Independent guide · California

A calmer way to choose care for someone you love

Official records on California nursing homes and assisted living homes: inspections, fines and licenses, in one place and with clear explanations. Free, no sign-up, no sales calls.

An elderly woman and her daughter sit on a garden bench and look at the sunrise near a home
★★★★★Medicare ratingsOfficial inspection records
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What are you looking for?

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Where?

Only official records

Figures come from Medicare and State of California records. Every home's page links to the official source.

Nobody will call you

No forms and no sign-up. You call a home yourself, when you are ready.

Positions are not for sale

Homes do not pay to appear higher. The order is set only by the sorting you choose.

Already gathered for you

From Medicare and California licensing files.

1,165nursing homes
7,944assisted living homes
57,849inspection findings on record
$27,221,500in federal fines, last 3 years

Homes

Found: 9,109 · highest Medicare rating first

State inspection records are loaded for 509 of 7,944 assisted living homes so far. The list of homes comes from the state file dated May 25, 2025.

How to choose, in three steps

  1. Narrow the list

    Pick a city and the kind of care. Compare Medicare stars and the number of findings.

  2. Read what the findings were about

    Severity matters more than the count. We mark the cases where a resident was harmed.

  3. Call and visit

    Ask what was fixed after the last inspection, then go and see the home yourself.

A bright nursing home room with a bed, an armchair and a window to the garden

Nursing homes

Nursing homes give round-the-clock nursing care. They are inspected for Medicare and Medicaid, and the federal government publishes every finding.

A cosy sitting room with two armchairs and a tea table by the window

Assisted living homes

Assisted living homes (the state calls them RCFE) help with daily life but are not medical facilities. California's Department of Social Services licenses and inspects them.

Guides

Nursing home or assisted living in California: what is the difference

Nursing homes give 24-hour nursing care and are inspected for Medicare. Assisted living helps with daily life and is licensed by the state. How they differ and how to check each.

How to read a nursing home inspection record

What inspection findings mean: the four severity levels from A to L, how widespread a problem was, why the count alone misleads, and what fines show.

How to choose a care home in California: a short checklist

Six steps for families: decide the kind of care, make a short list, read the official record, call, visit more than once, and check the agreement before signing.

Reports

Special Focus Facility nursing homes in California

The current list of California nursing homes in Medicare's Special Focus Facility program and its candidates, with ratings and fines.

Federal fines on California nursing homes, by county

Federal fines on California nursing homes over the last three years: totals by county and the homes with the largest totals.

Nursing home star ratings in California, by county

Medicare's overall star ratings of California nursing homes by county: number of homes, average rating, and how many hold 5 stars or 1 star.

Cities

Anaheim 112Antioch 56Bakersfield 134Carmichael 89Citrus Heights 79Clovis 85Concord 98Corona 56Elk Grove 100Escondido 93Fresno 192Granada Hills 66Huntington Beach 69Lancaster 64Long Beach 75Los Angeles 219Mission Viejo 155Modesto 76Murrieta 57North Hollywood 57Northridge 74Orange 71Riverside 105Roseville 135Sacramento 227San Diego 194San Francisco 69San Jose 158San Mateo 62Santa Rosa 98Simi Valley 57Stockton 75Thousand Oaks 78Torrance 102Vallejo 65Walnut Creek 78

Counties

Alameda 297Amador 7Butte 37Calaveras 3Colusa 2Contra Costa 467Del Norte 2El Dorado 38Fresno 295Glenn 4Humboldt 18Imperial 10Inyo 2Kern 151Kings 9Lake 7Lassen 2Los Angeles 2,010Madera 11Marin 59Mariposa 1Mendocino 21Merced 31Modoc 2Monterey 56Napa 42Nevada 13Orange 1,126Placer 243Plumas 3Riverside 587Sacramento 668San Benito 4San Bernardino 331San Diego 664San Francisco 69San Joaquin 135San Luis Obispo 105San Mateo 227Santa Barbara 113Santa Clara 297Santa Cruz 33Shasta 53Siskiyou 2Solano 166Sonoma 177Stanislaus 119Sutter 12Tehama 11Trinity 1Tulare 63Tuolumne 4Ventura 266Yolo 28Yuba 5