Nursing Homes in California: Staffing, Turnover, and Penalties
California has 1,165 Medicare- or Medicaid-certified nursing homes in 345 cities. On CMS's August 2026 figures, nurse aides there log 2.65 hours per resident per day, 14% above the US average of 2.32, and 36.7% of nursing staff leave in a year (US 45.8%).
California averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
Aide hours per resident a day
2.65
US 2.32
All nursing hours per resident a day
4.52
US 3.86
Nursing staff turnover
36.7%
US 45.8%
Fines per home, 3 years
0.9
US 0.9
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Los Angeles (78), Long Beach (25), Sacramento (23). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Alameda (5)
- Alhambra (5)
- Alta Loma (1)
- Alturas (1)
- Anaheim (14)
- Anderson (1)
- Antioch (2)
- Apple Valley (1)
- Arcadia (2)
- Arroyo Grande (1)
- Artesia (2)
- Arvin (1)
- Atascadero (1)
- Atwater (1)
- Auburn (5)
- Avalon (1)
- Bakersfield (10)
- Baldwin Park (4)
- Banning (2)
- Barstow (2)
- Beaumont (2)
- Bell (1)
- Bellflower (4)
- Bell Gardens (3)
- Belmont (1)
- Berkeley (5)
- Big Bear Lake (1)
- Bishop (1)
- Blythe (1)
- Brawley (1)
- Brea (1)
- Buena Park (2)
- Burbank (2)
- Burlingame (1)
- Camarillo (3)
- Campbell (3)
- Canoga Park (4)
- Capitola (1)
- Carlsbad (3)
- Carmichael (8)
- Castro Valley (5)
- Cedarville (1)
- Ceres (1)
- Chatsworth (2)
- Cherry Valley (1)
- Chester (1)
- Chico (5)
- Chino (1)
- Chowchilla (2)
- Chula Vista (3)
- Citrus Heights (1)
- City of Industry (1)
- Claremont (3)
- Clearlake (1)
- Cloverdale (1)
- Clovis (2)
- Coalinga (1)
- Colton (2)
- Colusa (1)
- Compton (1)
- Concord (5)
- Corona (3)
- Coronado (1)
- Costa Mesa (3)
- Covina (5)
- Crescent City (1)
- Culver City (3)
- Cupertino (3)
- Daly City (3)
- Dana Point (1)
- Danville (2)
- Davis (2)
- Delano (3)
- Dinuba (1)
- Downey (4)
- Duarte (4)
- El Cajon (12)
- El Centro (1)
- El Cerrito (1)
- Elk Grove (1)
- El Monte (11)
- El Sobrante (1)
- Encinitas (3)
- Encino (1)
- Escondido (7)
- Eureka (3)
- Fairfield (4)
- Fair Oaks (1)
- Fallbrook (1)
- Fall River Mills (1)
- Fillmore (1)
- Folsom (1)
- Fontana (2)
- Fort Bragg (1)
- Fortuna (1)
- Fountain Valley (1)
- Fowler (2)
- Fremont (7)
- Fresno (19)
- Fullerton (7)
- Galt (1)
- Garberville (1)
- Gardena (8)
- Garden Grove (6)
- Gilroy (1)
- Glendale (13)
- Glendora (5)
- Granada Hills (4)
- Grand Terrace (1)
- Grass Valley (4)
- Greenbrae (2)
- Gridley (1)
- Hanford (3)
- Hawthorne (3)
- Hayward (16)
- Healdsburg (1)
- Hemet (7)
- Highland (2)
- Hollister (1)
- Huntington Beach (3)
- Huntington Park (1)
- Imperial (1)
- Indio (2)
- Inglewood (5)
- Irvine (1)
- Jackson (1)
- Joshua Tree (1)
- Jurupa Valley (2)
- King City (1)
- Kingsburg (1)
- La Crescenta (1)
- Laguna Hills (3)
- La Habra (2)
- La Jolla (2)
- Lake Arrowhead (1)
- Lake Forest (2)
- Lake Isabella (1)
- Lakeport (2)
- Lakeside (1)
- Lake View Terrace (1)
- La Mesa (8)
- La Mirada (2)
- Lancaster (4)
- La Verne (1)
- Lawndale (1)
- Lemon Grove (2)
- Lincoln (1)
- Lindsay (1)
- Live Oak (1)
- Livermore (3)
- Livingston (1)
- Lodi (5)
- Loma Linda (3)
- Lomita (2)
- Lompoc (2)
- Lone Pine (1)
- Long Beach (25)
- Los Alamitos (1)
- Los Altos (2)
- Los Angeles (78)
- Los Banos (2)
- Los Gatos (4)
- Lynwood (3)
- Madera (2)
- Manteca (2)
- Mariposa (1)
- Martinez (2)
- Marysville (1)
- Maywood (1)
- Menlo Park (1)
- Mentone (1)
- Merced (6)
- Millbrae (1)
- Mill Valley (1)
- Milpitas (1)
- Mission Hills (2)
- Modesto (9)
- Monrovia (1)
- Montclair (2)
- Montebello (2)
- Monterey (4)
- Monterey Park (2)
- Montrose (2)
- Moraga (1)
- Moreno Valley (1)
- Morgan Hill (2)
- Morro Bay (1)
- Mountain View (3)
- Murrieta (2)
- Napa (5)
- National City (5)
- Newbury Park (1)
- Newhall (1)
- Newman (1)
- Newport Beach (3)
- N Hollywood (1)
- North Hills (1)
- North Hollywood (7)
- Northridge (1)
- Norwalk (7)
- Novato (1)
- Oakdale (1)
- Oakhurst (1)
- Oakland (18)
- Oceanside (2)
- Ojai (2)
- Ontario (4)
- Orange (5)
- Orinda (1)
- Oroville (3)
- Oxnard (4)
- Pacifica (2)
- Pacific Grove (3)
- Palm Desert (3)
- Palm Springs (4)
- Palo Alto (3)
- Panorama City (2)
- Paramount (3)
- Pasadena (13)
- Perris (1)
- Petaluma (5)
- Pico Rivera (4)
- Pittsburg (2)
- Placerville (3)
- Playa del Rey (1)
- Pleasant Hill (2)
- Pleasanton (2)
- Pomona (9)
- Porterville (5)
- Portola (1)
- Portola Valley (1)
- Poway (3)
- Quincy (1)
- Rancho Cordova (1)
- Rancho Mirage (2)
- Rancho Mission Viejo (1)
- Red Bluff (2)
- Redding (8)
- Redlands (7)
- Redwood City (1)
- Reedley (3)
- Reseda (5)
- Rialto (1)
- Richmond (2)
- Ridgecrest (1)
- Ripon (1)
- Riverbank (1)
- Riverside (18)
- Rosemead (5)
- Roseville (4)
- Sacramento (23)
- Salinas (5)
- San Andreas (1)
- San Bernardino (11)
- San Bruno (1)
- San Diego (21)
- San Dimas (2)
- San Francisco (18)
- San Gabriel (7)
- Sanger (1)
- San Jacinto (1)
- San Jose (19)
- San Juan Capistrano (1)
- San Leandro (7)
- San Luis Obispo (3)
- San Marcos (1)
- San Mateo (2)
- San Pablo (3)
- San Pedro (3)
- San Rafael (7)
- Santa Ana (8)
- Santa Barbara (7)
- Santa Clara (2)
- Santa Cruz (3)
- Santa Maria (4)
- Santa Monica (12)
- Santa Paula (1)
- Santa Rosa (7)
- Santee (2)
- Saratoga (3)
- Seal Beach (1)
- Sebastopol (1)
- Selma (2)
- Shafter (1)
- Sherman Oaks (2)
- Signal Hill (1)
- Simi Valley (1)
- Soledad (1)
- Solvang (1)
- Sonoma (3)
- Sonora (2)
- South Gate (1)
- South Lake Tahoe (1)
- South Pasadena (1)
- Spring Valley (3)
- Stanton (1)
- Stockton (14)
- Studio City (2)
- Sun City (1)
- Sunland (3)
- Sunnyvale (4)
- Sun Valley (3)
- Susanville (1)
- Sylmar (4)
- Tarzana (1)
- Temecula (1)
- Temple City (3)
- Templeton (1)
- Thousand Oaks (3)
- Torrance (12)
- Tracy (2)
- Truckee (1)
- Tujunga (2)
- Tulare (3)
- Turlock (4)
- Tustin (1)
- Ukiah (2)
- Union City (1)
- Upland (3)
- Vacaville (2)
- Vallejo (3)
- Van Nuys (6)
- Ventura (3)
- Victorville (3)
- Visalia (6)
- Vista (3)
- Walnut Creek (6)
- Watsonville (3)
- Weaverville (1)
- Weed (1)
- West Covina (5)
- West Hills (1)
- Westminster (3)
- West Sacramento (1)
- Whittier (7)
- Williams (1)
- Willits (1)
- Willows (1)
- Woodland (3)
- Woodland Hills (1)
- Yorba Linda (1)
- Yountville (1)
- Yuba City (3)
- Yucaipa (3)
- Yucca Valley (2)
Largest nursing home chains in California
CMS links 555 of California's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in CA | Homes nationwide |
|---|---|---|
| Pacs Group | 133 | 274 |
| The Ensign Group | 75 | 342 |
| David Johnson | 46 | 48 |
| Corporate Interface Services | 40 | 40 |
| Longwood Management Corporation | 38 | 38 |
| Aspen Skilled Healthcare | 34 | 35 |
| Cambridge Healthcare Services | 32 | 32 |
| Generations Healthcare | 26 | 27 |
| Links Healthcare Group | 25 | 32 |
| Windsor | 22 | 22 |
| Abraham Bak & Menachem Gastwirth | 18 | 18 |
| Genesis Healthcare | 17 | 184 |
| Mariner Health Care | 17 | 17 |
| The Mandelbaum Family | 17 | 18 |
| Pacific Healthcare Holdings | 15 | 15 |
Chain as recorded in the CMS Provider Information file, August 2026 release