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Nursing home safety in California

California has 1,127 Medicare-certified nursing homes. They average 3.16 out of 5 CMS stars (0.18 better than the national average), carry 50.3 health-inspection citations each, and 109 are flagged in the records analyzed by CMS for abuse. Federal penalties total $27,603,794. Every flagged and top-rated home is named below.

Source: CMS Care Compare records in Haven’s directory, which may lag CMS updates. Free to cite with attribution to Haven.

Nursing homes
1,127
1,117 with a CMS rating
Average rating
3.16 / 5
0.18 better than the national average
Flagged for abuse
109
9.7% of homes · national 9.9%
Federal penalties
$27,603,794
34 on Special Focus

Staffing in California averages 4.52 nurse hours per resident per day (0.63 better than the national average). Citations average 50.3 per home (19.9 worse than the national average)— though citation counts reflect how aggressively a state's survey agency inspects, so they compare poorly across state lines.

California homes CMS currently flags for abuse

CMS applies this icon when a facility was cited for abuse-related deficiencies on a recent inspection. It is a serious signal, not a verdict — read the specific citations, which are on each facility's page, and ask the administrator directly.

Special Focus Facilities in California

CMS's own list of homes with a persistent record of poor care. They are inspected about twice as often as other facilities and can be terminated from Medicare and Medicaid if they do not improve.

Highest-rated nursing homes in California

Four and five-star homes with no abuse flag and no Special Focus status, ordered by Haven's Scout Score (federal ratings, staffing, and inspection history). Rankings cannot be purchased.

CommunityCityCMS starsNurse hrs/day
Torrance Memorial Med Ctr SNF/DpTorrance58.46331
Veterans Home of California - BarstowBarstow55.67415
Alameda County Medical Center D/P SNFSan Leandro56.40146
Morton Bakar CenterHayward53.72954
Bay Area Healthcare CenterOakland56.72521
Baywood Court Health CenterCastro Valley54.88368
Creekview Skilled NursingPleasanton55.05188
Villa Coronado D/P SNFCoronado57.5578
Carlsbad By the SeaCarlsbad55.374
Bradley CourtEl Cajon53.16209

Largest federal penalties in California

Civil monetary penalties follow serious deficiencies. A large fine history is a question to raise, not an automatic disqualification — some homes correct course, and the citations tell you which.

Browse California by area

California nursing homes: common questions

How many nursing homes in California have been flagged for abuse?

109 of 1,127 CMS-certified nursing homes in California (9.7%) carry the federal abuse icon in the records analyzed, which CMS applies when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate is 9.9%. Every flagged home is named on this page.

What is the average nursing home rating in California?

California nursing homes average 3.16 out of 5 on the CMS overall star rating, across 1,117 rated facilities. The national average is 2.98. Staffing averages 4.52 total nurse hours per resident per day versus 3.89 nationally.

Which nursing homes in California are on the Special Focus list?

34 California facilities are designated a Special Focus Facility or candidate — CMS's list of homes with a persistent record of poor care, which face roughly double the normal inspection frequency and possible termination from Medicare and Medicaid. They are listed by name on this page.

How much have California nursing homes been fined?

Federal civil monetary penalties against California nursing homes total $27,603,794 in the current CMS release. Fines follow serious deficiencies, so a large penalty history is worth asking a facility about directly — they are required to discuss their inspection record with you.

Worried about a specific home in California?

Every facility page shows that home's own inspection record — what inspectors found, how severe, and when — alongside staffing and pricing. If you need help sorting real options fast, a Haven advisor is free to your family.