Nursing Homes in California- Monthly Analysis & Key Metrics
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 November 5, 2023
According to the latest data compiled by NursingHomeDatabase.com, California has a total of 1,169 active skilled nursing facilities and 110,900 beds. Based on the US Census estimates for the population of 39,029,342, the current total bed count represents one bed for every 351.93 persons in California. There were 94,616 residents as November 5, 2023 for a state wide occupancy level of 85.32 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 195 new beds and lost 1,721 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) | 0.57 | 0.66 |
| Certified Nursing Assistants (CNA) | 2.54 | 2.25 |
| Licensed Practical Nurse (LPN) | 1.23 | 0.88 |
| All Staff | 4.34 | 3.79 |
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 324 new cases and 324 new deaths among residents for the week ending November 5, 2023. 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 195 beds over the past year. Below is list of the new facilities:
| Facility | Number of Beds |
|---|---|
| Evergreen Care Center | 49 |
| Bethel Lutheran Home | 59 |
| Shadelands Post Acute | 59 |
| Pih Health Good Samaritan Hospital D/p Snf | 28 |
California lost 11 skilled nursing facilities and 1,721 beds over the past year. Below is list of the lost facilities:
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 Texas based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than those homes on this list. This is due to quirks with the rating system that tends to keep the overall rating from changing very quickly.
| Facility | Rating |
|---|---|
|
Garfield Neurobehavioral Center 1451 28TH AVENUE OAKLAND, CA |
1.33 |
|
Vi at La Jolla Village 4171 LAS PALMAS SQUARE SAN DIEGO, CA |
3.33 |
|
Healdsburg Hospital D/p Snf 1375 UNIVERSITY AVENUE HEALDSBURG, CA |
4.00 |
|
Danville Post-Acute Rehab 336 DIABLO ROAD DANVILLE, CA |
5.33 |
|
San Luis Transitional Care 1575 BISHOP STREET SAN LUIS OBISPO, CA |
7.33 |
|
Rady Children's Convalescent Hospital D/p Snf 3020 CHILDRENS WAY SAN DIEGO, CA |
8.00 |
|
Oakview Skilled Nursing 3557 CAMPUS DR THOUSAND OAKS, CA |
9.33 |
|
Marina Garden Nursing Center 3201 FERNSIDE BLVD. ALAMEDA, CA |
10.00 |
|
Bay Area Healthcare Center 1833 10TH AVENUE OAKLAND, CA |
10.00 |
|
Meadowbrook Village Christian Retirement Community 100 HOLLAND GLEN ESCONDIDO, CA |
10.67 |
The list below shows the worst skilled nursing facilities in Texas based on their most recent weighted average inspection score.
| Facility | Rating |
|---|---|
|
Windsor Palms Care Center of Artesia 11900 E. ARTESIA BLVD. ARTESIA, CA |
644.33 Rating Not Available / |
|
Country Villa Belmont Heights 1730 GRAND AVE LONG BEACH, CA |
644.17 / |
|
Country Villa Sheraton 9655 SEPULVEDA BOULEVARD NORTH HILLS, CA |
566.83 / |
|
Briarcrest Nursing Center 5648 EAST GOTHAM STREET BELL GARDENS, CA |
486.33 |
|
Sunnyside Conv. Hospital 2939 S. PEACH AVENUE FRESNO, CA |
478.00 |
|
Kei-Ai Los Angeles Healthcare Center 2221 LINCOLN PARK AVE LOS ANGELES, CA |
459.83 / |
|
Santa Anita Convalescent Hospital 5522 GRACEWOOD AVE. TEMPLE CITY, CA |
450.50 |
|
Park Avenue Healthcare and Wellness Center 1550 NORTH PARK AVENUE POMONA, CA |
448.17 / |
|
Country Villa Westwood Convalescent Center 12121 SANTA MONICA BOULEVARD LOS ANGELES, CA |
432.00 |
|
Lakeview Terrace 831 S LAKE STREET LOS ANGELES, CA |
430.83 Rating Not Available / |
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 | 16.40 | Higher |
| Cycle 1 Total Number Of Fire Safety Deficiencies | 7.50 | Higher |
| Cycle 2 Total Number Of Health Deficiencies | 14.40 | Higher |
| Cycle 2 Total Number Of Fire Safety Deficiencies | 6.90 | Higher |
| Cycle 3 Total Number Of Health Deficiencies | 13.90 | 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 | 2.54 | Higher |
| Reported Lpn Staffing Hours Per Resident Per Day | 1.23 | Higher |
| Reported Rn Staffing Hours Per Resident Per Day | 0.57 | Lower |
| Reported Licensed Staffing Hours Per Resident Per Day | 1.80 | Higher |
| Reported Total Nurse Staffing Hours Per Resident Per Day | 4.34 | Higher |
| Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend | 3.90 | Higher |
| Registered Nurse Hours Per Resident Per Day On The Weekend | 0.43 | Lower |
| Reported Physical Therapist Staffing Hours Per Resident Per Day | 0.09 | Higher |
| Total Nursing Staff Turnover | 46.10 | Lower |
| Registered Nurse Turnover | 49.60 | 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 | 3.17 | Higher |
| Number Of Fines | 2.40 | Lower |
| Fine Amount In Dollars | 20,464.00 | Lower |
| Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased | 8.33 | Lower |
| Percentage Of Long Stay Residents Who Lose Too Much Weight | 5.13 | Lower |
| Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder | 33.95 | Lower |
| Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder | 1.45 | Higher |
| Percentage Of Long Stay Residents With A Urinary Tract Infection | 1.36 | Lower |
| Percentage Of Long Stay Residents Who Have Depressive Symptoms | 6.11 | 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 | 1.73 | Lower |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 97.99 | Higher |
| Percentage Of Long Stay Residents Who Received An Antipsychotic Medication | 10.55 | Lower |
| Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 93.71 | Higher |
| Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication | 1.25 | Lower |
| Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened | 10.84 | Lower |
| Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication | 13.39 | Lower |
| Percentage Of High Risk Long Stay Residents With Pressure Ulcers | 7.56 | Lower |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine | 98.23 | Higher |
| Percentage Of Short Stay Residents Who Made Improvements In Function | 80.92 | Higher |
| Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine | 92.09 | Higher |
| Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission | 22.15 | Lower |
| Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit | 11.36 | Lower |
| Number Of Hospitalizations Per 1000 Long-stay Resident Days | 1.97 | Higher |
| Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days | 0.96 | Lower |
