Analysis Report of Nursing Homes in California

Key metrics for nursing homes in California including number and beds, staffing levels, occupancy, newest facilities, and more. Updated weekly.

Summary Analysis of Nursing Homes in California- The 10,000 foot view

Updated on July 7, 2024

According to the latest data compiled by NursingHomeDatabase.com, California has a total of 1,164 active skilled nursing facilities with 107,425 total beds. Based on the US Census estimates for the population of 39,029,342, the current total bed count represents one bed for every 363.32 persons in California. There were 93,475 residents as July 7, 2024 for a state wide occupancy level of 87.01 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, California has added 802 new beds and lost 605 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for California and a comparison to national averages.

Staffing Levels	State	National
Registered Nurse (RN)	0.58	0.65
Certified Nursing Assistants (CNA)	2.56	2.26
Licensed Practical Nurse (LPN)	1.22	0.87
All Staff	4.37	3.78

Detailed analysis pages for the largest cities in California:

COVID-19 Infections in California Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in California there were a total of 491 new cases and 491 new deaths among residents for the week ending July 7, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in California

California added 4 new skilled nursing facilities and 802 beds over the past year. Below is list of the new facilities:

Facility	Number of Beds
Laguna Honda Hospital and Rehabilitation Ctr D/p Snf	649
Evergreen Care Center	49
Bethel Lutheran Home	59
Ridgeview Skilled Nursing Facility	45

California lost 11 skilled nursing facilities and 605 beds over the past year. Below is list of the lost facilities:

Facility	Number of Beds
Fredericka Manor Care Center	174
Mayflower Gardens Convalescent Hospital	48
Bethel Lutheran Home	59
Evergreen Care Center	49
Kingsley Manor Care Center	51
Plymouth Square	38
Aldersly Skilled Nursing Facility	20
The Covington Care Center	24
Heritage On The Marina	32
Casa De Modesto	59
Coalinga Regional Medical Center D/p Snf	51

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for California Nursing Homes

The chart below shows the overall occupancy for nursing home beds in California. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in California

The list below shows the best skilled nursing facilities in California based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility	Rating
Healdsburg Hospital D/p Snf 1375 UNIVERSITY AVENUE HEALDSBURG, CA	4.00
Danville Post-Acute Rehab 336 DIABLO ROAD DANVILLE, CA	4.00
San Luis Transitional Care 1575 BISHOP STREET SAN LUIS OBISPO, CA	7.33
Pacifica Nursing and Rehabilitation Center 385 ESPLANADE AVENUE PACIFICA, CA	9.33
Barton Hospital D/p Snf 2170 SOUTH AVENUE SOUTH LAKE TAHOE, CA	10.00
Seneca District Hospital D/p Snf 130 BRENTWOOD DR CHESTER, CA	12.67
Laurel Heights Community Care 2740 CALIFORNIA ST SAN FRANCISCO, CA	12.67
Oakview Skilled Nursing 3557 CAMPUS DR THOUSAND OAKS, CA	12.67
Kaiser Permanente Post-Acute Care Center 1440 168TH AVENUE SAN LEANDRO, CA	13.33
All Saint's Subacute and Transitional Care 1652 MONO AVENUE SAN LEANDRO, CA	14.00

The list below shows the worst skilled nursing facilities in California based on their most recent weighted average inspection score.

Facility	Rating
Rio Hondo Subacute and Nursing Center 273 E BEVERLY BOULEVARD MONTEBELLO, CA	572.83 /
Santa Anita Convalescent Hospital 5522 GRACEWOOD AVE. TEMPLE CITY, CA	533.33 /
Artesia Palms Care Center 11900 E. ARTESIA BLVD. ARTESIA, CA	495.67 Rating Not Available /
Alta View Post Acute 831 S LAKE STREET LOS ANGELES, CA	487.50 Rating Not Available /
Grand Avenue Healthcare and Wellness Centre LP 1730 GRAND AVE LONG BEACH, CA	465.50
Green Acres Healthcare Center 8101 E HILL DRIVE ROSEMEAD, CA	454.50
California Post Acute 909 S LAKE STREET LOS ANGELES, CA	454.17 /
Sunray Healthcare Center 3210 W PICO BLVD LOS ANGELES, CA	444.50
Maclay Healthcare Center 12831 MACLAY STREET SYLMAR, CA	436.83 /
Kei-Ai Los Angeles Healthcare Center 2221 LINCOLN PARK AVE LOS ANGELES, CA	432.50

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in California Compared to Nationwide

We have compared California nursing homes to the nationwide average on several metrics. California performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies	16.80	Higher
Cycle 1 Total Number Of Fire Safety Deficiencies	7.50	Higher
Cycle 2 Total Number Of Health Deficiencies	15.80	Higher
Cycle 2 Total Number Of Fire Safety Deficiencies	7.20	Higher
Cycle 3 Total Number Of Health Deficiencies	13.90	Higher
Cycle 3 Total Number Of Fire Safety Deficiencies	6.90	Higher
Average Number Of Residents Per Day	83.90	Higher
Reported Nurse Aide Staffing Hours Per Resident Per Day	2.56	Higher
Reported Lpn Staffing Hours Per Resident Per Day	1.22	Higher
Reported Rn Staffing Hours Per Resident Per Day	0.58	Lower
Reported Licensed Staffing Hours Per Resident Per Day	1.80	Higher
Reported Total Nurse Staffing Hours Per Resident Per Day	4.37	Higher
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend	3.94	Higher
Registered Nurse Hours Per Resident Per Day On The Weekend	0.44	Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day	0.09	Higher
Total Nursing Staff Turnover	44.90	Lower
Registered Nurse Turnover	47.20	Lower
Number Of Administrators Who Have Left The Nursing Home	0.70	Lower
Case-mix Rn Staffing Hours Per Resident Per Day	0.41	Higher
Case-mix Total Nurse Staffing Hours Per Resident Per Day	3.16	Higher
Number Of Fines	2.60	Higher
Fine Amount In Dollars	24,934.00	Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased	8.19	Lower
Percentage Of Long Stay Residents Who Lose Too Much Weight	4.94	Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder	35.18	Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder	1.19	Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection	1.44	Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms	6.01	Lower
Percentage Of Long Stay Residents Who Were Physically Restrained	0.25	Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury	1.71	Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine	98.12	Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication	10.99	Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine	93.83	Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication	1.40	Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened	10.74	Lower
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication	13.41	Lower
Percentage Of High Risk Long Stay Residents With Pressure Ulcers	7.42	Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine	98.11	Higher
Percentage Of Short Stay Residents Who Made Improvements In Function	81.81	Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine	91.98	Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission	22.42	Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit	11.45	Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days	2.13	Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days	1.02	Lower

State Analysis for Other States

Alaska	Alabama	Arizona
Arkansas	California	Colorado
Connecticut	Delaware	Florida
Georgia	Hawaii	Idaho
Illinois	Indiana	Iowa
Kansas	Kentucky	Louisiana
Maine	Maryland	Massachusetts
Michigan	Minnesota	Mississippi
Missouri	Montana	Nebraska
Nevada	New Hampshire	New Jersey
New Mexico	New York	North Carolina
North Dakota	Ohio	Oklahoma
Oregon	Pennsylvania	Rhode Island
South Carolina	South Dakota	Tennessee
Texas	Utah	Vermont
Virginia	Washington	West Virginia
Wisconsin	Wyoming