Last Updated: December 2025

🏆 Top 25 Nursing Homes in California

View our comprehensive rankings of the highest quality facilities in California, based on CMS data, staffing, safety, and quality measures.

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California at a Glance

1,225
Total Facilities
3.1
Average Rating
0.44
Avg RN Hours/Day
38.4%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
223
18.2%
(4-Star)
209
17.1%
(3-Star)
187
15.3%
(2-Star)
205
16.7%
(1-Star)
171
14.0%

About Nursing Homes in California

California has 1,225 Medicare-certified nursing homes with an average quality rating of 3.1 stars. 223 facilities (18.2%) earn the top five-star rating. Facilities in California average 0.44 RN hours per resident per day.

Staff turnover averages 38.4% across California facilities, below the national average of 46.8%. Lower turnover rates are associated with better continuity of care and higher quality ratings.

All nursing homes in California are regulated by state and federal agencies, undergo regular CMS inspections, and must meet federal quality standards. Use our search tool to compare facilities based on Medicare ratings, staffing levels, quality measures, and safety records.

Nursing Home Costs in California

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Statewide Average

Nursing home costs in California average $385-$499 per day ($11,550-$14,970/month) for skilled nursing care, which is 35% above the national median according to the 2024 Genworth Cost of Care Survey.

Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents.

Cost Variation by Metro Area

We have city-level cost data for 23 metro areas in California. Costs can vary significantly by location:

Bakersfield
$350-$405/day ($10,500-$12,150/month)
Chico
$328/day (semi-private, ~$9,840/month)
Fresno
$337-$400/day ($10,110-$12,000/month)
Hanford
$385-$405/day ($11,550-$12,150/month)
Los Angeles
$347-$450/day ($10,410-$13,500/month)
Merced
$312-$345/day ($9,360-$10,350/month)

+ 17 more metro areas with cost data

Calculate detailed costs for California →

Browse by City in California

View nursing homes in specific cities across California. Each city page shows facilities ranked by quality.

LOS ANGELES
78 facilities
LONG BEACH
24 facilities
SACRAMENTO
22 facilities
SAN DIEGO
21 facilities
SAN JOSE
19 facilities
FRESNO
18 facilities
OAKLAND
18 facilities
RIVERSIDE
18 facilities
SAN FRANCISCO
18 facilities
HAYWARD
16 facilities
ANAHEIM
14 facilities
PASADENA
14 facilities
STOCKTON
14 facilities
GLENDALE
13 facilities
EL CAJON
12 facilities
SANTA MONICA
12 facilities
TORRANCE
12 facilities
EL MONTE
11 facilities
SAN BERNARDINO
11 facilities
BAKERSFIELD
10 facilities
MODESTO
9 facilities
POMONA
9 facilities
CARMICHAEL
8 facilities
GARDENA
8 facilities
REDDING
8 facilities
SANTA ANA
8 facilities

🏆 Top 10 Nursing Homes by City

See our expert rankings of the best facilities in major cities across California.

Top 10 in LOS ANGELESTop 10 in LONG BEACHTop 10 in SACRAMENTOTop 10 in SAN DIEGOTop 10 in SAN JOSETop 10 in FRESNOTop 10 in OAKLANDTop 10 in RIVERSIDETop 10 in SAN FRANCISCOTop 10 in HAYWARD

All Nursing Homes in California

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

Showing 1000 of 1000 facilities in California

POMONA VISTA CARE CENTER

651 N MAIN ST, POMONA, CA 91768

Phone: (909)623-2481

Distance: 0 miles | Beds: 59 | Est. Occupancy: 91% (~6 available)

For-ProfitCMS Rating: 2/5 Stars

CREEKVIEW SKILLED NURSING

2900 STONERIDGE DRIVE, PLEASANTON, CA 94588

Phone: (925)201-4000

Distance: 0 miles | Beds: 73 | Est. Occupancy: 72% (~20 available)

For-ProfitCMS Rating: 5/5 Stars

MOUNT SAN ANTONIO GARDENS

900 E. HARRISON AVE, POMONA, CA 91767

Phone: (909)624-5061

Distance: 0 miles | Beds: 64 | Est. Occupancy: 61% (~25 available)

NonprofitCMS Rating: 5/5 Stars

San Luis Transitional Care

1575 Bishop Street, San Luis Obispo, CA 93401

Phone: (805)545-7575

Distance: 0 miles | Beds: 23 | Est. Occupancy: 55% (~10 available)

For-ProfitCMS Rating: 5/5 Stars

SAN FRANCISCO TOWERS

1661 PINE STREET, SAN FRANCISCO, CA 94109

Phone: (415)447-5505

Distance: 0 miles | Beds: 27 | Est. Occupancy: 59% (~11 available)

NonprofitCMS Rating: 5/5 Stars

FOLSOM CARE CENTER

510 MILL STREET, FOLSOM, CA 95630

Phone: (916)985-3641

Distance: 0 miles | Beds: 99 | Est. Occupancy: 81% (~19 available)

For-ProfitCMS Rating: 5/5 Stars
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How Does California Compare?

Explore nursing home quality in neighboring states and regions:

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National State Rankings

See where California ranks among all 50 states for quality, staffing, and safety.

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Low Staff Turnover

California's 38.4% turnover is below the national average of 46.8%.

📚 Expert Guides to Evaluating Nursing Homes

Learn how to interpret quality ratings and staffing metrics with our data-driven guides based on 14,751 facilities nationwide.

The Truth About Star Ratings

Only 18.9% of facilities earn 5 stars. Learn what ratings really mean and how to use them effectively.

Read Guide →

Understanding Staffing Levels

California averages 0.44 RN hours/day. Learn what staffing metrics reveal about care quality.

Read Guide →

Facility Tour Checklist

Essential questions to ask and red flags to watch for when visiting California facilities.

Read Guide →

Warning Signs of Neglect

Critical red flags that indicate neglect, abuse, or substandard care at any facility.

Read Guide →
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Decoding CMS Data

Learn how to read health inspections, quality measures, and compliance reports.

Read Guide →
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All Expert Guides

Browse our complete library of nursing home evaluation resources.

View All →