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 January 5, 2025
According to the latest data compiled by NursingHomeDatabase.com, California has a total of 1,163 active skilled nursing facilities with {TOTAL BEDS} 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 338.61 persons in California. There were 98,819 residents as January 5, 2025 for a state wide occupancy level of 85.73 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 824 new beds and lost 1,441 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) | 0.60 | 0.67 |
| Certified Nursing Assistants (CNA) | 2.60 | 2.31 |
| Licensed Practical Nurse (LPN) | 1.22 | 0.87 |
| All Staff | 4.42 | 3.85 |
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 161 new cases and 161 new deaths among residents for the week ending January 5, 2025. The chart below shows COVID-19 activity for the past year.
New and Lost Nursing Homes in California
California added 3 new skilled nursing facilities and 824 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 | 769 |
| Citrus Heights Health Center | 32 |
| Chinese Hospital D/p Snf | 23 |
California lost 10 skilled nursing facilities and 1,441 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 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 |
|---|---|
|
Tahoe Forest Hospital D/p Snf 10121 PINE AVE. TRUCKEE, CA |
8.00 |
|
Morton Bakar Center 494 BLOSSOM WAY HAYWARD, CA |
9.33 |
|
Healdsburg Hospital D/p Snf 1375 UNIVERSITY AVENUE HEALDSBURG, CA |
10.00 |
|
Barton Hospital D/p Snf 2170 SOUTH AVENUE SOUTH LAKE TAHOE, CA |
10.00 |
|
San Luis Transitional Care 1575 BISHOP STREET SAN LUIS OBISPO, CA |
10.00 |
|
Oakview Skilled Nursing 3557 CAMPUS DR THOUSAND OAKS, CA |
10.67 |
|
Washington Center 14766 WASHINGTON AVENUE SAN LEANDRO, CA |
12.00 |
|
Pacifica Nursing and Rehabilitation Center 385 ESPLANADE AVENUE PACIFICA, CA |
13.33 |
|
Vi at La Jolla Village 4171 LAS PALMAS SQUARE SAN DIEGO, CA |
13.33 |
|
Carlsbad By The Sea 2855 CARLSBAD BLVD CARLSBAD, 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 |
|---|---|
|
Maclay Healthcare Center 12831 MACLAY STREET SYLMAR, CA |
633.50 / |
|
Oakwood Healthcare Center 375 COHASSET RD CHICO, CA |
604.50 Rating Not Available / |
|
Rio Hondo Subacute and Nursing Center 273 E BEVERLY BOULEVARD MONTEBELLO, CA |
592.50 Rating Not Available / |
|
Shasta View Care Center 1795 WALNUT STREET RED BLUFF, CA |
509.17 |
|
Santa Anita Convalescent Hospital 5522 GRACEWOOD AVE. TEMPLE CITY, CA |
495.17 / |
|
Sunset Villa Post Acute 3232 E. ARTESIA BLVD. LONG BEACH, CA |
483.50 |
|
Coral Cove Post Acute 1730 GRAND AVE LONG BEACH, CA |
476.50 |
|
Greenfield Care Center of Fairfield 1260 TRAVIS BLVD FAIRFIELD, CA |
472.67 |
|
The Rehabilitation Center of Santa Monica 1338 20TH STREET SANTA MONICA, CA |
425.67 / |
|
Palos Verdes Health Care Center 26303 WESTERN AVE. LOMITA, CA |
421.83 |
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 | 16.60 | Higher |
| Cycle 1 Total Number Of Fire Safety Deficiencies | 7.20 | Higher |
| Cycle 2 Total Number Of Health Deficiencies | 17.00 | Higher |
| Cycle 2 Total Number Of Fire Safety Deficiencies | 7.40 | Higher |
| Cycle 3 Total Number Of Health Deficiencies | 14.70 | Higher |
| Cycle 3 Total Number Of Fire Safety Deficiencies | 6.90 | Higher |
| Average Number Of Residents Per Day | 86.20 | Higher |
| Reported Nurse Aide Staffing Hours Per Resident Per Day | 2.60 | Higher |
| Reported Lpn Staffing Hours Per Resident Per Day | 1.22 | Higher |
| Reported Rn Staffing Hours Per Resident Per Day | 0.60 | Lower |
| Reported Licensed Staffing Hours Per Resident Per Day | 1.82 | Higher |
| Reported Total Nurse Staffing Hours Per Resident Per Day | 4.42 | Higher |
| Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend | 4.00 | Higher |
| Registered Nurse Hours Per Resident Per Day On The Weekend | 0.46 | Lower |
| Reported Physical Therapist Staffing Hours Per Resident Per Day | 0.09 | Higher |
| Total Nursing Staff Turnover | 40.70 | Lower |
| Registered Nurse Turnover | 41.40 | Lower |
| Number Of Administrators Who Have Left The Nursing Home | 0.60 | Lower |
| Nursing Case-mix Index | 1.49 | Higher |
| Case-mix Rn Staffing Hours Per Resident Per Day | 0.73 | Higher |
| Case-mix Total Nurse Staffing Hours Per Resident Per Day | 4.20 | Higher |
| Case-mix Weekend Total Nurse Staffing Hours Per Resident Per Day | 3.69 | Higher |
| Number Of Fines | 1.90 | Higher |
| Fine Amount In Dollars | 28,160.00 | Lower |
| Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased | 12.98 | Lower |
| Percentage Of Long Stay Residents Who Lose Too Much Weight | 4.73 | Lower |
| Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder | 1.33 | Higher |
| Percentage Of Long Stay Residents With A Urinary Tract Infection | 1.40 | Lower |
| Percentage Of Long Stay Residents Who Have Depressive Symptoms | 6.30 | Lower |
| Percentage Of Long Stay Residents Who Were Physically Restrained | 0.31 | Higher |
| Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury | 1.67 | Lower |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 98.41 | Higher |
| Percentage Of Long Stay Residents Who Received An Antipsychotic Medication | 10.97 | Lower |
| Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine | 94.26 | Higher |
| Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication | 1.47 | Lower |
| Percentage Of Long Stay Residents Whose Ability To Walk Independently Worsened | 16.24 | Lower |
| Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication | 13.61 | Lower |
| Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine | 98.27 | Higher |
| Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine | 92.63 | Higher |
| Percentage Of Long Stay Residents With Pressure Ulcers | 5.17 | Lower |
| Percentage Of Long Stay Residents With New Or Worsened Bowel Or Bladder Incontinence | 12.46 | Lower |
| Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission | 23.82 | Lower |
| Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit | 11.41 | Lower |
| Number Of Hospitalizations Per 1000 Long-stay Resident Days | 2.16 | Higher |
| Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days | 1.50 | Lower |
State Analysis for Other States
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