
GENERATIONS HEALTHCARE
As identified by CMS (chain id 236). 27 nursing homes in 2 states carry this chain id in release v2026.08; the CMS chain file lists 27. Ownership below is what each facility disclosed to CMS on Form CMS-855A.
- 27 facilities · 2,896 certified beds
- Avg overall rating 4.1 (national 3.0)
- CMS August 2026 vintage · release v2026.08
At a glance
Averages from the CMS chain file for this chain and for all certified nursing homes (the file's national row). Descriptive only: they do not control for case mix, size or region.
- Overall rating, average4.1national 3.0
- Health inspection rating3.6national 2.8
- Staffing rating3.7national 2.9
- Nurse hours per resident day4.20national 3.90
- RN hours per resident day0.60national 0.70
- Nurse turnover34.9%national 45.8%
- Fines per facility, average$14,006national $31,081
- Facilities with any penalty29.6%8 of 27 in the release
- Special Focus Facilities0 + 0 candidatesnational 84 + 441
- Abuse icons2 (7.4%)national 9.7%
- For-profit share100.0%national 73.9%
- Meets all rescinded staffing floors18.5%reported hours vs the repealed 2024 minimums
Overall ratings of the 27 facilities
Care Compare overall star ratings of the facilities carrying this chain id in the release; 27 are rated.
Ownership as disclosed to CMS
From the PECOS SNF All Owners file for each facility's current enrollment: 27 of the 27 facilities matched a PECOS enrollment. An owner holds an ownership or control role (direct or indirect ownership interest, partnership interest, or operational/managerial control); a party is any other disclosable party, most often the landlord or a lender. A facility that discloses neither has not reported one; that is not a finding that it has none.
- Disclose a private-equity owner00.0% of facilities
- Private equity among other parties only00 in any role
- Disclose a REIT owner00.0% of facilities
- REIT among other parties only00 in any role
No facility in this chain discloses a private-equity company or a REIT in any role in the PECOS file.
Changes of ownership
1 of the 27 facilities have a PECOS change of ownership in the 36 months before the vintage, and Care Compare flags 0 as changed in the last 12 months. The table counts the PECOS Change of Ownership records of these facilities by effective year; 2024 is partial.
| Effective year | Changes of ownership |
|---|---|
| 2016 | 1 |
| 2017 | 5 |
| 2020 | 1 |
| 2023 | 2 |
| 2024 | 1 |
By state
| State | Facilities | Avg overall rating | SFF + candidates | Abuse icons | Fines, total | Disclose PE owner | Disclose REIT any role | Changed hands 36 mo |
|---|---|---|---|---|---|---|---|---|
| CA | 26 | 4.1 | 0 | 2 | $378,169 | 0 | 0 | 1 |
| NV | 1 | 4.0 | 0 | 0 | $0 | 0 | 0 | 0 |
Facilities
Every facility in release v2026.08 carrying chain id 236, with its Care Compare ratings and flags, the penalties CMS lists over the three-year lookback, and its PECOS disclosures. Names link to the facility's page on this site where one exists.
| Facility | City | State | Beds | Overall | Staffing | Flags | Fines | Denials | Disclosed to CMS | Changed hands |
|---|---|---|---|---|---|---|---|---|---|---|
| ANBERRY NURSING AND REHABILITATION CENTER CCN 555244 · For profit | ATWATER | CA | 99 | 5 | 4 | — | — | None | last 1 April 2023 | |
| Siena Skilled Nursing & Rehabilitation Center CCN 555744 · For profit | Auburn | CA | 107 | 5 | 5 | $4,194 (1) | — | None | last 1 September 2017 | |
| CANYON OAKS NURSING AND REHABILITATION CENTER CCN 555822 · For profit | CANOGA PARK | CA | 185 | 3 | 4 | — | — | None | — | |
| BAYBERRY SKILLED NURSING & HEALTHCARE CENTER CCN 056260 · For profit | CONCORD | CA | 99 | 4 | 4 | — | — | None | last 1 September 2017 | |
| BRADLEY COURT CCN 555140 · For profit | EL CAJON | CA | 56 | 5 | 5 | — | — | None | last 1 March 2020 | |
| HORIZON HEALTH & SUBACUTE CENTER CCN 055199 · For profit | FRESNO | CA | 180 | 2 | 4 | $22,913 (1) | — | None | last 1 April 2023 | |
| Arbor Hills Nursing Center CCN 055114 · For profit | LA MESA | CA | 100 | 5 | 3 | $12,831 (1) | — | None | — | |
| LAKESIDE SPECIAL CARE CENTER CCN 555887 · For profit | LAKESIDE | CA | 94 | 5 | 5 | — | — | None | — | |
| Lompoc Skilled Nursing & Rehabilitation Center CCN 555830 · For profit | Lompoc | CA | 120 | 4 | 4 | $4,893 (2) | — | None | — | |
| ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITA CCN 555190 · For profit | MODESTO | CA | 180 | 3 | 4 | — | — | None | — | |
| CASTLE MANOR NURSING & REHABILITATION CENTER CCN 555263 · For profit | NATIONAL CITY | CA | 99 | 4 | 3 | $10,188 (1) | 1 | None | — | |
| FRIENDSHIP MANOR NURSING & REHAB CENTER CCN 055964 · For profit | NATIONAL CITY | CA | 104 | 5 | 4 | $297,367 (4) | — | None | — | |
| NEWPORT NURSING AND REHABILITATION CENTER CCN 055518 · For profit | NEWPORT BEACH | CA | 59 | 3 | 4 | Abuse icon | — | — | None | — |
| PLEASANTON NURSING AND REHABILITATION CENTER CCN 056392 · For profit | PLEASANTON | CA | 139 | 5 | 4 | — | — | None | — | |
| KEARNY MESA CONVALESCENT AND NURSING HOME CCN 055286 · For profit | SAN DIEGO | CA | 98 | 5 | 2 | — | — | None | — | |
| LAWTON SKILLED NURSING & REHABILITATION CENTER CCN 055175 · For profit | SAN FRANCISCO | CA | 68 | 5 | 4 | — | — | None | last 1 September 2017 | |
| THE BRADLEY GARDENS CCN 055598 · For profit | SAN JACINTO | CA | 44 | 3 | 3 | — | — | None | 1 in 36 mo | |
| PLUM TREE CARE CENTER CCN 055866 · For profit | SAN JOSE | CA | 76 | 5 | 3 | $8,018 (1) | — | None | — | |
| VISTA MANOR NURSING CENTER CCN 555483 · For profit | SAN JOSE | CA | 99 | 5 | 3 | — | — | None | — | |
| SMITH RANCH SKILLED NURSING & REHABILITATION CENTE CCN 555595 · For profit | SAN RAFAEL | CA | 80 | 3 | 3 | — | — | None | last 1 September 2017 | |
| STANFORD COURT SKILLED NURSING & REHAB CENTER CCN 555290 · For profit | SANTEE | CA | 105 | 5 | 3 | — | — | None | — | |
| CEDAR CREST NURSING AND REHABILITATION CENTER CCN 555790 · For profit | SUNNYVALE | CA | 99 | 4 | 4 | — | — | None | — | |
| Gramercy Court CCN 555459 · For profit | Sacramento | CA | 120 | 4 | 5 | Abuse icon | — | — | None | last 1 July 2016 |
| TEMECULA HEALTHCARE CENTER CCN 555923 · For profit | TEMECULA | CA | 115 | 2 | 3 | $17,765 (1) | — | None | — | |
| Heritage Park Nursing Center CCN 555514 · For profit | Upland | CA | 70 | 5 | 4 | — | — | None | — | |
| WALNUT CREEK SKILLED NURSING & REHABILITATION CENT CCN 056327 · For profit | WALNUT CREEK | CA | 180 | 2 | 3 | — | — | None | last 1 September 2017 | |
| CORONADO RIDGE SKILLED NURSING & REHABILITATION CE CCN 295099 · For profit | HENDERSON | NV | 121 | 4 | 4 | — | — | None | — |
Sources and method
Chain identity, facility count and the averages under At a glance come from the CMS Nursing Home Chain Performance Measures file. Every facility-level value is a column of release v2026.08 (CMS August 2026 vintage), which records the exact CMS files and their checksums, archived at Zenodo. Section 11 of the methodology describes how the disclosure flags, the owner-versus-party split and the change-of-ownership counts are built; the tables behind this page are committed in the public repository.
Cite as: The Care Ratings Open Nursing Home Data, release v2026.08, chain profile "GENERATIONS HEALTHCARE" (CMS chain id 236), https://thecareratings.com/data/chains/236-generations-healthcare/. Prepared by the Care Ratings Team under the editorial standards; corrections go to the contact page.
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