortable apartments that cater to their individual tastes.
With a variety of amenities and activities, including a spacious rehab gym and wellness programs, Arlington Gardens Care Center promotes connection and supports the emotional, mental, and physical health of residents. Each day is designed to bring joy and add meaning to residents’ lives, making it a wonderful place to call home.
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 346 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:3.1/ 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:3.1/ 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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