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Generations Healthcare
Nursing home chain, as named in the CMS provider file.
Generations Healthcare operates 27 Medicare-certified nursing homes in 2 states, with 2,896 certified beds; the largest presence is in California and Nevada.
11% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 30.2 per 100 beds against 26.8 nationally, and fines in the period covered total $378K.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Generations Healthcare | US |
|---|---|---|
| Median overall rating | 4 | 3 |
| Median citations per facility | 29 | 23 |
| Median nurse hours per resident day | 4.3 | 3.7 |
| Median nursing turnover | 34.2% | 44.9% |
| Facilities with the abuse icon | 2 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| California | 26 |
| Nevada | 1 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 57 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 56 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 42 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 41 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 39 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 36 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 34 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 34 |
Penalties by year
Facilities
| Facility | City | State | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|---|
| Anberry Nursing and Rehabilitation Center | Atwater | CA | 99 | 5 | 4 | 4 | 19 | 19.2 | — | 23 Jan 2026 |
| Arbor Hills Nursing Center | La Mesa | CA | 100 | 5 | 4 | 3 | 37 | 37.0 | $13K | 12 Feb 2026 |
| Bayberry Skilled Nursing & Healthcare Center | Concord | CA | 99 | 4 | 3 | 4 | 23 | 23.2 | — | 8 Jan 2026 |
| Bradley Court | El Cajon | CA | 56 | 5 | 5 | 5 | 19 | 33.9 | — | 13 Mar 2025 |
| Canyon Oaks Nursing and Rehabilitation Center | Canoga Park | CA | 185 | 3 | 2 | 4 | 64 | 34.6 | — | 7 May 2026 |
| Castle Manor Nursing & Rehabilitation Center | National City | CA | 99 | 4 | 4 | 3 | 25 | 25.3 | $10K | 27 Mar 2025 |
| Cedar Crest Nursing and Rehabilitation Center | Sunnyvale | CA | 99 | 4 | 3 | 4 | 32 | 32.3 | — | 11 Aug 2025 |
| English Oaks Convalescent & Rehabilitation Hospita | Modesto | CA | 180 | 3 | 3 | 4 | 47 | 26.1 | — | 17 Jun 2026 |
| Friendship Manor Nursing & Rehab Center | National City | CA | 104 | 5 | 5 | 4 | 29 | 27.9 | $297K | 24 Jul 2025 |
| Gramercy Courtabuse icon | Sacramento | CA | 120 | 4 | 2 | 5 | 50 | 41.7 | — | 25 Jun 2026 |
| Heritage Park Nursing Center | Upland | CA | 70 | 5 | 5 | 4 | 21 | 30.0 | — | 13 May 2026 |
| Horizon Health & Subacute Center | Fresno | CA | 180 | 2 | 2 | 4 | 45 | 25.0 | $23K | 20 Mar 2026 |
| Kearny Mesa Convalescent and Nursing Home | San Diego | CA | 98 | 5 | 5 | 2 | 22 | 22.4 | — | 25 Jun 2026 |
| Lakeside Special Care Center | Lakeside | CA | 94 | 5 | 5 | 5 | 12 | 12.8 | — | 13 Feb 2025 |
| Lawton Skilled Nursing & Rehabilitation Center | San Francisco | CA | 68 | 5 | 5 | 4 | 19 | 27.9 | — | 17 Apr 2026 |
| Lompoc Skilled Nursing & Rehabilitation Center | Lompoc | CA | 120 | 4 | 4 | 4 | 29 | 24.2 | $5K | 23 Jun 2025 |
| Newport Nursing and Rehabilitation Centerabuse icon | Newport Beach | CA | 59 | 3 | 2 | 4 | 41 | 69.5 | — | 10 Dec 2025 |
| Pleasanton Nursing and Rehabilitation Center | Pleasanton | CA | 139 | 5 | 5 | 4 | 13 | 9.4 | — | 24 Apr 2026 |
| Plum Tree Care Center | San Jose | CA | 76 | 5 | 4 | 3 | 33 | 43.4 | $8K | 11 Jun 2026 |
| Siena Skilled Nursing & Rehabilitation Center | Auburn | CA | 107 | 5 | 4 | 5 | 18 | 16.8 | $4K | 4 Mar 2026 |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | San Rafael | CA | 80 | 3 | 2 | 3 | 45 | 56.3 | — | 9 Jun 2026 |
| Stanford Court Skilled Nursing & Rehab Center | Santee | CA | 105 | 5 | 4 | 3 | 45 | 42.9 | — | 11 May 2026 |
| Temecula Healthcare Center | Temecula | CA | 115 | 2 | 2 | 3 | 36 | 31.3 | $18K | 25 Mar 2026 |
| The Bradley Gardens | San Jacinto | CA | 44 | 3 | 3 | 3 | 48 | 109.1 | — | 21 Aug 2025 |
| Vista Manor Nursing Center | San Jose | CA | 99 | 5 | 5 | 3 | 23 | 23.2 | — | 9 Jul 2025 |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | Walnut Creek | CA | 180 | 2 | 2 | 3 | 60 | 33.3 | — | 20 May 2026 |
| Coronado Ridge Skilled Nursing & Rehabilitation Ce | Henderson | NV | 121 | 4 | 4 | 4 | 20 | 16.5 | — | 3 Sep 2025 |
Questions and answers
How many nursing homes does Generations Healthcare operate?
27 Medicare-certified facilities in 2 states, with 2,896 certified beds, according to the chain name in the CMS provider file.
How are Generations Healthcare facilities rated?
11% are rated 1–2 stars overall and 13 hold 5 stars; the median overall rating is 4. Nationally 41% are rated 1–2 stars.
Has Generations Healthcare been fined?
CMS lists 12 fines totalling $378K and 1 payment denials across its facilities in the period the penalties file covers.