California Nursing Home Rankings & Safety Report

zReports Research Institute · Updated August 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.08 Facilities analyzed1,164 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedAugust 2026 MethodologyConsumer Z Score™ · Database v2026.08

California has 1,164 active licensed nursing homes on the state's public file. zReports analyzed CMS Nursing Home Compare data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

1,164active licensed nursing homes across 345 California cities appear on the state's public file.
62.9%hold an A or B records layer grade, while 234 carry a D or F.
74.5is the statewide average records layer score across all graded nursing homes.
San Franciscois the highest-scoring larger city (18 facilities, average score 91.8).
Los Angeleshas the most licensed nursing homes in the state (78).
114,883is the combined licensed capacity across 1,160 facilities reporting a capacity figure.

Key statistics

StatisticValue
Active licensed nursing homes1,164
Cities covered345
Statewide average records layer score74.5
Grade A facilities477 (41%)
Grade B facilities255 (21.9%)
Grade C facilities198 (17%)
Grade D facilities177 (15.2%)
Grade F facilities57 (4.9%)
Facilities with a clean record (no deficiencies on file)1,164 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Combined licensed capacity114,883

How cities compare

Average records layer score by city (cities with 10+ facilities), against the statewide average of 74.5.

CityFacilitiesAvg scorevs state
San Francisco1891.8+17.3
San Bernardino1188.5+14
Riverside1883.8+9.3
San Diego2182.7+8.2
Anaheim1482.6+8.1
Oakland1881.7+7.2
San Jose1979.4+4.9
Fresno1978.3+3.8
Bakersfield1052.5-22

By city

Los Angeles (78)Long Beach (25)Sacramento (23)San Diego (21)Fresno (19)San Jose (19)Riverside (18)Oakland (18)San Francisco (18)Hayward (16)Stockton (14)Anaheim (14)Glendale (13)Pasadena (13)Torrance (12)El Cajon (12)Santa Monica (12)El Monte (11)San Bernardino (11)Bakersfield (10)Modesto (9)Pomona (9)Gardena (8)Santa Ana (8)Carmichael (8)Redding (8)Redlands (7)San Gabriel (7)Escondido (7)La Mesa (7)San Leandro (7)Whittier (7)North Hollywood (7)Hemet (7)Fremont (7)Norwalk (7)San Rafael (7)Fullerton (7)Santa Barbara (7)Santa Rosa (7)Merced (6)Garden Grove (6)Visalia (6)Van Nuys (6)Walnut Creek (6)Reseda (5)Concord (5)Rosemead (5)Alhambra (5)Castro Valley (5)Lodi (5)Orange (5)Salinas (5)Auburn (5)Covina (5)Chico (5)Inglewood (5)Porterville (5)Berkeley (5)National City (5)West Covina (5)Petaluma (5)Glendora (5)Alameda (5)Napa (5)Fairfield (4)Pico Rivera (4)Granada Hills (4)Baldwin Park (4)Sunnyvale (4)Duarte (4)Lancaster (4)Bellflower (4)Turlock (4)Roseville (4)Grass Valley (4)Los Gatos (4)Downey (4)Santa Maria (4)Oxnard (4)Ontario (4)Monterey (4)Sylmar (4)Canoga Park (4)Palm Springs (4)Eureka (3)Santa Cruz (3)Lynwood (3)San Pedro (3)Victorville (3)San Luis Obispo (3)Yuba City (3)San Pablo (3)Newport Beach (3)Loma Linda (3)Culver City (3)Livermore (3)Vallejo (3)Costa Mesa (3)Watsonville (3)Corona (3)Claremont (3)Sonoma (3)Temple City (3)Pacific Grove (3)Mountain View (3)Thousand Oaks (3)Upland (3)Cupertino (3)Hanford (3)Saratoga (3)Woodland (3)Placerville (3)Yucaipa (3)Ventura (3)Oroville (3)Palo Alto (3)Tulare (3)Spring Valley (3)Encinitas (3)Reedley (3)Sunland (3)Huntington Beach (3)Daly City (3)Laguna Hills (3)Paramount (3)Bell Gardens (3)Hawthorne (3)Westminster (3)Delano (3)Carlsbad (3)Poway (3)Chula Vista (3)Sun Valley (3)Camarillo (3)Palm Desert (3)Vista (3)Campbell (3)Santee (2)Los Banos (2)Chowchilla (2)Pleasant Hill (2)Greenbrae (2)Pacifica (2)Montrose (2)Tujunga (2)Madera (2)Montebello (2)Monterey Park (2)Lemon Grove (2)San Mateo (2)Los Altos (2)Lompoc (2)Lomita (2)Richmond (2)Oceanside (2)Jurupa Valley (2)Arcadia (2)Vacaville (2)Fowler (2)Red Bluff (2)Lakeport (2)Danville (2)Artesia (2)Buena Park (2)La Habra (2)Santa Clara (2)Pittsburg (2)Montclair (2)Ukiah (2)La Mirada (2)Ojai (2)Fontana (2)Manteca (2)Davis (2)La Jolla (2)Antioch (2)Highland (2)Morgan Hill (2)Burbank (2)Panorama City (2)Sherman Oaks (2)San Dimas (2)Clovis (2)Chatsworth (2)Pleasanton (2)Mission Hills (2)Tracy (2)Indio (2)Colton (2)Beaumont (2)Barstow (2)Sonora (2)Rancho Mirage (2)Martinez (2)Lake Forest (2)Banning (2)Studio City (2)Murrieta (2)Yucca Valley (2)Selma (2)Lake View Terrace (1)Newbury Park (1)Woodland Hills (1)Coronado (1)Riverbank (1)Moraga (1)Grand Terrace (1)Folsom (1)Rialto (1)Mariposa (1)N Hollywood (1)Fallbrook (1)Elk Grove (1)Monrovia (1)West Hills (1)Dinuba (1)Hollister (1)Portola Valley (1)Kingsburg (1)Dana Point (1)San Jacinto (1)Ripon (1)Newhall (1)Cloverdale (1)Orinda (1)Gilroy (1)Weed (1)Newman (1)Galt (1)West Sacramento (1)Sebastopol (1)Ceres (1)Santa Paula (1)La Crescenta (1)Seal Beach (1)Shafter (1)Capitola (1)La Verne (1)Sanger (1)Millbrae (1)Tarzana (1)San Andreas (1)Huntington Park (1)Oakdale (1)Los Alamitos (1)Sun City (1)Perris (1)Jackson (1)Willits (1)Bell (1)Susanville (1)Crescent City (1)Solvang (1)Fortuna (1)North Hills (1)Fall River Mills (1)King City (1)El Sobrante (1)South Gate (1)Fort Bragg (1)Rancho Cordova (1)Livingston (1)Playa Del Rey (1)Chester (1)Mentone (1)Fillmore (1)Yountville (1)Oakhurst (1)Maywood (1)Anderson (1)Willows (1)Fair Oaks (1)El Centro (1)Arvin (1)Avalon (1)Williams (1)Templeton (1)Cedarville (1)Truckee (1)Atwater (1)San Bruno (1)Irvine (1)Fountain Valley (1)Lincoln (1)Citrus Heights (1)El Cerrito (1)Morro Bay (1)Encino (1)Blythe (1)City Of Industry (1)Alturas (1)Portola (1)Joshua Tree (1)Lake Arrowhead (1)Big Bear Lake (1)Apple Valley (1)Clearlake (1)Cherry Valley (1)Garberville (1)Lake Isabella (1)Alta Loma (1)Lone Pine (1)Live Oak (1)Soledad (1)Coalinga (1)Atascadero (1)Brawley (1)Healdsburg (1)Arroyo Grande (1)Belmont (1)Lindsay (1)Marysville (1)South Lake Tahoe (1)Simi Valley (1)Stanton (1)Tustin (1)Compton (1)San Marcos (1)Milpitas (1)San Juan Capistrano (1)Yorba Linda (1)Gridley (1)Bishop (1)Signal Hill (1)Northridge (1)Redwood City (1)Lawndale (1)Mill Valley (1)Menlo Park (1)Union City (1)Novato (1)Burlingame (1)Brea (1)Ridgecrest (1)Lakeside (1)Weaverville (1)South Pasadena (1)Colusa (1)Chino (1)Imperial (1)Moreno Valley (1)Rancho Mission Viejo (1)Temecula (1)Quincy (1)

Statewide top 25

#1 Fairfield Post Acute Rehabilitation Fairfield · A

#2 Mount San Antonio Gardens Pomona · A

#3 Mary Health Of The Sick Convalescent & Nursing Hos Newbury Park · A

#4 Villa Coronado D/P Snf Coronado · A

#5 Mission View Health Center San Luis Obispo · A

#6 Yuba City Post Acute Yuba City · A

#7 Creekside Healthcare Center San Pablo · A

#8 Linda Mar Care Center Pacifica · A

#9 Grand Terrace Health Care Center Grand Terrace · A

#10 St Paul'S Towers Oakland · A

#11 Jewish Home & Rehab Center D/P Snf San Francisco · A

#12 Folsom Care Center Folsom · A

#13 Lawton Skilled Nursing & Rehabilitation Center San Francisco · A

#14 Brookside Skilled Nursing Hospital San Mateo · A

#15 Marycrest Manor Culver City · A

#16 Oakwood Gardens Care Center Fresno · A

#17 The Terraces At Los Altos Health Facility Los Altos · A

#18 Idylwood Care Center Sunnyvale · A

#19 The Vineyards Healthcare Center Livermore · A

#20 San Jacinto Valley Post Acute Hemet · A

#21 Victoria Healthcare And Rehabilitation Center Costa Mesa · A

#22 Lompoc Valley Medical Center Comprehensive Care Ce Lompoc · A

#23 Community Subacute And Transitional Care Center Fresno · A

#24 Mission Valley Post Acute Fremont · A

#25 Central Gardens Post Acute San Francisco · A

Don't see a name? Search it. Every nursing home has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every nursing home in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About nursing home licensing in California

Nursing Homes in California are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Nursing Home Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many nursing homes are there in California?

California has 1,164 active licensed nursing homes on the state's public file, across 345 cities, with a combined licensed capacity of 114,883. Every one has a free records layer grade on zReports.

Which California city has the most nursing homes?

Los Angeles, with 78 licensed nursing homes, followed by Long Beach (25) and Sacramento (23).

How are California nursing home grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Nursing Home Compare data, through one fixed rule, applied identically to every nursing home in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever California republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of August 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.08 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: August 2026

Cite this report

APA, zReports Research Institute. (2026). California Nursing Home Rankings & Safety Report (v2026.08). zReports.org. https://zreports.org/rankings/nursing/ca

MLA, zReports Research Institute. “California Nursing Home Rankings & Safety Report.” zReports.org, v2026.08, August 2026, zreports.org/rankings/nursing/ca.

Plain, California Nursing Home Rankings & Safety Report, zReports Research Institute, v2026.08, updated August 2026, zreports.org/rankings/nursing/ca

Related research

Nursing Homes in all states → Los Angeles rankings →Long Beach rankings →Sacramento rankings → zReports Data Blog → How the Consumer Z Score™ works →