The 10 Worst Nursing Homes in California

Finding the Right Nursing Home in California: Why It Matters

When it comes to choosing a nursing home for your loved ones in California, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in California" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in California

Our state rankings highlight the nursing homes in California that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

• Health and safety inspections
• Staffing ratios
• Resident care and outcomes
• Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

Worst Nursing Homes in California By City

Every city in California has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Los Angeles

• California Post Acute (411.75)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2026-02-27)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-02-27)
• Avalon Villa Care Center (364.75)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-05-20)
  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2026-05-20)
• Skyline Healthcare Center - La (362.75)
  • Provide safe, appropriate pain management for a resident who requires such services. (2026-02-10)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-02-10)
• The Meadows On Sunset Post Acute (293.25)
  • Have corridors or aisles that are unobstructed and are at least 8 feet in width. (2026-05-01)
  • Construct fire resistant interior walls. (2026-05-01)
• University Park Healthcare Center (287.25)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-02-13)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-12-31)
• Hyde Park Healthcare Center (282.25)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-04-24)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-03-25)
• Sunray Healthcare Center (270)
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. (2026-02-09)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-02-09)
• Miracle Mile Healthcare Center, LLC (267.75)
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2026-04-30)
  • Ensure each resident receives an accurate assessment. (2026-04-30)
• Infinity Care of East Los Angeles (261.75)
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2026-02-13)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-02-04)
• Alexandria Care Center (251)
  • Have generator or other power source capable of supplying service within 10 seconds. (2026-05-30)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-04-08)

Worst Nursing Homes in San Francisco

• San Francisco Health Care (187.25)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-04-30)
  • Protect each resident from the wrongful use of the resident's belongings or money. (2026-04-30)
• Laguna Honda Hospital and Rehabilitation Ctr D/p Snf (112)
  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2026-05-11)
  • Inspect, test, and maintain automatic sprinkler systems. (2026-03-23)
• Sequoias San Francisco Convalescent Hospital (74)
  • Dispose of garbage and refuse properly. (2026-03-20)
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2026-03-20)
• The Avenues Transitional Care Center (69)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-10-20)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-04-20)
• Jewish Home and Rehab Center D/p Snf (64)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2026-04-24)
  • Install proper backup exit lighting. (2026-03-18)
• San Francisco Post Acute (53)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2025-01-03)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-01-03)
• Laurel Heights Community Care (50)
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-08-30)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-08-30)
• Chinese Hospital D/p Snf (49)
  • Install a fire alarm system that can be heard throughout the facility. (2026-04-03)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2026-03-27)
• St. Anne's Home (48)
  • Use approved construction type or materials. (2023-12-22)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-12-22)
• City View Post Acute (43)
  • Respond appropriately to all alleged violations. (2026-01-23)
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2026-01-23)

Worst Nursing Homes in San Diego

• St. Pauls Health Care Center (138)
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (2026-03-06)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-03-06)
• Carmel Mountain Rehabilitation and Healthcare Center (128)
  • Provide and implement an infection prevention and control program. (2026-02-12)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-10-05)
• The Pavilion at Ocean Point (115)
  • Ensure each resident receives an accurate assessment. (2025-10-08)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-09-12)
• Reo Vista Healthcare Center (101)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2026-04-15)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2026-04-15)
• Brighton Place San Diego (101)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-04-03)
  • Provide and implement an infection prevention and control program. (2025-10-21)
• Balboa Nursing and Rehabilitation Center (100)
  • Implement a program that monitors antibiotic use. (2026-04-03)
  • Ensure each resident?s drug regimen must be free from unnecessary drugs. (2026-04-03)
• Casa De Las Campanas (94)
  • Provide enough food/fluids to maintain a resident's health. (2025-10-20)
  • Allow residents to self-administer drugs if determined clinically appropriate. (2025-10-20)
• Mission Hills Post Acute Care (94)
  • Ensure each resident receives an accurate assessment. (2025-07-18)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-07-18)
• The Shores Post-Acute (87)
  • Provide and implement an infection prevention and control program. (2026-04-20)
  • Provide and implement an infection prevention and control program. (2026-03-09)
• Golden Hill Post Acute (86)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-05-06)
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2026-05-06)

Worst Nursing Homes in Riverside

• Riverside Postacute Care (506.5)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-03-24)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-03-24)
• Arlington Gardens Care Center (137.5)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2026-01-30)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2026-01-30)
• Jurupa Hills Post Acute (135.75)
  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (2026-04-16)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-04-16)
• Community Care and Rehabilitation Center (115)
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2026-03-06)
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (2026-03-06)
• Riverside Village Healthcare Center (107)
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (2026-03-27)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-10-06)
• Riverwalk Post Acute (101)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-03-27)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-03-27)
• Citrus Grove Post Acute (100)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-03-23)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-03-23)
• Woodcrest Post Acute and Rehabilitation (93)
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (2026-04-30)
  • Provide emergency officials' contact information. (2026-02-04)
• Community Care On Palm (90)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2026-05-15)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-05-15)
• Palm Terrace Care Center (78)
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2026-05-06)
  • Use approved construction type or materials. (2026-04-14)

Worst Nursing Homes in Sacramento

• Windsor Care Center of Sacramento (102)
  • Conduct testing and exercise requirements. (2025-01-30)
  • Have a battery powered remote alarm panel in a location accessible by operating personnel. (2025-01-27)
• Saylor Lane Healthcare Center (102)
  • Have properly installed electrical wiring and gas equipment. (2025-05-22)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-05-20)
• Pioneer House (95)
  • Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. (2026-04-30)
  • Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. (2026-04-30)
• Double Tree Post Acute Care Center (92.75)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-02-16)
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (2026-02-16)
• Acc Care Center (92)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-04-23)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-04-20)
• Sacramento Post-Acute (79)
  • Ensure services provided by the nursing facility meet professional standards of quality. (2026-03-20)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2026-03-20)
• Cedarwood Post Acute (76)
  • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2025-07-15)
  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-07-15)
• Gramercy Court (76)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-03-31)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2026-03-05)
• Bruceville Terrace - D/p Snf of Methodist Hospital (66)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-03-09)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-01-15)
• Woodside Healthcare Center (53)
  • Have generator or other power source capable of supplying service within 10 seconds. (2025-01-03)
  • Have properly located and lighted "Exit" signs. (2024-12-22)

Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in California
• Analysis of Nursing Homes in California

Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

Tips for Evaluating Nursing Homes in California:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit