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Key Takeaways
- Facilities In State: 1,166
- State Average Score: 65.8
- Highest Rated Homes Shown: 15
- Zero Deficiency Honor Roll Homes: 124
- Strong Safety Record Homes: 153
Overview
California's 1,166 nursing homes average 65.8 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 124 homes with no CMS health deficiencies recorded in the past 12 months of available data. No score guarantees safety, so always tour in person.
Data reflects CMS records as of 2026-04-23.
Highest Rated Nursing Homes
| Facility | City | Beds | Care Safety Score | Rating |
|---|---|---|---|---|
| Arpd, Llc | El Sobrante | 60 | 100 | Strong safety record |
| Legal Business Name Not Available | San Diego | 43 | 100 | Strong safety record |
| Alameda Health System | San Leandro | 109 | 98 | Strong safety record |
| Legal Business Name Not Available | Napa | 36 | 98 | Strong safety record |
| Eladh Lp | Los Angeles | 25 | 98 | Strong safety record |
| Fresno Community Hospital And Medical Center | Fresno | 106 | 97 | Strong safety record |
| Humangood Norcal | Oakland | 94 | 97 | Strong safety record |
| Aptb, Llc | Petaluma | 90 | 97 | Strong safety record |
| Sharp Coronado Hospital And Healthcare Center | Coronado | 122 | 96 | Strong safety record |
| Covenant Care Capitola, Llc | Capitola | 99 | 96 | Strong safety record |
| Community Memorial Health System | Ojai | 75 | 96 | Strong safety record |
| Ccw La Jolla, Llc | San Diego | 60 | 96 | Strong safety record |
| Front Porch Communities And Services | San Francisco | 27 | 96 | Strong safety record |
| Vsc Hbo, Llc | Orange | 21 | 96 | Strong safety record |
| Legal Business Name Not Available | Fremont | 88 | 95 | Strong safety record |
Zero Deficiency Honor Roll
| Facility | City | Beds | Care Safety Score |
|---|---|---|---|
| Arpd, Llc | El Sobrante | 60 | 100 |
| Alameda Health System | San Leandro | 109 | 98 |
| Humangood Norcal | Oakland | 94 | 97 |
| Sharp Coronado Hospital And Healthcare Center | Coronado | 122 | 96 |
| Covenant Care Capitola, Llc | Capitola | 99 | 96 |
| Legal Business Name Not Available | Fremont | 88 | 95 |
| Dignity Health | Camarillo | 99 | 94 |
| Fremont Snf Healthcare, Llc | Fremont | 85 | 94 |
| Creekview Hc Llc | Pleasanton | 73 | 94 |
| Veterans Home Of California Barstow | Barstow | 60 | 94 |
| Baywood Court | Castro Valley | 56 | 94 |
| Community Hospital Of San Bernardino | San Bernardino | 84 | 93 |
| Odd Fellows Home Of California | Napa | 69 | 93 |
| Front Porch Communities And Services | Palo Alto | 145 | 92 |
| Mussel Rock Healthcare, Inc. | Pacifica | 68 | 92 |
State Overview
| Nursing Homes | Average Safety Score | Strong Safety Record Homes | Zero Deficiency Honor Roll | Special Focus Facilities |
|---|---|---|---|---|
| 1,166 | 65.8 | 153 | 124 | 36 |
Frequently Asked Questions
- What are the highest-rated nursing homes in California?
- The facilities at the top of the table on this page earned the highest Care Safety Scores in California — a 0–100 measure built from CMS health inspections, payroll-based staffing, complaint volume, and federal enforcement actions. Treat the ranking as a starting shortlist, then tour each home and review its full record before deciding.
- Does a high Care Safety Score guarantee a nursing home is safe?
- No. The score reflects recent federal data, but staffing and management can change and no rating can guarantee future care. Use it to compare facilities and narrow your list, not as a final verdict.
- How many nursing homes are in California?
- CMS data covers 1,166 Medicare-certified nursing homes in California, with an average Care Safety Score of 65.8. 124 of them had no CMS health deficiencies recorded in the most recent 12 months of available inspection data.
- What is the Care Safety Score?
- A single 0–100 number that combines a facility's CMS health-inspection citations, payroll-based staffing levels, resident complaint volume, and federal enforcement actions, so families can compare homes on safety at a glance.
- What should I ask when touring a nursing home in California?
- Ask about real registered-nurse coverage on nights and weekends, what the most recent inspection found and how each citation was fixed, any fines and what changed because of them, and how complaints are handled. Our guide to the questions to ask when touring a nursing home walks through each one.
How to Read This
- Care Safety score
- A 0–100 score we calculate from CMS inspection history, staffing data, citation patterns, and complaint summaries. Higher is better. We group facilities into bands: Excellent, Good, Fair, and Poor.
- Special Focus Facility (SFF)
- A federal designation for nursing homes with a history of serious quality issues. CMS inspects them about twice as often. SFF Candidates are facilities at risk of being added to the SFF list.
Data source: Centers for Medicare & Medicaid Services (CMS). Data as of 2026-04-23.
Helpful resources
- Before the Crisis: our free elder-care planning guide
- Search every certified nursing facility (all 50 states)
- Highest-rated nursing homes by state
- Questions to ask when touring a nursing home
- See a sample facility safety report
- How Senior Care Report Card works
- Resources Hub: guides for families
- About our editorial standards
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How we built this: Every Senior Care Report Card insight is generated from the federal CMS Care Compare dataset and reviewed by our editorial team before publishing. We do not invent numbers, and we always tell you the date the data was collected. Read our methodology →