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Nursing homes in California

California has 1,165 certified nursing homes in 55 counties. Select a county or a city to see its homes in one table.

Counties

Counties of California with a certified nursing home, in order of name
CountyHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Alameda695,522434.3$960,218
Amador1199136.2$28,327
Butte9910159.9$385,345
Calaveras199278.8$91,172
Colusa2105437.1$4,558
Contra Costa302,916433.2$310,655
Del Norte199180.8$144,866
El Dorado4314448.7$32,550
Fresno312,780345.4$371,609
Glenn179525.3$0
Humboldt5406253.0$177,042
Imperial3253357.3$138,619
Inyo2132347.0$0
Kern171,755165.2$741,793
Kings3327330.3$8,824
Lake3270353.7$91,067
Lassen196263.5$0
Los Angeles36937,526266.1$16,092,884
Madera5400458.5$780,208
Marin11948357.5$474,034
Mariposa116293.8$0
Mendocino4274454.0$97,097
Merced10781434.6$92,648
Modoc2106537.7$0
Monterey14994454.3$143,384
Napa6678335.0$251,937
Nevada5429430.5$0
Orange727,736366.3$260,736
Placer101,125537.8$8,781
Plumas3118333.1$80,858
Riverside545,123350.5$875,788
Sacramento373,915345.4$696,733
San Benito1119423.5$0
San Bernardino554,996430.7$445,521
San Diego838,791434.4$1,106,785
San Francisco182,322519.0$296,624
San Joaquin242,629354.5$109,468
San Luis Obispo7755511.0$0
San Mateo141,657532.0$206,193
Santa Barbara141,277528.9$13,171
Santa Clara505,114442.3$651,609
Santa Cruz7725441.8$214,418
Shasta101,055426.7$70,536
Siskiyou159252.5$84,526
Solano9846438.1$506,815
Sonoma181,506446.7$445,128
Stanislaus171,795344.0$362,695
Sutter4433544.6$68,146
Tehama21134126.5$240,815
Trinity1133107.7$0
Tulare161,552353.0$361,948
Tuolumne2278546.0$56,843
Ventura191,862531.6$117,100
Yolo6577446.8$36,181
Yuba186545.3$0

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

California in figures

The nursing homes in California have 114,991 certified beds. They have about 101,561 residents on an average day. 35% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 273 homes have an overall rating of 5 stars.

The homes have 50.6 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 1,027 fines with a total of $28,736,255 for these homes in its penalties file. CMS also lists 283 payment denials. 113 homes have the CMS abuse icon.

Nursing homes in California by CMS overall rating
Overall ratingHomesShareUS share
5 of 527323%20%
4 of 522920%19%
3 of 524721%19%
2 of 521418%20%
1 of 519116%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in California, three survey cycles
F-tagRequirement (CMS text)Citations
F0880Provide and implement an infection prevention and control program.3,408
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2,661
F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2,661
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2,622
F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2,112
F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2,046
F0761Ensure 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.1,909
F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.1,497
F0658Ensure services provided by the nursing facility meet professional standards of quality.1,390
F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.1,378
F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.1,096
F0695Provide safe and appropriate respiratory care for a resident when needed.1,087

Chains in the state

Chains with nursing homes in California, in order of name
ChainHomes in California
AJC Healthcare14
Aspen Skilled Healthcare34
BVHC, LLC12
Cambridge Healthcare Services32
Corporate Interface Services40
Covenant Care10
Cypress Healthcare Group13
Eva Care Group9
Front Porch9
Generations Healthcare26
Genesis Healthcare17
Humangood10
Kalesta Healthcare Group9
Links Healthcare Group25
Longwood Management Corporation38
Mariner Health Care17
NAHS12
Pacific Healthcare Holdings15
PACS Group133
RMG Capital Partners9
Serrano Group11
Sol Healthcare8
Spyglass Healthcare9
The Ensign Group75
Windsor22

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in California by year, from the CMS penalties file
YearPenaltiesFines
2023316$4,291,249
2024534$12,906,891
2025342$9,052,779
2026118$2,485,336

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in California, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 202641822$32,0450
June 20263891,2538$157,7290
May 20263561,55516$482,8880
April 20264011,60114$272,1120
March 20263751,58725$602,3640
February 20263671,53031$417,1620
January 20263551,57022$521,0360
December 20254131,45318$696,5870
November 202525182128$589,9600
October 20255715218$268,2230
September 202523974810$151,9020
August 20253791,49634$729,8580
July 20253681,11828$782,1140
June 20253571,34821$616,3690
May 20253991,76528$660,1910
April 20254371,63839$884,0630
March 20253761,78946$1,410,4240
February 20253881,77438$1,391,9980
January 20254261,68534$871,0900
December 20243711,45025$667,8420
November 20243701,45128$701,6870
October 20244581,82238$1,031,7170
September 202436999525$484,3540

The site has no recorded change for California. It records changes at each CMS update.

Questions

How many nursing homes in California are Special Focus Facilities?
CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in California?
F-tag 880 has 3,408 citations in the last three survey cycles. F-tag 812 has 2,661. F-tag 656 has 2,661.
What changed in California in the last CMS update?
The site has no recorded change for California. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in California.