Who owns California nursing homes
Ownership shapes staffing and cost decisions. Here is how California nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 1013 | 3.0 | 4.18 hrs | 43% |
| Non profit | 119 | 3.9 | 4.88 hrs | 24% |
| Government | 33 | 3.7 | 6.03 hrs | 33% |
Largest chains in California
72% of California nursing homes belong to a chain. Counts are homes we list in California.
- Pacs group133 homes · average 3.2 of 5 Medicare stars
- The ensIgn group75 homes · average 3.5 of 5 Medicare stars
- David johnsOn46 homes · average 3.2 of 5 Medicare stars
- Corporate interface sErvices40 homes · average 2.5 of 5 Medicare stars
- Longwood management corporation38 homes · average 2.2 of 5 Medicare stars
- AsPen sKilled healthcare34 homes · average 3.7 of 5 Medicare stars
- Cambridge healthcare sErvices32 homes · average 2.5 of 5 Medicare stars
- Generations healthcare26 homes · average 4.1 of 5 Medicare stars
- Links healthcare group25 homes · average 3.0 of 5 Medicare stars
- WindsOr22 homes · average 2.4 of 5 Medicare stars
- Abraham bak & menachem gasTwirth18 homes · average 2.5 of 5 Medicare stars
- The mandelbaum family17 homes · average 3.2 of 5 Medicare stars
- GenesIs healthcare17 homes · average 2.3 of 5 Medicare stars
- Mariner health care17 homes · average 3.6 of 5 Medicare stars
- Pacific healthcare holdings15 homes · average 1.9 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.