Nursing Homes in California- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

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

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, California has a total of 1,170 active skilled nursing facilities and 110,925 beds. Based on the US Census estimates for the population of 39,029,342, the current total bed count represents one bed for every 351.85 persons in California. There were 95,709 residents as February 11, 2024 for a state wide occupancy level of 86.28 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 830 new beds and lost 1,509 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) 1.23 0.88
All Staff 4.37 3.79

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 411 new cases and 411 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in California

California added 5 new skilled nursing facilities and 830 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
Pih Health Good Samaritan Hospital D/p Snf 28
Ridgeview Skilled Nursing Facility 45

California lost 11 skilled nursing facilities and 1,509 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Santa Teresita Manor 99
Abby Gardens Healthcare Center 99
Bethel Lutheran Home 59
Olive Vista Behavioral Health Center 120
Evergreen Care Center 49
Sylmar Hlth Rehab Ctr 208
Laguna Honda Hospital and Rehabilitation Ctr D/p Snf 769
Saint Francis Med Ctr Dp 30
Aldersly Skilled Nursing Facility 20
The Covington Care Center 24
Heritage On The Marina 32

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
Garfield Neurobehavioral Center
1451 28TH AVENUE
OAKLAND, CA
1.33
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 Rehab Center
385 ESPLANADE AVENUE
PACIFICA, CA
9.33
Bay Area Healthcare Center
1833 10TH AVENUE
OAKLAND, CA
10.00
Meadowbrook Village Christian Retirement Community
100 HOLLAND GLEN
ESCONDIDO, CA
10.67
Barton Hospital D/p Snf
2170 SOUTH AVENUE
SOUTH LAKE TAHOE, CA
10.67
Oakview Skilled Nursing
3557 CAMPUS DR
THOUSAND OAKS, CA
11.33
Oakland Heights Nursing and Rehabilitation
2361 EAST 29TH STREET
OAKLAND, CA
12.00

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

Facility Rating
Grand Avenue Healthcare and Wellness Centre LP
1730 GRAND AVE
LONG BEACH, CA
585.33
Rio Hondo Subacute and Nursing Center
273 E BEVERLY BOULEVARD
MONTEBELLO, CA
543.50
/
Artesia Palms Care Center
11900 E. ARTESIA BLVD.
ARTESIA, CA
540.83
Rating Not Available /
Park Avenue Healthcare and Wellness Center
1550 NORTH PARK AVENUE
POMONA, CA
516.17
/
The Rehabilitation Center of North Hills
9655 SEPULVEDA BOULEVARD
NORTH HILLS, CA
504.33
/
Santa Anita Convalescent Hospital
5522 GRACEWOOD AVE.
TEMPLE CITY, CA
479.17
Briarcrest Nursing Center
5648 EAST GOTHAM STREET
BELL GARDENS, CA
447.17
Kei-Ai Los Angeles Healthcare Center
2221 LINCOLN PARK AVE
LOS ANGELES, CA
446.17
/
Maclay Healthcare Center
12831 MACLAY STREET
SYLMAR, CA
438.67
/
Westwood Post Acute Care
12121 SANTA MONICA BOULEVARD
LOS ANGELES, CA
434.00

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 16.90 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 7.60 Higher
Cycle 2 Total Number Of Health Deficiencies 14.60 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 7.00 Higher
Cycle 3 Total Number Of Health Deficiencies 13.80 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 6.80 Higher
Average Number Of Residents Per Day 83.60 Higher
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.56 Higher
Reported Lpn Staffing Hours Per Resident Per Day 1.23 Higher
Reported Rn Staffing Hours Per Resident Per Day 0.58 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.81 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 3.95 Higher
Registered Nurse Hours Per Resident Per Day On The Weekend 0.44 Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.08 Higher
Total Nursing Staff Turnover 45.80 Lower
Registered Nurse Turnover 48.70 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 2.50 Higher
Fine Amount In Dollars 21,374.00 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 4.98 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 35.30 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.32 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 1.42 Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms 6.02 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.22 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 1.72 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 98.04 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 10.86 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.85 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.32 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 10.76 Lower
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 13.37 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 98.17 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 81.78 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 92.10 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 22.39 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 2.03 Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.00 Lower