RankingsUpdated August 2026

The 25 Best-Rated Nursing Homes in California (2026)

The top 25 of 1,154 CMS-certified nursing homes in California, ranked by health inspection scores, staffing levels, and penalty history — never paid placement. See how our ranking method works

1,1620.9 per 30K residentsBelow national avg of 1.3 per 30KTotal Nursing Homes
3.2/5
+0.2 vs national avgNational avg: 3.00Statewide Avg Rating
$60K$11K vs national avgNational avg: $71KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeSan Leandro, CA

Alameda County Medical Center D/P Snf

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures5.0
109 BedsInspected Aug 2024

Above California avg of 3.2

15400 Foothill BoulevardSan Leandro, CA 94578

(510) 895-4279

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2No Penalties

Nursing HomeNapa, CA

Dept Of State Hospitals - Napa D/P Snf

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures4.0
36 BedsInspected Sep 2025

Above California avg of 3.2

2100 Napa-Vallejo HighwayNapa, CA 94558

(707) 253-5000

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3No Penalties

Nursing HomeSan Jose, CA

O'Connor Hospital D/P Snf

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures4.0
24 BedsInspected Aug 2025

Above California avg of 3.2

2105 Forest AvenueSan Jose, CA 95128

(408) 947-2831

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4No Penalties

Nursing HomeBarstow, CA

Veterans Home Of California - Barstow

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures5.0
60 BedsInspected May 2025

Above California avg of 3.2

100 East Veterans ParkwayBarstow, CA 92311

(760) 252-6288

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5No Penalties

Nursing HomeLake Arrowhead, CA

Mountains Community Hosp Dpsnf

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures4.0
19 BedsInspected Jun 2025

Above California avg of 3.2

29101 Hospital RoadLake Arrowhead, CA 92352

(909) 336-3651

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6No Penalties

Nursing HomeMariposa, CA

John C. Fremont Healthcare District Dp/Snf

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing1.0
  • Quality Measures5.0
16 BedsInspected Aug 2024

Above California avg of 3.2

5189 Hospital RoadMariposa, CA 95338

(209) 966-3631

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7No Penalties

Nursing HomeSantee, CA

Edgemoor Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
192 BedsInspected Dec 2025

Above California avg of 3.2

655 Park Center DriveSantee, CA 92071

(619) 596-5500

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8No Penalties

Nursing HomeFresno, CA

Veterans Home Of California - Fresno

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
120 BedsInspected Jul 2025

Above California avg of 3.2

2811 W Cesar Chavez BlvdFresno, CA 93706

(559) 493-4400

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9No Penalties

Nursing HomeSan Francisco, CA

Zuckerberg San Francisco General Hosp & Trauma Snf

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality MeasuresN/A
30 BedsInspected Jul 2024

Above California avg of 3.2

1001 Potrero AvenueSan Francisco, CA 94110

(415) 206-8283

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10No Penalties

Nursing HomeVisalia, CA

Kaweah Health Skilled Nursing Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures5.0
70 BedsInspected Dec 2025

Above California avg of 3.2

1633 South Court StreetVisalia, CA 93277

(559) 624-6037

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111 Penalty

Nursing HomeChula Vista, CA

Veterans Home Of California - Chula Vista

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
180 BedsInspected Jan 2026

Above California avg of 3.2

700 East Naples CourtChula Vista, CA 91911

(619) 482-6010

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121 Penalty

Nursing HomeRedding, CA

Veterans Home Of California - Redding

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
60 BedsInspected Aug 2025

Above California avg of 3.2

3400 Knighton RoadRedding, CA 96002

(530) 224-3300

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1310 Penalties

Nursing HomePoway, CA

The Villas At Poway

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection3.0
  • Staffing5.0
  • Quality Measures5.0
129 BedsInspected May 2025

Above California avg of 3.2

15615 Pomerado RdPoway, CA 92064

(858) 613-4545

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State report

Why families compare nursing homes in California

#14of 51 states & DC
Health Ranking

Above the median for overall health outcomes (rank 14 of 51).

America’s Health Rankings 2024
  • Population 65+16.7%

    A little lower than the national average of 17.7%.

    Census ACS 2023
  • Life expectancy79.2 yrs

    A little higher than the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover38.1%

    About 18% lower than the national average of 46.4%.

    CMS PBJ 2024

See full demographics & care economics for California →

FAQ

Questions families ask about this page

How many nursing homes are in California?

California has 1,162 nursing homes in the full directory. This rankings page evaluated 1,154 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in California?

Nursing homes in California average 3.2 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in California is penalized?

Among California nursing homes that were fined, the average fine is $60K. The national nursing-home average is $71K.

How does California compare with the national average?

California averages 3.2 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $60K versus $71K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

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